title: Activity limitations experienced by people with stroke who receive inpatient rehabilitation: differences between 2001, 2005, and 2011.
abstract: OBJECTIVE
  To determine whether there were differences in characteristics and activity limitations relevant to physiotherapists among people receiving inpatient rehabilitation after stroke in 2001, 2005, and 2011.
  
  
  METHODS
  A multicenter observational study of 3 periods.
  
  
  METHODS
  Inpatient rehabilitation units (N=15).
  
  
  METHODS
  Adult stroke survivors (N=738) admitted over 3 periods (2001, 2005, 2011).
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Characteristics, hospital metrics, and Motor Assessment Scale (MAS) scores were recorded on admission and discharge.
  
  
  RESULTS
  All 3 cohorts were similar in terms of sex, side affected by stroke, and length of time from stroke onset to rehabilitation admission. Stroke participants in the 2005 cohort were older than those in the 2011 and 2001 cohorts. Participants in the 2011 cohort had a longer inpatient rehabilitation length of stay, experienced lower average MAS gains per day (F>3.298, P<.038), and experienced more activity limitations in basic functional tasks involving bed mobility, standing up, and sitting balance on admission and discharge, and in walking and arm function at discharge only compared with earlier cohorts.
  
  
  CONCLUSIONS
  In 2011, on average, people admitted for rehabilitation after stroke were approximately the same age as patients in 2005 and 2001 and it took approximately 2 weeks for all of these patients to be admitted to a rehabilitation unit, but patients in 2011 had a longer inpatient rehabilitation length of stay compared with patients in 2005 and 2001. In addition, activity limitations at inpatient rehabilitation admission and discharge appear to be worse, particularly for activities such as rolling, sitting up over the edge of the bed, and balanced sitting.
authors.affiliation: Griffith Health Institute, Griffith University, Gold Coast, Australia; Allied Health Research Collaborative, The Prince Charles Hospital, Brisbane, Australia. Electronic address: Suzanne.kuys@health.qld.gov.au.
authors.forename: Suzanne S
authors.initials: SS
authors.lastname: Kuys
authors.affiliation: Brighton Health Campus, Brisbane, Australia.
authors.forename: Paul G
authors.initials: PG
authors.lastname: Bew
authors.affiliation: Australian Catholic University, Brisbane, Australia.
authors.forename: Mary R
authors.initials: MR
authors.lastname: Lynch
authors.affiliation: School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
authors.forename: Sandra G
authors.initials: SG
authors.lastname: Brauer
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D005260:Female; D006760:Hospitalization; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009068:Movement / Q000502:physiology*; D011446:Prospective Studies; D012047:Rehabilitation Centers; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation
keywords: Motor activity; Physical therapy specialty; Recovery of function; Rehabilitation; Stroke