Balance confidence: A predictor of perceived physical function, perceived mobility, and perceived recovery one year following inpatient stroke rehabilitation

Publication date: Available online 6 April 2016
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Caryne Torkia, Krista L. Best, William C. Miller, Janice J. Eng
ObjectiveTo estimate the effect of balance confidence measured at one month post-stroke rehabilitation on perceived physical function, mobility, and stroke recovery 12 months later.DesignLongitudinal study (secondary analysis)SettingMulti-site, community-basedParticipantsCommunity-dwelling individuals (n=69) with stroke living in a home settingMain Outcome MeasuresActivities-specific Balance Confidence scale; the physical function and mobility subscales of the Stroke Impact Scale (SIS) 3.0; and the SIS single-item for perceived recovery.ResultsBalance confidence at one month post-discharge from inpatient rehabilitation predicts perceived physical function (model 1), mobility (model 2), and recovery (model 3) 12 months later adjusting for important covariates. The covariates included in model 1 were age, sex, basic mobility, and depression. The covariates selected for model 2 were age, sex, balance capacity, and anxiety, while the covariates in model 3 were age, sex, walking capacity, and social support. The amount of variance in perceived physical function, perceived mobility, and perceived recovery that balance confidence accounted for was 12%, 9%, and 10% respectively.ConclusionsFollowing discharge from inpatient rehabilitation post-stroke, balance confidence predicts individuals' perceived physical function, mobility, and recovery one year later. There is a need to address balance confidence at discharge from inpatient stroke rehabilitation.



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