Motor Function in the Late Phase After Stroke: Stroke Survivors’ Perspective
Objective To examine the association between observer-assessed functional status and perceived recovery in the late phase after stroke. The study also aimed to determine whether observer-assessed functional improvements as a result of horse-riding therapy (H-RT) are related to enhanced perception of...
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| Format: | Article |
| Language: | English |
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Korean Academy of Rehabilitation Medicine
2020-10-01
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| Series: | Annals of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | http://www.e-arm.org/upload/pdf/arm-20060.pdf |
| _version_ | 1797726417823203328 |
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| author | Lina Bunketorp-Käll Marcela Pekna Milos Pekny Hans Samuelsson Christian Blomstrand Michael Nilsson |
| author_facet | Lina Bunketorp-Käll Marcela Pekna Milos Pekny Hans Samuelsson Christian Blomstrand Michael Nilsson |
| author_sort | Lina Bunketorp-Käll |
| collection | DOAJ |
| description | Objective To examine the association between observer-assessed functional status and perceived recovery in the late phase after stroke. The study also aimed to determine whether observer-assessed functional improvements as a result of horse-riding therapy (H-RT) are related to enhanced perception of stroke recovery. Methods This is a descriptive correlational study using data derived from a three-armed randomized controlled trial in which 123 individuals were enrolled, among whom 43 received H-RT for 12 weeks. The measures included the Modified Motor Assessment Scale, Berg Balance Scale, Timed Up and Go, timed 10-m walk, and perceived recovery from stroke indicated by item #9 in the Stroke Impact Scale (version 2.0). Spearman rank order correlation (rs) was used in the analyses. Results There were moderate to strong positive or negative correlations between all four observer-assessed motor variables and participants’ ratings of perceived late-phase stroke recovery at trial entrance, ranging from rs=-0.49 to rs=0.54 (p<0.001). The results of the correlational analyses of variable changes showed that, after the end of the H-RT intervention, both self-selected and fast gait speed improvement were significantly correlated with increments in self-rated stroke recovery (rs=-0.41, p=0.01 and rs=-0.38, p=0.02, respectively). Conclusion This study provided data supporting the association between individual ratings of self-perceived recovery after stroke and observer-assessed individual motor function. The results further demonstrate that enhancement in perceived stroke recovery after completing the intervention was associated with objectively measured gains in both self-selected and fast gait speed. |
| first_indexed | 2024-03-12T10:45:13Z |
| format | Article |
| id | doaj.art-0dd8c115eb574814a9e959eb7ed0f83d |
| institution | Directory Open Access Journal |
| issn | 2234-0645 2234-0653 |
| language | English |
| last_indexed | 2024-03-12T10:45:13Z |
| publishDate | 2020-10-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj.art-0dd8c115eb574814a9e959eb7ed0f83d2023-09-02T07:34:08ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532020-10-0144536236910.5535/arm.200604183Motor Function in the Late Phase After Stroke: Stroke Survivors’ PerspectiveLina Bunketorp-Käll0Marcela Pekna1Milos Pekny2Hans Samuelsson3Christian Blomstrand4Michael Nilsson5 Center for Brain Repair, Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden Center for Brain Repair, Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden Center for Brain Repair, Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden Center for Brain Repair, Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden Center for Brain Repair, Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden Center for Brain Repair, Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, SwedenObjective To examine the association between observer-assessed functional status and perceived recovery in the late phase after stroke. The study also aimed to determine whether observer-assessed functional improvements as a result of horse-riding therapy (H-RT) are related to enhanced perception of stroke recovery. Methods This is a descriptive correlational study using data derived from a three-armed randomized controlled trial in which 123 individuals were enrolled, among whom 43 received H-RT for 12 weeks. The measures included the Modified Motor Assessment Scale, Berg Balance Scale, Timed Up and Go, timed 10-m walk, and perceived recovery from stroke indicated by item #9 in the Stroke Impact Scale (version 2.0). Spearman rank order correlation (rs) was used in the analyses. Results There were moderate to strong positive or negative correlations between all four observer-assessed motor variables and participants’ ratings of perceived late-phase stroke recovery at trial entrance, ranging from rs=-0.49 to rs=0.54 (p<0.001). The results of the correlational analyses of variable changes showed that, after the end of the H-RT intervention, both self-selected and fast gait speed improvement were significantly correlated with increments in self-rated stroke recovery (rs=-0.41, p=0.01 and rs=-0.38, p=0.02, respectively). Conclusion This study provided data supporting the association between individual ratings of self-perceived recovery after stroke and observer-assessed individual motor function. The results further demonstrate that enhancement in perceived stroke recovery after completing the intervention was associated with objectively measured gains in both self-selected and fast gait speed.http://www.e-arm.org/upload/pdf/arm-20060.pdfstrokerecoveryhorseback riding therapieswalking speedmotor activity |
| spellingShingle | Lina Bunketorp-Käll Marcela Pekna Milos Pekny Hans Samuelsson Christian Blomstrand Michael Nilsson Motor Function in the Late Phase After Stroke: Stroke Survivors’ Perspective Annals of Rehabilitation Medicine stroke recovery horseback riding therapies walking speed motor activity |
| title | Motor Function in the Late Phase After Stroke: Stroke Survivors’ Perspective |
| title_full | Motor Function in the Late Phase After Stroke: Stroke Survivors’ Perspective |
| title_fullStr | Motor Function in the Late Phase After Stroke: Stroke Survivors’ Perspective |
| title_full_unstemmed | Motor Function in the Late Phase After Stroke: Stroke Survivors’ Perspective |
| title_short | Motor Function in the Late Phase After Stroke: Stroke Survivors’ Perspective |
| title_sort | motor function in the late phase after stroke stroke survivors perspective |
| topic | stroke recovery horseback riding therapies walking speed motor activity |
| url | http://www.e-arm.org/upload/pdf/arm-20060.pdf |
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