Measures of activity limitation on admission to rehabilitation after stroke predict walking speed at discharge: an observational study.
OBJECTIVE
Which measures of activity limitation on admission to rehabilitation after stroke best predict walking speed at discharge?


METHODS
Prospective observational study.


METHODS
120 people with stroke undergoing inpatient rehabilitation.


METHODS
Predictors were admission walking speed, Timed Up and Go, Motor Assessment Scale, Modified Elderly Mobility Scale, and Functional Independence Measure scores measured on admission to rehabilitation. The outcome of interest was walking speed at discharge from inpatient rehabilitation.


RESULTS
Admission walking speed (B 0.47, 95% CI 0.27 to 0.67) and Item 2 of the Motor Assessment Scale, ie, moving from supine lying to sitting over the side of a bed (B 0.05, 95% CI 0.01 to 0.09) predicted walking speed on discharge from rehabilitation. These two predictors explained 36% of the variance in discharge walking speed.


CONCLUSIONS
Walking speed at discharge from inpatient rehabilitation was best predicted by admission walking speed and Motor Assessment Scale Item 2.
Kuys
Suzanne S
SS
Physiotherapy, Princess Alexandra Hospital, Woolloongabba, Queensland 4102, Australia. s.kuys@uq.edu.au
Bew
Paul G
PG
Lynch
Mary R
MR
Morrison
Greg
G
Brauer
Sandra G
SG
D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D009043:Motor Activity / Q000502:physiology*; D017063:Outcome Assessment, Health Care; D010343:Patient Admission; D010351:Patient Discharge; D011237:Predictive Value of Tests; D011446:Prospective Studies; D020127:Recovery of Function / Q000502:physiology; D012044:Regression Analysis; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation; D013997:Time Factors; D016896:Treatment Outcome; D016138:Walking / Q000502:physiology*