Rehabilitation Indices associated with sustaining a minimal trauma fracture within 12 months of a stroke in Western Australia

Shivlal M. David, Kien Chan, Charles Inderjeeth, Warren D. Raymond

Research output: Contribution to journalArticle

Abstract

Objective To identify Rehabilitation Indices associated with a minimal trauma fracture (MTF) within 12 months poststroke. Methods Retrospective case-control study. Stroke survivors with MTF were matched 5:1 with stroke survivors without MTF. Logistic regression determined whether Rehabilitation Indices, such as Physiotherapy Ambulation score (PhysioAmb), were associated with a MTF within 12 months poststroke. Results Forty-three stroke survivors (mean age: 79.8; 55.81% female) experienced a MTF (median time to MTF of 1.79 years [IQR 0.70, 4.48]). Those with a MTF within 12 months had lower PhysioAmb (4.53 vs 8.29) and Berg Balance Scale (BBS; 12.25 vs 40.57) scores on admission, lower BBS score on discharge (30.33 vs 49.29) and a greater change in PhysioAmb (+5.67 vs +3.24) and BBS scores (+21.50 vs +8.71) after rehabilitation, all P MTF within 12 months by 18%. Conclusion Rehabilitation Indices are associated with a MTF within 12 months poststroke.

Original languageEnglish
Pages (from-to)107-115
Number of pages9
JournalAustralasian Journal on Ageing
Volume38
Issue number2
DOIs
Publication statusPublished - Jun 2019

Cite this

@article{e75f8975564047648d84b5634b656ef3,
title = "Rehabilitation Indices associated with sustaining a minimal trauma fracture within 12 months of a stroke in Western Australia",
abstract = "Objective To identify Rehabilitation Indices associated with a minimal trauma fracture (MTF) within 12 months poststroke. Methods Retrospective case-control study. Stroke survivors with MTF were matched 5:1 with stroke survivors without MTF. Logistic regression determined whether Rehabilitation Indices, such as Physiotherapy Ambulation score (PhysioAmb), were associated with a MTF within 12 months poststroke. Results Forty-three stroke survivors (mean age: 79.8; 55.81{\%} female) experienced a MTF (median time to MTF of 1.79 years [IQR 0.70, 4.48]). Those with a MTF within 12 months had lower PhysioAmb (4.53 vs 8.29) and Berg Balance Scale (BBS; 12.25 vs 40.57) scores on admission, lower BBS score on discharge (30.33 vs 49.29) and a greater change in PhysioAmb (+5.67 vs +3.24) and BBS scores (+21.50 vs +8.71) after rehabilitation, all P MTF within 12 months by 18{\%}. Conclusion Rehabilitation Indices are associated with a MTF within 12 months poststroke.",
keywords = "cerebrovascular accident, osteoporosis, osteoporotic fractures, outcome assessment (health care), stroke rehabilitation, RISK-FACTORS, FALLS, OSTEOPOROSIS, CONSEQUENCES, COMMUNITY, WOMEN",
author = "David, {Shivlal M.} and Kien Chan and Charles Inderjeeth and Raymond, {Warren D.}",
year = "2019",
month = "6",
doi = "10.1111/ajag.12614",
language = "English",
volume = "38",
pages = "107--115",
journal = "Australian Journal on Ageing",
issn = "1440-6381",
publisher = "Wiley Blackwell",
number = "2",

}

TY - JOUR

T1 - Rehabilitation Indices associated with sustaining a minimal trauma fracture within 12 months of a stroke in Western Australia

AU - David, Shivlal M.

AU - Chan, Kien

AU - Inderjeeth, Charles

AU - Raymond, Warren D.

PY - 2019/6

Y1 - 2019/6

N2 - Objective To identify Rehabilitation Indices associated with a minimal trauma fracture (MTF) within 12 months poststroke. Methods Retrospective case-control study. Stroke survivors with MTF were matched 5:1 with stroke survivors without MTF. Logistic regression determined whether Rehabilitation Indices, such as Physiotherapy Ambulation score (PhysioAmb), were associated with a MTF within 12 months poststroke. Results Forty-three stroke survivors (mean age: 79.8; 55.81% female) experienced a MTF (median time to MTF of 1.79 years [IQR 0.70, 4.48]). Those with a MTF within 12 months had lower PhysioAmb (4.53 vs 8.29) and Berg Balance Scale (BBS; 12.25 vs 40.57) scores on admission, lower BBS score on discharge (30.33 vs 49.29) and a greater change in PhysioAmb (+5.67 vs +3.24) and BBS scores (+21.50 vs +8.71) after rehabilitation, all P MTF within 12 months by 18%. Conclusion Rehabilitation Indices are associated with a MTF within 12 months poststroke.

AB - Objective To identify Rehabilitation Indices associated with a minimal trauma fracture (MTF) within 12 months poststroke. Methods Retrospective case-control study. Stroke survivors with MTF were matched 5:1 with stroke survivors without MTF. Logistic regression determined whether Rehabilitation Indices, such as Physiotherapy Ambulation score (PhysioAmb), were associated with a MTF within 12 months poststroke. Results Forty-three stroke survivors (mean age: 79.8; 55.81% female) experienced a MTF (median time to MTF of 1.79 years [IQR 0.70, 4.48]). Those with a MTF within 12 months had lower PhysioAmb (4.53 vs 8.29) and Berg Balance Scale (BBS; 12.25 vs 40.57) scores on admission, lower BBS score on discharge (30.33 vs 49.29) and a greater change in PhysioAmb (+5.67 vs +3.24) and BBS scores (+21.50 vs +8.71) after rehabilitation, all P MTF within 12 months by 18%. Conclusion Rehabilitation Indices are associated with a MTF within 12 months poststroke.

KW - cerebrovascular accident

KW - osteoporosis

KW - osteoporotic fractures

KW - outcome assessment (health care)

KW - stroke rehabilitation

KW - RISK-FACTORS

KW - FALLS

KW - OSTEOPOROSIS

KW - CONSEQUENCES

KW - COMMUNITY

KW - WOMEN

U2 - 10.1111/ajag.12614

DO - 10.1111/ajag.12614

M3 - Article

VL - 38

SP - 107

EP - 115

JO - Australian Journal on Ageing

JF - Australian Journal on Ageing

SN - 1440-6381

IS - 2

ER -