Abstract
Objective To examine the association between observer-assessed functional status and perceived recovery in the late phase after stroke. The study also aimed to determine whether observer-assessed functional improvements as a result of horse-riding therapy (H-RT) are related to enhanced perception of stroke recovery.Methods This is a descriptive correlational study using data derived from a three-armed randomized controlled trial in which 123 individuals were enrolled, among whom 43 received H-RT for 12 weeks. The measures included the Modified Motor Assessment Scale, Berg Balance Scale, Timed Up and Go, timed 10-m walk, and perceived recovery from stroke indicated by item #9 in the Stroke Impact Scale (version 2.0). Spearman rank order correlation (r<sub>s</sub>) was used in the analyses.Results There were moderate to strong positive or negative correlations between all four observer-assessed motor variables and participants’ ratings of perceived late-phase stroke recovery at trial entrance, ranging from r<sub>s</sub>=-0.49 to r<sub>s</sub>=0.54 (p<0.001). The results of the correlational analyses of variable changes showed that, after the end of the H-RT intervention, both self-selected and fast gait speed improvement were significantly correlated with increments in self-rated stroke recovery (r<sub>s</sub>=-0.41, p=0.01 and r<sub>s</sub>=-0.38, p=0.02, respectively).Conclusion This study provided data supporting the association between individual ratings of self-perceived recovery after stroke and observer-assessed individual motor function. The results further demonstrate that enhancement in perceived stroke recovery after completing the intervention was associated with objectively measured gains in both self-selected and fast gait speed.
Funder
Swedish Arts Council
Swedish state under the agreement between the Swedish government and county councils
ALF agreement
AFA Insurance
Swedish Stroke Association
Rune and Ulla Amlöv’s Foundation for Neurological and Rheumatological Research
Edith Jacobson Foundation
Per-Olof Ahl Foundation for Neurological Research
Sigurd and Elsa Goljes Memorial Foundation
Wilhelm and Martina Lundgren Scientific Foundation
Doktor Felix Neubergh’s Foundation
Sten A Olsson Foundation for Research and Culture
Swedish Brain Foundation
Swedish Society of Medicine
Foundation for Rehabilitation and Medical Science
Publisher
Korean Academy of Rehabilitation Medicine
Cited by
5 articles.
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