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      Correlation between the Activities of Daily Living of Stroke Patients in a Community Setting and Their Quality of Life

      research-article
      Author(s): , PhD, PT 1 , , MS, PT 1 , * , , MS, PT 1
      Publication date (Electronic):
      Journal: Journal of Physical Therapy Science
      Publisher: The Society of Physical Therapy Science
      Keywords: Stroke, FIM, QOL

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          Abstract

          [Purpose] The present study aimed to determine the correlation between the activities of daily living and the quality of life (QOL) of patients with chronic stroke. [Subjects and Methods] The study subjects were 68 patients with stroke. Three questionnaires were distributed by visiting the subjects. [Results] All the items and total scores of the functional independence measure (FIM) showed a high correlation with the QOL total score. The relationship between the activities of daily living and the total QOL score showed a significant positive correlation. Among the FIM items, mobility and social cognition showed the most significant effects. The modified r 2 value was 0.67, mobility and social cognition explained approximately 67% of the change in the QOL. [Conclusion] The activities of daily living of the patients with chronic stroke and their QOL showed a high correlation. Among the FIM items, mobility (transfers) and social cognition had the largest effects on the total QOL score.

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          The functional independence measure: a new tool for rehabilitation.

          R Keith, C V Granger, B Hamilton … (1987)
          Article 0 comments Cited 258 times – based on 0 reviews     Review now
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            Development of a stroke-specific quality of life scale.

            L Williams, M. Weinberger, L E Harris … (1999)
            Clinical stroke trials are increasingly measuring patient-centered outcomes such as functional status and health-related quality of life (HRQOL). No stroke-specific HRQOL measure is currently available. This study presents the initial development of a valid, reliable, and responsive stroke-specific quality of life (SS-QOL) measure, for use in stroke trials. Domains and items for the SS-QOL were developed from patient interviews. The SS-QOL, Short Form 36, Beck Depression Inventory, National Institutes of Health Stroke Scale, and Barthel Index were administered to patients 1 and 3 months after ischemic stroke. Items were eliminated with the use of standard psychometric criteria. Construct validity was assessed by comparing domain scores with similar domains of established measures. Domain responsiveness was assessed with standardized effect sizes. All 12 domains of the SS-QOL were unidimensional. In the final 49-item scale, all domains demonstrated excellent internal reliability (Cronbach's alpha values for each domain >/=0.73). Most domains were moderately correlated with similar domains of established outcome measures (r2 range, 0.3 to 0.5). Most domains were responsive to change (standardized effect sizes >0.4). One- and 3-month SS-QOL scores were associated with patients' self-report of HRQOL compared with before their stroke (P<0.001). The SS-QOL measures HRQOL, its primary underlying construct, in stroke patients. Preliminary results regarding the reliability, validity, and responsiveness of the SS-QOL are encouraging. Further studies in diverse stroke populations are needed.
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              Quality of life 4 years after stroke.

              M Kotila, L Niemi, O Waltimo … (1988)
              The quality of life for 46 stroke survivors under the age of 65 years in a stroke register was studied 4 years after their first stroke. A questionnaire covering four domains of life (working conditions, activities at home, family relationships, and leisure time activities) was used for investigation of the quality of life. The results showed that in spite of a good recovery in terms of discharge from the hospital, activities of daily living, and return to work, the quality of life of most patients (83%) had not been restored to the prestroke level. Deterioration among the several domains of life ranged from 39% to 80%, the lowest being in the domain of activities at home and the highest in the domain of leisure time activities. Hemispheral localization of the lesion, paresis, coordination disturbances, and especially subjective tendency to depression were highly correlated with a deterioration in the quality of life. Dependence in activities of daily living and an inability to return to work were also associated with the lack of restoration. Our results suggest that much more attention should be paid to the quality of life of stroke patients.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Phys Ther Sci
                Journal ID (iso-abbrev): J Phys Ther Sci
                Journal ID (publisher-id): JPTS
                Title: Journal of Physical Therapy Science
                Publisher: The Society of Physical Therapy Science
                ISSN (Print): 0915-5287
                ISSN (Electronic): 2187-5626
                Publication date (Electronic): 25 March 2014
                Publication date (Print): March 2014
                Volume: 26
                Issue: 3
                Pages: 417-419
                Affiliations
                [1) ] Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea
                Author notes
                [* ]Corresponding author. Young Mi Kim, Department of Physical Therapy, College of Rehabilitation Science, Daegu University: 15 Jilyang, Gyeongsan-si, Kyeongbuk 712-714, Republic of Korea. (E-mail: h1015m@ 123456naver.com )
                Article
                Publisher ID: jpts-2013-383
                DOI: 10.1589/jpts.26.417
                PMC ID: 3976015
                PubMed ID: 24707096
                SO-VID: 253b5487-e050-40c7-a007-bfa318e17c59
                Copyright © 2014©by the Society of Physical Therapy Science
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License.

                History
                Date received : 13 August 2013
                Date accepted : 10 October 2013
                Categories
                Subject: Original

                Keywords: stroke,fim,qol
                Data availability:
                Keywords: stroke, fim, qol

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