Article

PURPOSE: To determine the evolution of daily mobility skills from the timed
up-and-go (TUG) upto 6 months after home return in older adults with stroke
discharged from acute care or rehabilitation; and to identify the best predictive
factors of the TUG at 6 months post-discharge. METHODS: In this longitudinal
prospective study, people with stroke aged 65 years or more and discharged home
from an acute care hospital (n = 82) or a rehabilitation service (n = 109) were
included. The TUG was measured at discharge (T1), and at 3 and 6 months
post-discharge (T2 and T3). Correlations between the TUG at T3 and
sociodemographic and clinical variables, as well as physical, cognitive,
perceptual and psychological measures at T1, were used in a multiple regression
model to identify the best predictors of TUG at T3. RESULTS: TUG did not change
between T1, T2 and T3 in the two groups of participants. The best predictors of
TUG at T3 in participants from acute care were the use of a walking aid in daily
life, age, deficits in oral expression and the presence of depressive symptoms.
In participants from rehabilitation, predictors were the stage of motor recovery
of the foot, the use of a walking aid in daily life, number of schooling years
and memory impairments. CONCLUSION: Daily mobility skills, as assessed with the
TUG, did not deteriorate upto 6 months after home return in older adults with
stroke. The best predictor of the TUG at T3 is the use of a walking aid during
daily life in participants from acute care, and motor recovery of the foot in
participants from rehabilitation.

Langue : ANGLAIS