Evidence map›Paper›PMID 37057761›Full record

ArticleTopics in stroke rehabilitation2024

Characterizing the impact of multiple chronic conditions on return to participation in chronic stroke survivors.

Elizabeth D Thompson, Allison E Miller, Darcy S Reisman

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Topics in stroke rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Elizabeth D ThompsonDepartment of Physical Therapy, University of Delaware, Newark, DE, USA.ORCID 0000-0001-9808-4991
Allison E MillerDepartment of Physical Therapy, University of Delaware, Newark, DE, USA.
Darcy S ReismanDepartment of Physical Therapy, University of Delaware, Newark, DE, USA.ORCID 0000-0002-6546-0863
University of Delaware · USWashington University in St. Louis · US

Funding

Promoting Recovery Optimization with WALKing Exercise after Stroke (PROWALKS)R01HD086362 · NICHD · UNIVERSITY OF DELAWARE · PI REISMAN, DARCY S. · 2016 to 2020
$4.0M
Behavioral and Neurophysiologic Process of Locomotor Learning After StrokeR01HD078330 · NICHD · UNIVERSITY OF DELAWARE · PI REISMAN, DARCY S. · 2014 to 2025
$3.2M
NICHD NIH HHS R01 HD078330NICHD NIH HHS R01 HD086362
6 · The paper itself

Abstract

backgroundEach year, 795,000 Americans experience a stroke. As stroke mortality declines, more individuals are in the chronic phase of recovery (>6 months post-stroke). Over 80% of stroke survivors have multiple, chronic health conditions (MCC). While the relationship between MCC and mortality and function during acute recovery has been explored, less is known about how MCC burden affects participation in chronic stroke survivors.

objectiveThis study investigated whether MCC burden is related to participation in those with chronic stroke.

methodsTwo hundred and sixty-six participants with chronic (≥6 months) stroke were included in this cross-sectional and retrospective analysis. Participants had a mean age of 62.2 ± 12.8 years, and time since stroke (TSS) of 36.0 ± 44.6 months (114F/152 M). Participants completed the 6-minute Walk Test (6MWT), Activities-Specific Balance Confidence Scale (ABC), Modified Cumulative Illness Rating Scale (MCIR) to quantify the presence and severity of chronic illness across 14 body systems, and the Stroke Impact Scale - Participation subscale (SIS-P). Participation (SIS-P) was the dependent variable. Independent variables were entered into a sequential regression model in three blocks: demographic variables, physical capacity (6MWT distance) and balance self-efficacy (ABC), and MCC burden (MCIR).

resultsAfter adjusting for age, sex, and time since stroke, physical capacity and balance self-efficacy explained 31.4% (

conclusionsMCC burden is a significant contributor to variance in participation in chronic stroke survivors, above and beyond demographics, physical capacity, and self-efficacy, and therefore should be considered when creating rehabilitation programs to improve participation.

Indexed as

Multiple Chronic ConditionsStrokeStroke RehabilitationAgedBrain Damage, ChronicCross-Sectional StudiesHumansMiddle AgedRetrospective StudiesSurvivorsbalance self-efficacymultiple chronic conditionsparticipationphysical capacityStroke

Identifiers

PMID37057761
PMCPMC10576011
OpenAlexW4365478998

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.