Participation in Rehabilitation and Activities of Daily Living at Hospital Admission as Predictors of Post-Stroke Improvement in ADL: A Retrospective Cohort Study.
Background: Most measures of rehabilitation participation rely on self-report, excluding patients with cognitive impairment or aphasia. The observational Pittsburgh Rehabilitation Participation Scale (PRPS) allows their inclusion; however, whether rehabilitation participation assessed using the PRPS...
| Published in: | NeuroRehabilitation Vol. 59; no. 1; pp. 108 - 119 |
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| Main Authors: | , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Sage Publications Inc.
Aug2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196086094&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196086094 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: Aug2026 vid: 59 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 196086094 193906389 196086094 196086094 10.1177/10538135261453491 196086094 ppf: 108 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Participation in Rehabilitation and Activities of Daily Living at Hospital Admission as Predictors of Post-Stroke Improvement in ADL: A Retrospective Cohort Study. aug: au: Kawakami, Kenji Tanabe, Shigeo Omatsu, Sayaka Kinoshita, Daiki Kitabatake, Ryo Koshisaki, Hiroo Fujimura, Kenta Kanada, Yoshikiyo Sakurai, Hiroaki affil: Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake-shi, Aichi, Japan sug: subj: Stroke Rehabilitation Patient Participation Evaluation Activities of Daily Living Recovery Functional Status Cognition Disorders Rehabilitation Aphasia Rehabilitation Human Japan Male Female Aged Aged, 80 and Over Retrospective Design Record Review Prospective Studies Scales Descriptive Statistics Data Analysis Software Multiple Regression Confidence Intervals Rasch Analysis Patient Admission Survivors Occupational Therapy Functional Assessment Aged: 65+ years Aged, 80 & over Male Female ab: Background: Most measures of rehabilitation participation rely on self-report, excluding patients with cognitive impairment or aphasia. The observational Pittsburgh Rehabilitation Participation Scale (PRPS) allows their inclusion; however, whether rehabilitation participation assessed using the PRPS modifies improvement in activities of daily living (ADL) remains unclear. Objective: To determine whether rehabilitation participation assessed using the PRPS modifies the association between baseline ADL and subsequent improvement after stroke. Methods: This retrospective cohort study included 137 stroke survivors in a subacute rehabilitation ward. Admission rehabilitation participation was assessed by the PRPS. ADL improvement was evaluated using the Functional Independence Measure (FIM) motor effectiveness score. Hierarchical multiple regression analysis included age, days from onset to hospital admission, admission FIM motor and cognitive scores, and admission PRPS score in Step 1, followed by the PRPS × admission FIM motor interaction term in Step 2. Prediction plots were generated for each PRPS score. Results: The median admission PRPS and FIM motor effectiveness scores were 5 (interquartile range [IQR], 4–6) and 0.70 (IQR, 0.33–0.88), respectively. Adding the PRPS × FIM motor interaction term in Step 2 significantly improved the model fit (ΔR2 = 0.057, ΔF(1,130) = 16.28, p <.001), resulting in a final model (R2 = 0.545, p <.001). Prediction plots showed steeper slopes with higher PRPS scores. Conclusions: Admission rehabilitation participation assessed by the PRPS modified the association between baseline ADL and ADL improvement. Observable participation should be interpreted in relation to baseline motor ADL rather than in isolation. Lower participation may indicate a need for additional clinical support. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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