Ann Rehabil Med.  2017 Oct;41(5):761-768. 10.5535/arm.2017.41.5.761.

Life Space Assessment in Stroke Patients

• Yang YN
• Kim BR
• Uhm KE
• Kim SJ
• Lee S
• Oh-Park M
• Lee J

• KMID: 2440802
• DOI: http://doi.org/10.5535/arm.2017.41.5.761

Abstract

OBJECTIVE
To evaluate the reliability of the practical life space in post-stroke patients using the Korean version of the Life-Space Assessment (K-LSA) questionnaire and to assess the relationships between the K-LSA and physical function, daily activity, quality of life, and post-stroke depression.
METHODS
The LSA questionnaire was translated into Korean, and the translated version was authorized by the author of the LSA questionnaire. In a cross-sectional study, the performance of the K-LSA was evaluated in 34 stroke patients (20 males and 14 females; mean age 65.11±2.39 years) who were receiving physical and occupational therapy at the outpatient clinic in the rehabilitation medicine department of a university medical center at the time of evaluation. Performances were assessed twice by one examiner at a 2-week interval to test the reliability. The patients were evaluated using the Functional Ambulation Category (FAC) scale, Functional Independence Measure (FIM) scale, and mobility subscale of the FIM to assess their relationships with the K-LSA. They were also evaluated using the EuroQol 5 Dimensions questionnaire (EQ-5D) and Geriatric Depression Scale (GDS) to determine the relationship with quality of life and post-stroke depression.
RESULTS
Test-retest reliability at the first (62.20±32.14) and second (63.15±32.22) assessment was 0.993 (p<0.01). The K-LSA showed significant correlations with the FAC (r=0.848, p<0.01), FIM (r=0.765, p<0.01), mobility category of the FIM (r=0.764, p<0.01), GDS (r=-0.657, p<0.01), and EQ-5D (r=0.506, p<0.01).
CONCLUSION
This study suggests that the practical life space of post-stroke patients, assessed by the K-LSA, has a significant correlation with patients' functional mobility, independence in daily activity, quality of life, and depression.

Keyword

Life space; Stroke; Mobility; Quality of life; Depression

MeSH Terms

Academic Medical Centers
Ambulatory Care Facilities
Cross-Sectional Studies
Depression
Female
Humans
Male
Occupational Therapy
Quality of Life
Rehabilitation
Reproducibility of Results
Stroke*
Walking

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