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The impact of the energy cost of walking on the quality of life of post-stroke individuals: A one-year longitudinal study. | LitMetric

AI Article Synopsis

  • Increased energy costs of walking (Cw) in stroke patients are linked to their walking ability and independence, but the effect on their quality of life (QoL) has not been previously explored.
  • A study with 37 stroke patients found that higher Cw significantly impacted QoL assessments taken after hospital discharge, particularly at six months and one year later.
  • The findings suggest that both Cw and mood disorders (measured by HADS) are important predictors of QoL, emphasizing the need for early interventions to improve these factors for better long-term outcomes.

Article Abstract

Background: The increased energy cost of walking (Cw) for stroke patients affects the walking function and walking independence of stroke patients. However, its impact on quality of life (QoL) has never been studied.

Objective: Assess the association between Cw and QoL for post-stroke individuals in the year following hospital discharge.

Method: Thirty-seven individuals with stroke were included. QoL was assessed by the EuroQol-5 Dimensions on the day after hospital discharge (T0), at six months (T1) and at one year after hospital discharge (T2). Concomitant an evaluation of Cw, mood disorders (HADS), fatigue, independence in activities of daily living and the presence of a family caregiver was performed. The association between QoL and the different covariates was analyzed using multiple regression analysis.

Results: At T2, data from 29 individuals were analyzable. Multiple regression analyses showed Cw had a significant influence on the QoL at T1 (coeff -0.42 (-0.71 to -0.12), P = .008) and T2 (coeff -0.49 (-0.71 to -0.26), P < .001). HADS score was the only other variable to significantly impact variances of QoL at T0, T1 and T2. Moreover, we showed that Cw at T0 explained 29% of variances of QoL at T1 and 42% at T2.

Conclusion: Cw appears to be an independent factor in the QoL of individuals with stroke at six months and one year after hospital discharge. In addition, the initial Cw and HADS are predictive of QoL at one year highlighting the importance of early interventions in these two dimensions to improve QoL over the long term.

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Source
http://dx.doi.org/10.1016/j.dhjo.2022.101345DOI Listing

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