Relationship between psychophysiological factors and prognosis for activities of daily living in patients with stroke in a recovery rehabilitation unit: a preliminary study.
Shogo Kawada, Ryohei Goto
PMID 29643606WHAT IT FOUND
At admission, worse motor paralysis and higher depression scores were associated with poorer daily living function 2 months later in 13 stroke patients in a rehabilitation unit.
This does not show that treating these problems improves daily living.
Key findings
01Admission JSS-M score was negatively associated with FIM score 2 months later (R=-0.80, p=0.001).
02Admission GDS-S score was negatively associated with FIM score 2 months later (R=-0.69, p=0.009).
03Admission JSS-M and GDS-S scores were not significantly associated (R=0.33, p=0.266).
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 sample was 13 patients at one hospital, so the findings may not apply to other rehabilitation units. Patients with dementia or higher brain dysfunction, including aphasia, were excluded, so the findings may not apply to stroke patients with those conditions. The study did not examine enough confounding factors that could affect daily living prognosis. It measured association, not treatment effect.
The easy way to misread this
Do not conclude that treating depression or motor paralysis improves daily living. This study only measured association at admission with Functional Independence Measure scores at 2 months in 13 patients.