Timed up-and-go performance is associated with objectively measured life space in patients 3 months after ischemic stroke : a cross-sectional observational study
Rössler, R., Rommers, N., Kim, E.-K., Iendra, L., Sofios, A., Giannouli, E., Portegijs, E., Rantanen, T., Infanger, D., Bridenbaugh, S., Engelter, S. T., Schmidt-Trucksäss, A., Weibel, R., Peters, N., & Hinrichs, T. (2023). Timed up-and-go performance is associated with objectively measured life space in patients 3 months after ischemic stroke : a cross-sectional observational study. Journal of Neurology, 270, 1999-2009. https://doi.org/10.1007/s00415-022-11524-x
Julkaistu sarjassa
Journal of NeurologyTekijät
Päivämäärä
2023Tekijänoikeudet
© The Author(s) 2022
Background
Stroke is a common cause of mobility limitation, including a reduction in life space. Life space is defined as the spatial extent in which a person moves within a specified period of time. We aimed to analyze patients’ objective and self-reported life space and clinical stroke characteristics.
Methods
MOBITEC-Stroke is a prospective observational cohort study addressing poststroke mobility. This cross-sectional analysis refers to 3-month data. Life space was assessed by a portable tracking device (7 consecutive days) and by self-report (Life-Space Assessment; LSA). We analysed the timed up-and-go (TUG) test, stroke severity (National Institutes of Health Stroke Scale; NIHSS), and the level of functional outcome (modified Rankin Scale; mRS) in relation to participants’ objective (distance- and area-related life-space parameters) and self-reported (LSA) life space by multivariable linear regression analyses, adjusted for age, sex, and residential area.
Results
We included 41 patients, mean age 70.7 (SD11.0) years, 29.3% female, NIHSS score 1.76 (SD1.68). We found a positive relationship between TUG performance and maximum distance from home (p = 0.006), convex hull area (i.e. area enclosing all Global Navigation Satellite System [GNSS] fixes, represented as a polygon linking the outermost points; p = 0.009), perimeter of the convex hull area (i.e. total length of the boundary of the convex hull area; p = 0.008), as well as the standard ellipse area (i.e. the two-dimensional ellipse containing approximately 63% of GNSS points; p = 0.023), in multivariable regression analyses.
Conclusion
The TUG, an easily applicable bedside test, seems to be a useful indicator for patients’ life space 3 months poststroke and may be a clinically useful measure to document the motor rehabilitative process.
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Julkaisija
Springer Science and Business Media LLCISSN Hae Julkaisufoorumista
0340-5354Asiasanat
Julkaisu tutkimustietojärjestelmässä
https://converis.jyu.fi/converis/portal/detail/Publication/164709659
Metadata
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Lisätietoja rahoituksesta
Open access funding provided by University of Basel. We would like to thank the Swiss National Science Foundation who funded the project MOBITEC-Stroke (“Recovery of mobility function and life-space mobility after ischemic stroke”, Project No. 32003B_182681).Lisenssi
Samankaltainen aineisto
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Self-reported life-space mobility in the first year after ischemic stroke : longitudinal findings from the MOBITEC-Stroke project
Hinrichs, Timo; Rössler, Roland; Infanger, Denis; Weibel, Robert; Schär, Janine; Peters, Eva-Maria; Portegijs, Erja; Rantanen, Taina; Schmidt-Trucksäss, Arno; Engelter, Stefan T.; Peters, Nils (Springer, 2023)Background Life-space mobility is defined as the size of the area in which a person moves about within a specified period of time. Our study aimed to characterize life-space mobility, identify factors associated with its ... -
Recovery of mobility function and life-space mobility after ischemic stroke : the MOBITEC-Stroke study protocol
Rössler, R.; Bridenbaugh, S. A.; Engelter, S. T.; Weibel, R.; Infanger, D.; Giannouli, E.; Sofios, A.; Iendra, L.; Portegijs, E.; Rantanen, T.; Streese, L.; Hanssen, H.; Roth, R.; Schmidt-Trucksäss, A.; Peters, N.; Hinrichs, T. (Biomed Central, 2020)Background: Stroke is a major cause of disability and stroke incidence increases with age. Stroke frequently results in permanent limitations of mobility, and, consequently, the need for the help of others in activities ... -
Impact of mobility restrictions on active aging : cross-sectional associations and longitudinal changes parallel to COVID-19 restrictions
Portegijs, Erja; Saajanaho, Milla; Leppä, Heidi; Koivunen, Kaisa; Eronen, Johanna; Rantanen, Taina (Elsevier BV, 2022)Background: Meaningful activities can be done in or around home, but opportunities for participation and active aging decrease when moving in smaller areas. Active aging refers to having an active approach to life in line ... -
Life-space mobility in Parkinson’s disease : associations with motor and non-motor symptoms
Rantakokko, Merja; Iwarsson, Susanne; Slaug, Björn; Nilsson, Maria H. (Oxford University Press, 2019)Background To describe life-space mobility and explore associations of motor and non-motor symptoms with life-space mobility in people with Parkinson’s disease (PD). Methods About 164 community-dwelling persons with ...
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