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Impact of factors indicating a poor prognosis on stroke rehabilitation effectiveness

Department of Rehabilitation Medicine, University of Occupational and Environmental Health

Hajime Ogata

Department of Rehabilitation Medicine, University of Occupational and Environmental Health

Toshiteru Okubo

Department of Environmental Epidemiology, University of Occupational and Environmental Health, Japan

Ken Takahashi

Department of Environmental Epidemiology, University of Occupational and Environmental Health, Japan

Tsutomu Hoshuyama

Department of Environmental Epidemiology, University of Occupational and Environmental Health, Japan

This study examines the impact of factors indicating a poor prognosis on rehabilitation effectiveness of 124 first stroke patients admitted to a comprehensive rehabilitation unit in Kitakyushu, Japan. A multiple regression model, employing a forced entry of variables guided by prior studies on these factors, found four significant factors. Lack of motivation, urinary incontinence, each 10 years of age, and each day's delay from stroke onset to the commencement of rehabilitation reduced the rehabilitation effectiveness by 20%, 15%, 4%, and 0.1% respectively. The values of beta-coefficients showed that onset-rehabilitation delay and lack of motivation were relatively important in our model. These findings are consistent with clinical impressions and provide useful information for planning stroke rehabilitation programmes.

Clinical Rehabilitation, Vol. 7, No. 2, 99-104 (1993)
DOI: 10.1177/026921559300700202


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