A1 Journal article (refereed)
Self-reported life-space mobility in the first year after ischemic stroke : longitudinal findings from the MOBITEC-Stroke project (2023)
Hinrichs, 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. Journal of Neurology, 270(8), 3992-4003. https://doi.org/10.1007/s00415-023-11748-5
JYU authors or editors
Publication details
All authors or editors: Hinrichs, Timo; Rössler, Roland; Infanger, Denis; Weibel, Robert; Schär, Janine; Peters, Eva-Maria; Portegijs, Erja; Rantanen, Taina; Schmidt-Trucksäss, Arno; Engelter, Stefan T.; et al.
Journal or series: Journal of Neurology
ISSN: 0340-5354
eISSN: 1432-1459
Publication year: 2023
Publication date: 04/05/2023
Volume: 270
Issue number: 8
Pages range: 3992-4003
Publisher: Springer
Publication country: Germany
Publication language: English
DOI: https://doi.org/10.1007/s00415-023-11748-5
Publication open access: Openly available
Publication channel open access: Partially open access channel
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/86881
Abstract
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.
Keywords: cerebral stroke; rehabilitation; ability to move; participation; older people; cohort study
Free keywords: cohort studies; spatial behavior; mobility limitation; physical functional performance; social participation
Contributing organizations
Ministry reporting: Yes
VIRTA submission year: 2023
JUFO rating: 2
