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Long-term performance of instrumental activities of daily living (IADL) in young and middle-aged stroke survivors: Results from SAHLSIS outcome

Journal article
Authors Charlotte Blomgren
Katarina Jood
Christina Jern
Lukas Holmegaard
Petra Redfors
Christian Blomstrand
Lisbeth Claesson
Published in Scandinavian Journal of Occupational Therapy
Volume 25
Issue 2
Pages 119-126
ISSN 1103-8128
Publication year 2018
Published at Institute of Neuroscience and Physiology
Institute of Biomedicine
Pages 119-126
Language en
Keywords ADL, cerebrovascular disorders, cohort study
Subject categories Health Sciences, Occupational Therapy


Background: Although stroke prevalence is increasing and large proportions of stroke survivors are expected to live many years after stroke onset, research on the long-term consequences of stroke for instrumental activities of daily living (IADL) is limited. Aim: To explore performance of IADL seven years post-stroke onset and identify predictors of long-term IADL performance based on commonly employed acute measures and demographic characteristics in young and middle-aged stroke survivors. Methods: Data on stroke survivors were collected from SAHLSIS. IADL performance was assessed at 7 years using the Frenchay Activities Index (FAI). Demographic data and baseline measures were assessed as predictors of FAI outcome, using logistic regression. Results: 237 stroke survivors with a median age of 63 at follow-up were included. Participants had predominantly suffered a mild stroke and > 90% lived at home with no community services. Mean FAI was 25.7(score range 0-45), indicating reduced levels of participation in IADL. Frequency of performance of IADL was lowest for work/leisure activities. Gender, cohabitation status, initial stroke severity and baseline score on mRS were independently associated with IADL outcome. Conclusions: Reduced levels of participation in IADL persist many years after stroke onset and indicate a need to adapt a long-term perspective on stroke rehabilitation.

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Utskriftsdatum: 2020-08-15