PMID: 8607755Apr 1, 1996Paper

Orientation in the acute and chronic stroke patient: impact on ADL and social activities. The Copenhagen Stroke Study

Archives of Physical Medicine and Rehabilitation
P M PedersenT S Olsen

Abstract

To determine the influence of initially lowered orientation on rehabilitation outcome in stroke patients, and how decreased orientation 6 months after stroke influences ADL and social activities. Prospective, consecutive, and community based. A stroke unit receiving all acute stroke patients from a well-defined catchment area. All stages of rehabilitation were completed within the unit. 524 patients with acute stroke. Basic ADL assessed by the Barthel Index (BI) at discharge; discharge placement; higher level ADL and social functions assessed by the Frenchay Activity Index(FAI) at a 6-month follow-up. The independent influence of orientation in acute stroke on rehabilitation outcome was analyzed with multiple linear and logistic regression models, using initial stroke severity (Scandinavian Neurologic Stroke Scale), initial BI, age, sex, comorbidity, prior stroke, and marital status as covariates. A one-point decrease in orientation decreased BI with 9 points (coefficient b=8.66, SE(b)=1.02,p<.0001) and reduced the likelihood (1.49, 95% CI: 1.05 to 2.11) of discharge to independent living (b=.40, SE(b)=.18,p=.026). Follow-up examinations 6 month poststroke showed that decreased orientation at this point still exerted a marked, ...Continue Reading

References

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Citations

Feb 13, 2001·Survey of Ophthalmology·L D McCulloughR Wityk
Aug 19, 2003·Surgical Neurology·Der-Yang ChoHan-Chun Lee
Dec 6, 2008·Neuropsychological Rehabilitation·Debbie RandNoomi Katz
Apr 4, 2001·PharmacoEconomics·B A GolombR D Hays
Jun 18, 2005·The Kaohsiung Journal of Medical Sciences·Jau-Hong LinMao-Hsiung Huang
Jul 14, 2004·Archives of Gerontology and Geriatrics·Yitshal N BernerBronia Finkeltov
Jul 9, 2005·Archives of Physical Medicine and Rehabilitation·Vera P SchepersEline Lindeman
Oct 3, 2003·Topics in Stroke Rehabilitation·Eric B LarsonRebecca Goodman
Feb 11, 2015·Neuroscience Letters·Avril MansfieldJennifer Campos
Jun 9, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Giovanni MoroneMarco Iosa
Jun 17, 2000·Archives of Physical Medicine and Rehabilitation·C Y SuM H Huang
Apr 5, 2018·Applied Neuropsychology. Adult·Jaqueline de Carvalho RodriguesJerusa Fumagalli de Salles
Feb 10, 2006·Neurorehabilitation and Neural Repair·Dorothy F EdwardsAlexander W Dromerick
Jun 2, 2001·Stroke; a Journal of Cerebral Circulation·E S LawrenceC D Wolfe
Nov 3, 1998·American Journal of Physical Medicine & Rehabilitation·T TsujiN Chino
Aug 29, 2001·American Journal of Physical Medicine & Rehabilitation·P M PedersenT S Olsen
Apr 1, 1999·Topics in Stroke Rehabilitation·Tetsumi Honda

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