Mobility status after inpatient stroke rehabilitation: 1-year follow-up and prognostic factors

Arch Phys Med Rehabil. 2001 Jan;82(1):2-8. doi: 10.1053/apmr.2001.18585.


Objectives: To evaluate the stability of mobility status achieved by stroke patients during hospital rehabilitation treatment over time and to identify reliable prognostic factors associated with mobility changes.

Design: Follow-up evaluation in consecutive first-ever stroke patients 1 year after hospital discharge. Multiple logistic regressions were used to analyze increases and decreases in Rivermead Mobility Index (RMI) scores (dependent variables) between discharge and follow-up. Independent variables were medical, demographic, and social factors.

Setting: Rehabilitation hospital.

Patients: A cohort of 155 patients with sequelae of first stroke, with a final sample of 141.

Main outcome measures: Mobility status at 1-year follow-up, as measured by the RMI, and odds ratios (OR) for improvement and decline in mobility.

Results: Functionally, 19.9% improved the mobility levels achieved during the inpatient rehabilitation treatment; levels of 42.6% worsened. Patients with global aphasia (OR = 5.66; 95% confidence interval [CI], 1.50-21.33), unilateral neglect (OR = 3.01; 95% CI, 1.21-7.50), and age 75 years or older (OR = 5.77; 95% CI, 1.42-23.34) had a higher probability of mobility decline than the remaining patients. Postdischarge rehabilitation treatment (PDT), received by 52.5% of the final sample, was significantly and positively associated with mobility improvement (OR = 5.86; 95% CI, 2.02-17.00). Absence of PDT was associated with a decline in mobility (OR = 3.73; 95% CI, 1.73-8.04).

Conclusions: In most cases, mobility status had not yet stabilized at hospital discharge. PDT was useful in preventing a deterioration in mobility improvement achieved during inpatient treatment and in helping increase the likelihood of further mobility improvement.

MeSH terms

  • Activities of Daily Living
  • Aged
  • Aphasia / etiology
  • Aphasia / rehabilitation
  • Chi-Square Distribution
  • Disability Evaluation*
  • Female
  • Follow-Up Studies
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Prognosis
  • Rehabilitation Centers
  • Rome
  • Statistics, Nonparametric
  • Stroke / physiopathology*
  • Stroke Rehabilitation*