Analysis of Stroke Rehabilitation Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 273
- 试验地点
- 1
- 主要终点
- Mobility - Lower Extremity Motricity Index - administered by physical therapist
研究概览
简要总结
Observe and describe the relationships between impairments and function, systematically characterize recovery patterns and examine short and long term rehabilitation outcomes. This project is purely observational, descriptive and non-experimental. N=273
详细描述
This project involves an interdisciplinary stroke database of demographic variables and clinical measures collected during routine acute care, inpatient rehabilitation admission and discharge as well as follow up questionnaires at 6 month and 12 months to examine stroke recovery.
Our aim is to observe and describe the relationships between impairments and function, systematically characterize recovery patterns and examine short and long term rehabilitation outcomes.
This project is purely observational, descriptive and non experimental. No rehabilitation interventions or treatment procedures are being introduced, modified or studied.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who have a confirmed primary diagnosis of cerebrovascular accident (CVA) as per radiological assessment, met the criteria to be admitted onto Baker 17 (the New York Presbyterian inpatient rehabilitation unit), and were administered standardized assessments or rating scales as part of routine standard care will be included in the database.
排除标准
- •Persons with stroke who could not be given standard assessments or rating scales (eg.
- •due to fatigue, decreased attention span, global aphasia or refusal) will not be included in data analysis.
结局指标
主要结局
Mobility - Lower Extremity Motricity Index - administered by physical therapist
时间窗: Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)
Lower Extremity Motricity Index - Measures muscle strength of paretic side, post-stroke. Includes three items: ankle dorsiflexion, knee extension, hip flexion. Total score range 0-100
Functional domain - Boston University Activity Measure for Post-Acute Care (AM-PAC) - administered by research assistant
时间窗: Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)
A questionnaire that examines a set of functional activities that are likely to be encountered by most adults during daily routines within the context of either an inpatient episode of care or outpatient post acute services. AM-PAC item banks are organized into three functional areas: Basic Mobility (101 items), Daily Activity (70 items), and Applied Cognitive (69 items).
Upper extremity - Stroke Upper Limb Capacity Scale (SULCS) - administered by occupational therapist
时间窗: Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)
Measures upper limb capability in post-stroke patients. It includes basic upper limb capacity items (requiring little to no hand function) and advanced upper limb capacity items (necessitates moderate to good hand function). Includes 10 items related to daily activities of patient in the home environment; three items that test proximal upper limb (arm) capacity without the need for active wrist and finger movements; four items that test for upper limb capacity requiring basic control of wrist and finger movements; three items for upper limb capacity requiring advanced control of wrist and finger movements
Upper extremity - Upper Extremity Motricity Index - administered by occupational therapist
时间窗: Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)
Measures muscle strength of the paretic side of patient who has had a stroke. It includes three items: pinch grip, elbow flexion, shoulder abduction. Total scores range 0-100
Participation questionnaire - Boston University Activity Measure for Post-Acute Care (AM-PAC) - administered by research assistant
时间窗: 12 months
Boston University Activity Measure for Post-Acute Care (AM-PAC) - A questionnaire that examines a set of functional activities that are likely to be encountered by most adults during daily routines within the context of either an inpatient episode of care or outpatient post acute services. AM-PAC item banks are organized into three functional areas: Basic Mobility (101 items), Daily Activity (70 items), and Applied Cognitive (69 items).
Functional and cognitive domains - Executive Function Performance Test (EFPT) bill paying task - administered by occupational therapist
时间窗: Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)
An instrumental activities of daily living assessment (IADL) that tests the patient's ability to use five executive functions of a task: (1) initiation of a task, (2) organization, (3) sequencing, (4) safety and judgment, and (5) completion.
Participation questionnaire - Community Participation Indicators (CPI) - administered by research assistant
时间窗: 12 months
Community Participation Indicators (CPI) - Part 1 has the patient rate the frequency at which he/she does various activities, and asks if the activity is important to the patient. Part 2 has the patient rate how frequently their behavior aligns with various prompts, for example "I live my life the way that I want".
Mobility - Postural Assessment Scale for Stroke (PASS) - administered by physical therapist
时间窗: Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)
A 12 item scale used for assessing postural control following stroke.
Mobility - 2 or 6 Minute Walk Test - administered by physical therapist
时间窗: Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)
Assesses patient's walking distance
Mobility - 10 Meter Walk Test - administered by physical therapist
时间窗: Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)
Assesses patient's walking speed
Mobility - Timed Up and Go (TUG) - administered by physical therapist
时间窗: Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)
Assesses mobility, balance, walking ability and fall risk. Measured in seconds.
Mobility - Functional Reach Test - administered by physical therapist
时间窗: Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)
Measures maximum distance an individual can reach forward while standing in a fixed position.
Functional domain - Functional Independence Measure (FIM) - administered by various members of rehabilitation team (physical therapy, occupational therapy, nursing, speech therapist)
时间窗: Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)
A uniform system of measurement for disability. It measures the level of a patient's disability and indicates how much assistance is required for the individual to carry out activities of daily living.
Participation questionnaire - Stroke Impact Scale (SIS) Participation domain - administered by research assistant
时间窗: 12 months
Stroke Impact Scale (SIS) Participation domain - A stroke-specific, self-reported, health status measure separated into 8 domains. We only administer the Participation domain.
Mobility - Trunk Control Test - administered by physical therapist
时间窗: Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)
Includes four items: rolling to weak side, rolling to strong side, sitting up from lying down, balance in sitting position. Total score range 0-100
Mobility - Berg Balance Scale - administered by physical therapist
时间窗: Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)
Measures balance in patients by assessing performance of functional tasks. Total score range 0 (lowest level) to 56 (highest level)
次要结局
- Cognition - Hopkins Verbal Learning Test-Revised (HVLT-R) - administered by speech therapist(Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU))
- Cognition - Brief visuospatial memory test - administered by neuropsychologist(Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU))
- Engagement in rehabilitation - Hopkins Rehabilitation Engagement Rating Scale (HRERS) - administered independently by occupational and physical therapists(Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU))
- Cognition - Stroop Color and Word test - administered by neuropsychologist(Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU))
- Cognition - Trail Making Test (TMT) - administered by occupational therapist(Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU))
- Cognition - Montreal Cognitive Assessment (MoCA) - administered by occupational therapist(Admission (within 72 hours after admission into the inpatient rehabilitation unit - IRU))
- Cognition - Digit Span test - administered by neuropsychologist(Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU))
- Cognition - Logical memory test - administered by neuropsychologist(Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU))
- Cognition - Dementia Rating Scale - administered by neuropsychologist(Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU))