The impact of the energy cost of walking on the quality of life of post-stroke individuals: A one-year longitudinal study |
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| Institution: | 1. HAVAE UR20217 (Handicap, Aging, Autonomy, Environment), FEDRHA, University of Limoges, 87042, Limoges, France;2. Department of Physical Medicine and Rehabilitation in the University Hospital Center of Limoges, 87042, Limoges, France;1. The Lurie Institute for Disability Policy, The Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA, 02453, USA;2. Center for Healthcare Organization and Implementation Research (CHOIR), Bedford VA Healthcare System, 200 Spring Rd, Bedford, MA, 01730, USA;3. College of Health Professions, Virginia Commonwealth University, 907 Floyd Ave, Richmond, VA, 23284, USA;1. Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA;2. Eunice Kennedy Shriver Center, University of Massachusetts Chan Medical School, Worcester, MA, USA;3. The Meyers Health Care Institute, A Joint Endeavor of the University of Massachusetts Chan Medical School, Fallon Health, and Reliant Medical Group, Worcester, MA, USA;4. Division of Geriatric Medicine, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA, USA;1. School of Kinesiology, University of Michigan, Ann Arbor, MI, USA;2. Department of Physical Therapy, The University of Alabama at Birmingham, Birmingham, AL, USA;1. University of Georgia, Ramsey Center, Room 349, 330 River Road, Athens, 30602, GA, USA;2. Old Dominion University, USA;1. Centre for Disability Research and Policy, Faculty of Health Sciences, University of Sydney, Sydney, NSW, 2141, Australia;2. Centre of Research Excellence in Disability and Health, University of Sydney, Sydney, NSW 2141, Australia;3. Centre for Disability Research, Faculty of Health & Medicine, Lancaster University, Lancaster, LA1 4YW, UK;4. College of Nursing and Health Sciences, Flinders University, SA, 5042, Australia;1. Center of Innovation for Complex Chronic Healthcare (CINCCH), Department of Veterans Affairs, Edward Hines Jr. VA Hospital, Hines, IL, USA;2. Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA;3. Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA;4. Midwest Regional SCI Care System (MRSCICS), Shirley Ryan AbilityLab (SRAlab), Chicago, IL, USA;5. Marcella Niehoff School of Nursing, Loyola University Chicago, Maywood, IL, USA |
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| Abstract: | BackgroundThe increased energy cost of walking (Cw) for stroke patients affects the walking function and walking independence of stroke patients. However, its impact on quality of life (QoL) has never been studied.ObjectiveAssess the association between Cw and QoL for post-stroke individuals in the year following hospital discharge.MethodThirty-seven individuals with stroke were included. QoL was assessed by the EuroQol-5 Dimensions on the day after hospital discharge (T0), at six months (T1) and at one year after hospital discharge (T2). Concomitant an evaluation of Cw, mood disorders (HADS), fatigue, independence in activities of daily living and the presence of a family caregiver was performed. The association between QoL and the different covariates was analyzed using multiple regression analysis.ResultsAt T2, data from 29 individuals were analyzable. Multiple regression analyses showed Cw had a significant influence on the QoL at T1 (coeff ?0.42 (?0.71 to ?0.12), P = .008) and T2 (coeff ?0.49 (?0.71 to ?0.26), P < .001). HADS score was the only other variable to significantly impact variances of QoL at T0, T1 and T2. Moreover, we showed that Cw at T0 explained 29% of variances of QoL at T1 and 42% at T2.ConclusionCw appears to be an independent factor in the QoL of individuals with stroke at six months and one year after hospital discharge. In addition, the initial Cw and HADS are predictive of QoL at one year highlighting the importance of early interventions in these two dimensions to improve QoL over the long term. |
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| Keywords: | Quality of life Stroke Energy cost Oxygen cost Longitudinal study |
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