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Post-stroke health-related quality of life following lower-extremity constraint-induced movement therapy: an observational survey study
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation. Centre for Clinical Research and Education, Region Värmland, Karlstad, Sweden.ORCID iD: 0000-0002-1719-9816
Centre for Clinical Research and Education, Region Värmland, Karlstad, Sweden; School of Medical Sciences, Örebro University, Örebro, Sweden.
Centre for Clinical Research and Education, Region Värmland, Karlstad, Sweden.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
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2025 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 20, no 5, article id e0323290Article in journal (Refereed) Published
Abstract [en]

Lower- extremity constraint-induced movement therapy (LE-CIMT) has proven effective in overcoming physical disabilities. Participating in the LE-CIMT requires some independent walking ability without aids that indicates a higher level of motor function than for the entire stroke population. However, only few studies evaluated health-related quality of life (HRQoL) after LE-CIMT. This study aimed to compare HRQoL of people who had participated in LE-CIMT post-stroke to the general population and evaluate whether descriptive characteristics and clinical result were associated with their HRQoL. An observational survey study with a questionnaire including the Swedish RAND-36 and Saltin–Grimby Physical Activity Level Scale was sent to 162 people. Reference data from the Mid-Health Survey in Sweden was used for norm-based comparisons of RAND-36. Respondents’ result from six-minute walk test post-LE-CIMT were used in the univariate analyse. The response rate was 65% (n=106; 69 males and 37 females with a mean age of 62±12 years). Ninety percent of the respondents could move around indoors and outdoors independently, despite this, 21% considered themselves physically inactive. The respondents had significantly reduced HRQoL compared to the general population in four of eight domains in the RAND-36: physical functioning (p=0.001), role-functioning (physical; p<0.001), general health (p=0.010), and social functioning (p<0.001). Regression analysis showed that longer walking distance significantly was associated with the RAND-36 physical functioning domain (β=6.45, 95% confidence interval=2.03–10.87, p=0.005). People in the chronic phase post-stroke who had previously participated in LE- CIMT had reduced HRQoL compared to the general population regarding physical functioning, role-functioning physical, general health, and social functioning. A longer walking distance was associated with higher HRQoL in physical functioning domain, emphasising the importance of mobility training in post-stroke rehabilitation.

Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2025. Vol. 20, no 5, article id e0323290
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Physiotherapy
Identifiers
URN: urn:nbn:se:umu:diva-239111DOI: 10.1371/journal.pone.0323290ISI: 001488714900002PubMedID: 40341838Scopus ID: 2-s2.0-105004837822OAI: oai:DiVA.org:umu-239111DiVA, id: diva2:1961673
Funder
Region VärmlandRegion VästerbottenUmeå UniversityThe Swedish Stroke AssociationAvailable from: 2025-05-27 Created: 2025-05-27 Last updated: 2025-05-27Bibliographically approved

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Marklund, IngelaLiv, PerStålnacke, Britt-MarieHu, Xiao-Lei

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