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dc.contributor.authorHinrichs, Timo
dc.contributor.authorRössler, Roland
dc.contributor.authorInfanger, Denis
dc.contributor.authorWeibel, Robert
dc.contributor.authorSchär, Janine
dc.contributor.authorPeters, Eva-Maria
dc.contributor.authorPortegijs, Erja
dc.contributor.authorRantanen, Taina
dc.contributor.authorSchmidt-Trucksäss, Arno
dc.contributor.authorEngelter, Stefan T.
dc.contributor.authorPeters, Nils
dc.date.accessioned2023-05-11T05:22:14Z
dc.date.available2023-05-11T05:22:14Z
dc.date.issued2023
dc.identifier.citationHinrichs, T., Rössler, R., Infanger, D., Weibel, R., Schär, J., Peters, E.-M., Portegijs, E., Rantanen, T., Schmidt-Trucksäss, A., Engelter, S. T., & Peters, N. (2023). Self-reported life-space mobility in the first year after ischemic stroke : longitudinal findings from the MOBITEC-Stroke project. <i>Journal of Neurology</i>, <i>270</i>(8), 3992-4003. <a href="https://doi.org/10.1007/s00415-023-11748-5" target="_blank">https://doi.org/10.1007/s00415-023-11748-5</a>
dc.identifier.otherCONVID_183083057
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/86881
dc.description.abstractBackground 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 course, and detect typical trajectories in the first year after ischemic stroke. Methods MOBITEC-Stroke (ISRCTN85999967; 13/08/2020) was a cohort study with assessments performed 3, 6, 9 and 12 months after stroke onset. We applied linear mixed effects models (LMMs) with life-space mobility (Life-Space Assessment; LSA) as outcome and time point, sex, age, pre-stroke mobility limitation, stroke severity (National Institutes of Health Stroke Scale; NIHSS), modified Rankin Scale, comorbidities, neighborhood characteristics, availability of a car, Falls Efficacy Scale-International (FES-I), and lower extremity physical function (log-transformed timed up-and-go; TUG) as independent variables. We elucidated typical trajectories of LSA by latent class growth analysis (LCGA) and performed univariate tests for differences between classes. Results In 59 participants (mean age 71.6, SD 10.0 years; 33.9% women), mean LSA at 3 months was 69.3 (SD 27.3). LMMs revealed evidence (p ≤ 0.05) that pre-stroke mobility limitation, NIHSS, comorbidities, and FES-I were independently associated with the course of LSA; there was no evidence for a significant effect of time point. LCGA revealed three classes: “low stable”, “average stable”, and “high increasing”. Classes differed with regard to LSA starting value, pre-stroke mobility limitation, FES-I, and log-transformed TUG time. Conclusion Routinely assessing LSA starting value, pre-stroke mobility limitation, and FES-I may help clinicians identify patients at increased risk of failure to improve LSA.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofseriesJournal of Neurology
dc.rightsCC BY 4.0
dc.subject.othercohort studies
dc.subject.otherspatial behavior
dc.subject.othermobility limitation
dc.subject.otherphysical functional performance
dc.subject.othersocial participation
dc.titleSelf-reported life-space mobility in the first year after ischemic stroke : longitudinal findings from the MOBITEC-Stroke project
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202305112959
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineGerontology and Public Healthen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange3992-4003
dc.relation.issn0340-5354
dc.relation.numberinseries8
dc.relation.volume270
dc.type.versionpublishedVersion
dc.rights.copyright© The Author(s) 2023
dc.rights.accesslevelopenAccessfi
dc.subject.ysoliikuntakyky
dc.subject.ysokohorttitutkimus
dc.subject.ysokuntoutus
dc.subject.ysoosallistuminen
dc.subject.ysoaivohalvaus
dc.subject.ysoikääntyneet
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p22622
jyx.subject.urihttp://www.yso.fi/onto/yso/p25606
jyx.subject.urihttp://www.yso.fi/onto/yso/p3320
jyx.subject.urihttp://www.yso.fi/onto/yso/p10727
jyx.subject.urihttp://www.yso.fi/onto/yso/p6354
jyx.subject.urihttp://www.yso.fi/onto/yso/p2433
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1007/s00415-023-11748-5
jyx.fundinginformationOpen access funding provided by University of Basel. MOBITEC-Stroke (“Recovery of mobility function and life-space mobility after ischemic stroke”; PI/Co-PI: Timo Hinrichs/Nils Peters) was funded by the Swiss National Science Foundation (SNSF) from August 2019 to July 2022 (Project No. 182681; https://p3.snf.ch/Project-182681). The SNSF had no role in in study design, in the collection, analysis or interpretation of data, in the writing of the report or in the decision to submit the article for publication.
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