PREDICTION OF FACTORS AFFECTING COMMUNITY MOBILITY AMONG ACUTE STROKE SURVIVORS: A COHORT STUDY

R. Alomary¹, F. Khan¹

¹King Abdul-Aziz University, Jeddah, Saudi Arabia

Background: Community mobility is an essential component of successful comprehensive rehabilitation for patients with stroke which is usually an underestimated area. Recognizing the community mobility predictors will help in community reintegration processes and enhances the quality of life.

Purpose: A prospective cohort study aims to identify the potential factors that predict community mobility among stroke survivors, secondary objective is to determine whether trunk control is affecting community mobility or not.

Methods: Twenty-five acute stroke survivors aged > 18 were personally assessed for constant variables in in-patient setting of the ministry of health hospitals and followed for 3 months for assessing the community mobility as a dependent variable. Outcome measures: Trunk Control Test (trunk control), Modified Rankin Scale (stroke severity), Brief Resilience Scale (resilience), Hospital Anxiety and Depression Scale (depression and anxiety), Modified falls efficacy (fear of fall).

Results: The mean age of subjects were 54.52 ± 11.7 years with a mean duration of stroke of 8.4 ± 7.4 days. Trunk control was the most significant variable (b=0.434, p= 0.005, 95% CI; 0.38 to 0.84) the other variables include: stroke severity (b=-0.481, p= 0.1, 95% CI; -0.81 to -0.28), fear of fall (b=0.74, p= 0.08, 95% CI; 0.01 to 0.68), anxiety (b=-0.76, p= 0.07, 95% CI; -0.52 to 6.97), resilience (b=-0.06, p= 0.8, 95% CI; -48.20 to 43.69), fear of falls b=-0.71, p= 0.1, 95% CI; -0.12 to 0.82).

Conclusions: The findings suggest thattrunk control has shown to be the most significant predictor variable of community mobility in patients with stroke. The study recommended more sample size in the future to emphasize the results, extend the follow-up period, and it is better to investigate these factors in depth by qualitative study.

Implications: More focus on trunk control during the acute phase in stroke rehabilitation will increase the chance of community mobility in patients with stroke. *Data collection and follow-up are still in process.

Funding acknowledgements: This work was unfunded, and all paperwork was taken from the ministry of health in Saudi Arabia.

Keywords:
Community mobility
Prediction variables
Stroke survivors

Topics:
Neurology: stroke

Did this work require ethics approval? Yes

Institution: Institutional review board from the ministry of health, Jeddah (A01249)

Committee: Approved by the national committee of bioethics (NCBE-KACST, KSA: (H-02-J-002)

Ethics number: (NCBE-KACST, KSA: (H-02-J-002)