A1 Journal article (refereed)
Timed up-and-go performance is associated with objectively measured life space in patients 3 months after ischemic stroke : a cross-sectional observational study (2023)
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
JYU authors or editors
Publication details
All authors or editors: Rössler, Roland; Rommers, Nikki; Kim, Eun-Kyeong; Iendra, Laura; Sofios, Alexander; Giannouli, Eleftheria; Portegijs, Erja; Rantanen, Taina; Infanger, Denis; Bridenbaugh, Stephanie; et al.
Journal or series: Journal of Neurology
ISSN: 0340-5354
eISSN: 1432-1459
Publication year: 2023
Publication date: 22/12/2022
Volume: 270
Pages range: 1999-2009
Publisher: Springer Science and Business Media LLC
Publication country: Germany
Publication language: English
DOI: https://doi.org/10.1007/s00415-022-11524-x
Publication open access: Openly available
Publication channel open access: Partially open access channel
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/84745
Abstract
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.
Keywords: cerebral stroke; physical disabilities; mobility; ability to move; quality of life; living environment; rehabilitation; cohort study
Free keywords: mobility limitation; spatial behaviour; quality of life; GPS; mobility capacity
Contributing organizations
Ministry reporting: Yes
Reporting Year: 2022
JUFO rating: 1
