Authors:

Anvi Shevade

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About Paper:

The alignment of perceptions of stroke recovery and actual physical recovery has important implications for stroke walking rehabilitation. This study aimed to determine the association between subjective and objective measurements in post-stroke recovery and the influence of stroke-related characteristics. Data from a clinical trial (NCT03492229) was used to test the association of the Stroke Impact Scale (SIS) and its subscales with objective tests of maximal walking speed and Fug! Meyer Lower Extremity (FMLE). General linear modeling (GLM) was performed to include demographic and stroke-related characteristics (age, sex, race, time since stroke, affected brain region, affected hemisphere, and stroke type) as potential interactive factors. Data was collected from 92 people with chronic stroke [mean (SD); age, 59 (9); 63 male; time since stroke, 5.7 (4.6); affected brain region, 38 cortical; affected hemisphere, 51 right-sided; stroke type, 60 ischemic]. Most SIS subscales were not associated with any objective tests (R*20.04, p20.06). The SIS total score was associated with FMLE (R?=0.11, p=0.001), and the SIS mobility subscale was associated with maximal walking speed (R*=0.05, p=0.03). In a GLM predicting FMLE, age (p=0.004) and the interaction between age and SIS total score (p=0.006) were significant predictors. In a GLM predicting maximal walking speed, the interaction between biological sex and SIS mobility score (p=0.01) was a significant predictor. Individual SIS subscales did not have strong associations with objective tests, but the SIS total was associated with overall function. The results suggest that people are better at accurately perceiving their broad function than individual components of function (e.g., mobility). Age and biological sex interacted with and impacted the association between subjective and objective tests, and could be considered.

Source:

University of Illinois Chicago

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Co-authors:

Anvi Shevade