Factors affecting the quality of life of homebound elderly hemiparetic stroke patients with cognitive impairment.
Seiichi Takemasa, Ryoma Nakagoshi, Masayuki Uesugi and 4 others
PMID 28174455WHAT IT FOUND
For homebound older stroke patients with cognitive impairment, higher quality of life scores went with better cognition and greater daily independence.
Age, sex, and care level showed no clear link.
Key findings
01Quality of life was higher when cognitive ability was higher.
02Quality of life was higher when total daily living independence was higher.
03Age, gender, and care-need level did not show a statistically significant relationship with quality of life.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The study included only 17 patients, so the correlations may be unstable. It was observational and did not follow patients over time, so it cannot show that improving cognition or independence causes better quality of life. All patients were homebound and had cognitive impairment, so the findings may not apply to patients who are not homebound or who do not have cognitive impairment. The paper tested no treatment, so it cannot support efficacy claims for exercise, movement practice, or daily-living training.
The easy way to misread this
Do not read these correlations as proof that improving cognition or daily independence causes better quality of life. This was a small observational study of 17 homebound patients and tested no treatment.