Longitudinal changes of self-perceived manual ability the first year after stroke : A cohort study
Ekstrand, Elisabeth LU
; Sunnerhagen, Katharina S.
; Persson, Hanna C.
; Lundgren-Nilsson, Åsa
and Alt Murphy, Margit
(2020)
In BMC Neurology
20(1).
- Abstract
Background: Recovery patterns of motor function and activity capacity of the upper extremity after stroke have been described, but less is known about longitudinal changes of perceived manual activity performance. The aim of this study was to investigate longitudinal changes of self-perceived manual ability at several timepoints from onset until 12 months post-stroke in a cohort of consecutively recruited individuals with mild, moderate and severe stroke. Methods: The study included 106 participants from a non-selected cohort with first-ever mild, moderate or severe stroke and impaired upper extremity function (Stroke Arm Longitudinal Study at the University of Gothenburg, SALGOT). Self-perceived manual ability was assessed with the... (More)
Background: Recovery patterns of motor function and activity capacity of the upper extremity after stroke have been described, but less is known about longitudinal changes of perceived manual activity performance. The aim of this study was to investigate longitudinal changes of self-perceived manual ability at several timepoints from onset until 12 months post-stroke in a cohort of consecutively recruited individuals with mild, moderate and severe stroke. Methods: The study included 106 participants from a non-selected cohort with first-ever mild, moderate or severe stroke and impaired upper extremity function (Stroke Arm Longitudinal Study at the University of Gothenburg, SALGOT). Self-perceived manual ability was assessed with the ABILHAND Questionnaire at 3 and 10 days, 4 weeks, 3, 6 and 12 months after stroke. Longitudinal change was assessed by linear mixed models (fixed and random effects) and adjusted models were built by adding effects of cofactors age, gender, stroke severity, living condition and affected hand. Results: Self-perceived manual ability increased over time the first year after stroke for the total group and the subgroups. The final adjusted model for the total group included fix-effects of time (expected mean change 0.24 logits per month) adjusted by age (-0.06 per year) and stroke severity (-0.19 per NIHSS-score). In addition to significant effect of time, the adjusted models for moderate stroke subgroup included fixed effect of age, and for mild and severe subgroups there was an interaction effect between time and age. Further analyses between time-points showed that no significant change of self-perceived manual ability was detected beyond 3 months post-stroke. Conclusions: Self-perceived manual ability increased over time the first year after stroke, and this change was to some degree modulated by age and stroke severity at onset. Most of the improvements occurred early, predominantly within the first three months after stroke.
(Less)
- author
- Ekstrand, Elisabeth
LU
; Sunnerhagen, Katharina S.
; Persson, Hanna C.
; Lundgren-Nilsson, Åsa
and Alt Murphy, Margit
- organization
- publishing date
- 2020
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Activities of daily living, Longitudinal study, Recovery, Self report, Stroke, Upper extremity
- in
- BMC Neurology
- volume
- 20
- issue
- 1
- article number
- 181
- publisher
- BioMed Central (BMC)
- external identifiers
-
- scopus:85084625729
- pmid:32397973
- ISSN
- 1471-2377
- DOI
- 10.1186/s12883-020-01754-9
- language
- English
- LU publication?
- yes
- id
- 2f797c87-51bc-4aa4-aee8-2e07b8a5ce6a
- date added to LUP
- 2020-06-03 13:01:43
- date last changed
- 2024-04-03 08:50:29
@article{2f797c87-51bc-4aa4-aee8-2e07b8a5ce6a,
abstract = {{<p>Background: Recovery patterns of motor function and activity capacity of the upper extremity after stroke have been described, but less is known about longitudinal changes of perceived manual activity performance. The aim of this study was to investigate longitudinal changes of self-perceived manual ability at several timepoints from onset until 12 months post-stroke in a cohort of consecutively recruited individuals with mild, moderate and severe stroke. Methods: The study included 106 participants from a non-selected cohort with first-ever mild, moderate or severe stroke and impaired upper extremity function (Stroke Arm Longitudinal Study at the University of Gothenburg, SALGOT). Self-perceived manual ability was assessed with the ABILHAND Questionnaire at 3 and 10 days, 4 weeks, 3, 6 and 12 months after stroke. Longitudinal change was assessed by linear mixed models (fixed and random effects) and adjusted models were built by adding effects of cofactors age, gender, stroke severity, living condition and affected hand. Results: Self-perceived manual ability increased over time the first year after stroke for the total group and the subgroups. The final adjusted model for the total group included fix-effects of time (expected mean change 0.24 logits per month) adjusted by age (-0.06 per year) and stroke severity (-0.19 per NIHSS-score). In addition to significant effect of time, the adjusted models for moderate stroke subgroup included fixed effect of age, and for mild and severe subgroups there was an interaction effect between time and age. Further analyses between time-points showed that no significant change of self-perceived manual ability was detected beyond 3 months post-stroke. Conclusions: Self-perceived manual ability increased over time the first year after stroke, and this change was to some degree modulated by age and stroke severity at onset. Most of the improvements occurred early, predominantly within the first three months after stroke.</p>}},
author = {{Ekstrand, Elisabeth and Sunnerhagen, Katharina S. and Persson, Hanna C. and Lundgren-Nilsson, Åsa and Alt Murphy, Margit}},
issn = {{1471-2377}},
keywords = {{Activities of daily living; Longitudinal study; Recovery; Self report; Stroke; Upper extremity}},
language = {{eng}},
number = {{1}},
publisher = {{BioMed Central (BMC)}},
series = {{BMC Neurology}},
title = {{Longitudinal changes of self-perceived manual ability the first year after stroke : A cohort study}},
url = {{http://dx.doi.org/10.1186/s12883-020-01754-9}},
doi = {{10.1186/s12883-020-01754-9}},
volume = {{20}},
year = {{2020}},
}