PMID: 9184786May 1, 1997Paper

Determinants of handicap 1 and 3 years after a stroke

Disability and Rehabilitation
R H HarwoodS Ebrahim

Abstract

A total of 361 consecutive admissions to hospital with acute stroke were followed up to examine the determinants of handicap 1 year and 2-3 years later. Handicap was measured using the London Handicap Scale, and data were collected on initial stroke severity, disability, mood and sociodemographic variables. Ninety-five of 170 survivors returned handicap questionnaires at 1 year, 102 of 149 survivors at 2-3 years, and 58 on both occasions. Mean handicap score decreased slightly between 1 and 2-3 years (45-48 on a 0-100 scale, 95% confidence interval for difference -1 to +7, p = 0.09). At both 1 and 2-3 years handicap was associated with pre-stroke disability, 1-year score disability, initial stroke severity and mood. Age and sex were associated at 1 year but not at 2-3 years. In multivariate analyses disability, stroke severity and mood were independently associated with handicap. None of the variables examined predicted change in handicap score. The study demonstrates the overriding importance of stroke severity (impairment) and disability in determining handicap. In comparison, social variables were less important.

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Citations

Jan 8, 2005·Aging Clinical and Experimental Research·Johanne DesrosiersAnnie Rochette
Nov 15, 2008·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Isabelle BourdeauSuzanne Gosselin
Nov 17, 2005·Journal of Rehabilitation Medicine·Johanne DesrosiersAnnick Bourget
Apr 9, 2001·Aging : Clinical and Experimental Research·A GottliebD Gottlieb
Feb 10, 2006·Disability and Rehabilitation·Johanne DesrosiersAnnick Bourget
Dec 17, 2009·Acta Neurologica Scandinavica·P AppelrosA Terént
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Nov 4, 2006·Topics in Stroke Rehabilitation·Johanne DesrosiersAnnick Bourget
Jun 21, 2007·Topics in Stroke Rehabilitation·Annie RochetteAnnick Bourget
Feb 14, 2002·Clinical Rehabilitation·Mieke CardolRob J de Haan
Oct 6, 2007·Neurorehabilitation and Neural Repair·Johanne DesrosiersUNKNOWN BRAD Group
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Jan 4, 2003·Stroke; a Journal of Cerebral Circulation·Peter AppelrosMatti Viitanen
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