(Research Hub Theater) Functional Trajectory of Individuals with Ischemic Stroke Characterized by the AAPM&R Registry

Objective: The study aims to describe the collective progress with the AAPM&R Ischemic Stroke Registry, reporting body function changes (‘BF’ pain, anxiety, depression, fatigue, sleep disturbance), activity limitations (AL), and participation restrictions (PR) in individuals with ischemic stroke (IIS) using the International Classification of Functioning, Disability and Health’s (ICF) disablement components; and, appraising the IIS’ general health status (GHS).

Design: Observational study from AAPM&R Registry prospective data, date range: 06/27/22-06/22/23.

Setting: Institutions enrolled in the AAPM&R Registry.

Participants: N=107 total (56 males/51 females); age-group: 25-29 years old (n=2); 30-49 y.o. (n=13), 50-64 y.o. (n=41), >/= 65 y.o. (n=51)

Interventions: NA

Main Outcome Measures: Functional performance (FP) qualifiers were quantified by the respective Patient Reported Outcome Measurement Information System-29-v2.0 (PROMIS) sub-scales: BF changes, by PROMIS pain, anxiety, depression, fatigue, and sleep disturbance (SD); AL, by PROMIS-Physical-Function (PF); PR, by PROMIS-ability-to-participate-in-social-roles (Soc); and, GHS, by PROMIS-Pain-Interference (PI).

Results: Diagnoses associated/reported include: Cognitive functions (15% population), Dysphagia (13.2%), Other sequelae of cerebral infraction (12.9%), Dysarthria (9.5%), Facial weakness (9%), Left hemiplegia (7.8%), Right hemiplegia (7.6%), Aphasia (5.7%). IIS’ BF changes included: pain intensity (Numerical-Rating-Scale: 0-10) 3.28; and PROMIS T-scores (standardized mean 50) as follows: anxiety 52.87; depression 49.75; fatigue 51.5; and, SD 50.01; PF 34.93; Soc 46.34; and, PI 52.76.

Conclusions: Physiatrists care for IIS with complex and wide diagnoses range. Current registry IIS appear to have the following FP difficulties: mild pain intensity, severe AL, and moderate PR. Anxiety, depression, fatigue, and SD scores have thus far classified within population normals. Many IIS were found to have functional impairments that could have been potentially overlooked during their rehabilitation course. By characterizing IS impact on these functional measures, this study will continue to describe the ongoing value of physiatry care and associated registry data collection in IIS.