Evidence map›Paper›PMID 41281087›Full record

ArticleCureus2025

Influence of Body Functions and Structures on Home Return Through Activity and Participation: A Mediation Analysis in Patients With Stroke.

Daisuke Kimura, Hiroki Bizen, Kenta Kunoh, Daiki Nakashima, Terufumi Iituka

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Daisuke KimuraDivision of Occupational Therapy, Department of Rehabilitation, Faculty of Health Sciences, Naragakuen University, Nara, JPN.
Hiroki BizenDepartment of Occupational Therapy, Faculty of Health Sciences, Kansai University of Health Sciences, Osaka, JPN.
Kenta KunohGraduate School of Health Sciences, Department of Health Sciences, Kansai University of Health Sciences, Osaka, JPN.
Daiki NakashimaDivision of Occupational Therapy, Department of Rehabilitation, Faculty of Health Sciences, Naragakuen University, Nara, JPN.
Terufumi IitukaDivision of Occupational Therapy, Department of Rehabilitation, Faculty of Health Sciences, Naragakuen University, Nara, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to examine whether body function and structure directly influences discharge home or exerts an indirect effect via activity and participation in patients with stroke, employing mediation analysis.

methodsSixty-seven inpatients with stroke in a convalescent rehabilitation ward were retrospectively examined. Latent variables for body function and structure (grip strength, knee extension strength, six-minute walk test, Berg Balance Scale) and activity and participation (13 motor items from the Functional Independence Measure) were developed. Structural equation modeling assessed associations with home return.

resultsThe direct effect of body function and structure on home return was not significant (β = 0.474, p = 0.0786). In contrast, the indirect effect via activity and participation was significant (β = -0.866, p = 0.001).

conclusionEnhancement of body function alone does not sufficiently promote home return in patients with stroke. Improving activity and participation is vital for effective discharge planning, underscoring the essential role of occupational therapy in rehabilitation.

Indexed as

activities and participationbody function and structuremediation analysissemstroke

Identifiers

PMID41281087
PMCPMC12634900

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LicenceCC BY
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Registered trials

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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.