[Purpose] This study aimed to clarify the most appropriate pre-discharge physical parameters and its cut-off value for predicting post-discharge outdoor activities in stroke patients receiving rehabilitation. [Subjects and Methods] The subjects were 31 stroke patients hospitalized rehabilitation who could walk independently and discharged home. The Life Space Assessment (LSA) was used to differentiate between indoor and outdoor groups. Among the pre-discharge physical parameters showing significant relationships with LSA values at 3 months after discharge, the most closely correlated one was determined and its cut-off value was calculated.[Results] Six-minute walking distance (6MWD) had the highest ability to predict post-discharge outdoor activities and its cut-off value was 358.5 m.[Conclusion] The results suggest that stroke patients' rehabilitation should target a 6MWD of 350 m or longer in order to enable comfortable outdoor activities after discharge. Key words: stroke patients, home discharge, cut-off value
Insomnia in college students has a significant impact on academic performance and mental health (e.g., depression). Although the mechanisms underlying insomnia and chronic pain are becoming clearer, only a few studies on college students have examined these factors by their location in the body. The purpose of the present study was to identify the location of chronic pain in the body most associated with insomnia in college students. A web-based survey was used to collect information pertaining to nine questions from 494 university students: sex, age, presence of chronic pain, intensity of chronic pain, location of chronic pain, and duration of chronic pain, as well as scores from the Athens Insomnia Scale (AIS), Pain Catastrophizing Scale, and Hospital Anxiety and Depression Scale. To examine the association between insomnia and the site of chronic pain, stepwise logistic regression analysis was conducted with AIS as the target variable. The results showed a significant positive correlation between chronic pain in the lumbar region and AIS scores. Future longitudinal studies including multiple factors are necessary to clarify the causal relationship between insomnia and chronic lower back pain.
The purpose of this study was to estimate the relationship between physical function at hospitalization and falls after discharge. [Subjects] The participants were 79, community-dwelling patients with stroke who had independent gait. [Methods] Physical function was measured by Brunnstrom Recovery Stage, one-leg standing time, and 10-m walking time. Subjects recorded experiences of falls for one year after discharge from rehabilitation. [Results] Sixty-three per cent of people (50/79) had a fall accident in the year after discharge. The fall group showed lower Brunnstrom Recovery Stage, lower one-leg standing, weaker knee extensor strength, lower Barthel Index and higher 10-m walking time than the no-fall group (p<0.05). Logistic regression analysis also indicated that the fall group had lower one-leg standing time than the no-fall group (95% CI: 0.829-0.981). The cutoff value for the one-leg standing time in predicted fall was 3.5 sec (sensitivity 86.0%, specificity 69.0%). [Conclusion] One-leg standing time during hospitalization was associated with falls for one year after discharge from rehabilitation, suggesting that this test is effective at predicting fall accidents for patients with stroke.
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