Association between Height and Functional Outcomes of Patients 6 Months after a Stroke: A Multicenter Prospective Observational Cohort Study

Nae Yoon Kang, Sung Hwa Ko, Yong Il Shin, Ji Hong Min, Mi Sook Yun, Min Kyun Sohn, Jongmin Lee, Deog Young Kim, Gyung Jae Oh, Yang Soo Lee, Min Cheol Joo, So Young Lee, Min Keun Song, Junhee Han, Jeonghoon Ahn, Yun Hee Kim, Won Hyuk Chang

Research output: Contribution to journalArticlepeer-review

Abstract

Many physical factors influence post-stroke functional outcomes. However, few studies have examined the influence of height on these outcomes. Here, data from the Korean Stroke Cohort for Functioning and Rehabilitation were used and patients’ height was categorized into three groups: short (lower 25%), middle (middle 50%), and tall (upper 25%). Differences in the modified Rankin scale (mRS), functional ambulatory category (FAC), and Korean-translated version of the Modified Barthel Index (K-MBI) scores were analyzed for each group at 6 months post-stroke. A subgroup analysis was conducted based on the initial Fugl-Meyer Assessment (FMA) score. We analyzed functional outcomes in 5296 patients at 6 months post-stroke, adjusting for age and body mass index. The short-height group exhibited higher mRS scores (1.88 ± 0.043), lower FAC scores (3.74 ± 0.045), and lower K-MBI scores (82.83 ± 0.748) than the other height groups (p < 0.05). In the subgroup analysis, except for the very severe FMA group, the short-height group also exhibited worse outcomes in terms of mRS, FAC, and K-MBI scores (p < 0.05). Taken together, the short-height group exhibited worse outcomes related to disability, gait function, and ADLs at 6 months post-stroke.

Original languageEnglish
Article number610
JournalJournal of Personalized Medicine
Volume14
Issue number6
DOIs
StatePublished - Jun 2024

Bibliographical note

Publisher Copyright:
© 2024 by the authors.

Keywords

  • activities of daily living
  • disability
  • functional outcomes
  • height
  • post-stroke recovery
  • stroke rehabilitation

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