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Motor function in the late phase after stroke: Stroke survivors’ perspective

journal contribution
posted on 2020-12-03, 05:34 authored by Lina Bunketorp-Käll, Marcela Pekna, Milos Pekny, Hans Samuelsson, Christian Blomstrand, Michael NilssonMichael Nilsson
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 (rs) 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 rs=-0.49 to rs=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 (rs=-0.41, p=0.01 and rs=-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.


This work was supported by grants from Sten A Olsson Foundation for Research and Culture, the Swedish Brain Foundation, the Swedish Arts Council, the Swedish state under the agreement between the Swedish government and county councils, the ALF agreement (No. ALFG-BG-716591, ALFGBG-146051), AFA Insurance, the Swedish Stroke Association, Rune and Ulla Amlov'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, the Swedish Society of Medicine, and the Foundation for Rehabilitation and Medical Science.


Publication Date



Annals of Rehabilitation Medicine






8p. (p. 362-369)


Korean Academy of Rehabilitation Medicine



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