Physical functioning factors predicting a return home after stroke rehabilitation: A systematic review and meta-analysis.
Odile Chevalley, Steven Truijen, Emmanuelle Opsommer and 1 others
PMID 37424501WHAT IT FOUND
Higher independence in motor daily living tasks strongly predicts stroke discharge home.
Quick checks like rolling, sitting, standing, transferring, and walking 10m are useful initial indicators. Thresholds of 20 on the Berg Balance Scale and 26 on motor Functional Independence Measure at admission help distinguish patients likely to return home.
Key findings
01Motor and total Functional Independence Measure scores on admission are significant predictors of discharge home.
02Independence in specific motor activities such as rolling, transferring, walking, and sitting/standing balance are associated with discharge home.
03Suggested admission thresholds for predicting home discharge are 20 on the Berg Balance Scale and 26 on the motor Functional Independence Measure.
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
High heterogeneity was observed across studies in sample size, mean age, and length of stay. The review was heavily weighted towards studies from the United States of America, which primarily used the Functional Independence Measure. Some physical function outcome measures showed inconsistent results or were only assessed in a small number of individual studies. The search strategy may have missed some relevant studies due to missing keywords.
Declared interests
The authors declared no potential conflicts of interest and received no financial support for the research.
The easy way to misread this
Do not rely solely on physical functioning scores for discharge decisions. The review notes that cognitive functions and socio-environmental factors, such as living alone or family support, are also significant predictors that must be assessed alongside physical independence.