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Resultatens användbarhet

Dessa resultat kan tänkas användas i sjukvården, för att hjälpa sjukvårdspersonal att identifiera patientgrupper som är i behov av åtgärder för att förbättra livskvalitet. Möjliga åtgärder som kan prövas är att behandla ångest, depression och smärta och att underlätta för de strokedrabbade att delta i olika vardagsaktiviteter.

Resultaten visar även på att fysiska aktivitetsvanor har betydelse för hur livet blir efter en stroke. Resultatet utgör ett exempel på hur viktigt fysisk aktivitet är för hälsan och innebär motivation för att uppmuntra enskilda individer att röra på sig, och att sjukvård och politiska beslutsfattare bör satsa på fysisk aktivitet som förebyggande friskvård.

Acknowledgement

The author wishes to give some special appreciations to the supervisor, associate professor Katarina Jood, for all the enthusiastic guidance and support. Many thanks to medicine student Amanda Niklasson, for providing with data and technical support. Also, a special thanks to all nurses and other personnel who work with the Väststroke registry and therefore providing with data. Furthermore, thanks to Naimi Johansson at the Department of Public Health and Community Medicine at the Institute of Medicine for statistical advice. Thanks to Sarah

Eldursi at the Unit for Academic Language for language advice in the writing of the report. Thanks to the personnel at the Biomedical Library for help with writing references. Thanks to the administrative personnel at the Institute of Neuroscience and Physiology, for practical and technical support. And finally, the author wishes to give thanks to family and friends, for encouragement and support.

References

1. Fagius J, Nyholm D, Ansved T, Aquilonius SM, Borg J, Ekbom K, et al. Neurologi. 5 ed. Stockholm: Liber AB; 2013.

2. Stroke, Cerebrovascular accident: World Health Organization; 2017 [cited 2017 13 October]. Available from: http://www.who.int/topics/cerebrovascular_accident/en/. 3. Giang KW, Mandalenakis Z, Nielsen S, Bjorck L, Lappas G, Adiels M, et al. Long-term

trends in the prevalence of patients hospitalized with ischemic stroke from 1995 to 2010 in Sweden. PloS one. 2017;12(6):e0179658.

4. Lofmark U, Hammarstrom A. Evidence for age-dependent education-related differences in men and women with first-ever stroke. Results from a community-based incidence study in northern Sweden. Neuroepidemiology. 2007;28(3):135-41. 5. Läkemedelsboken. 18 ed: Läkemedelsverket.

6. Page SJ, Sisto S, Levine P, McGrath RE. Efficacy of modified constraint-induced movement therapy in chronic stroke: a single-blinded randomized controlled trial. Archives of physical medicine and rehabilitation. 2004;85(1):14-8.

7. Behroozmand R, Phillip L, Johari K, Bonilha L, Rorden C, Hickok G, et al. Sensorimotor impairment of speech auditory feedback processing in aphasia. NeuroImage. 2017. 8. Olsen TS, Hogenhaven H, Thage O. Epilepsy after stroke. Neurology.

1987;37(7):1209-11.

9. Veis SL, Logemann JA. Swallowing disorders in persons with cerebrovascular accident. Archives of physical medicine and rehabilitation. 1985;66(6):372-5.

10. Gordon C, Hewer RL, Wade DT. Dysphagia in acute stroke. British medical journal (Clinical research ed). 1987;295(6595):411-4.

11. Poulin de Courval L, Barsauskas A, Berenbaum B, Dehaut F, Dussault R, Fontaine FS, et al. Painful shoulder in the hemiplegic and unilateral neglect. Archives of physical medicine and rehabilitation. 1990;71(9):673-6.

12. Burvill PW, Johnson GA, Jamrozik KD, Anderson CS, Stewart-Wynne EG, Chakera TM. Prevalence of depression after stroke: the Perth Community Stroke Study. The British journal of psychiatry : the journal of mental science. 1995;166(3):320-7.

13. Naess H, Lunde L, Brogger J. The effects of fatigue, pain, and depression on quality of life in ischemic stroke patients: the Bergen Stroke Study. Vascular health and risk management. 2012;8:407-13.

14. Jokinen H, Melkas S, Ylikoski R, Pohjasvaara T, Kaste M, Erkinjuntti T, et al. Post-stroke cognitive impairment is common even after successful clinical recovery. European journal of neurology. 2015;22(9):1288-94.

15. Ingles JL, Eskes GA, Phillips SJ. Fatigue after stroke. Archives of physical medicine and rehabilitation. 1999;80(2):173-8.

16. Appelros P. Prevalence and predictors of pain and fatigue after stroke: a population-based study. International journal of rehabilitation research Internationale Zeitschrift fur Rehabilitationsforschung Revue internationale de recherches de readaptation. 2006;29(4):329-33.

17. Karatepe AG, Gunaydin R, Kaya T, Turkmen G. Comorbidity in patients after stroke: impact on functional outcome. Journal of rehabilitation medicine. 2008;40(10):831-5. 18. Fillenbaum GG, Pieper CF, Cohen HJ, Cornoni-Huntley JC, Guralnik JM. Comorbidity of

five chronic health conditions in elderly community residents: determinants and impact on mortality. The journals of gerontology Series A, Biological sciences and medical sciences. 2000;55(2):M84-9.

19. Schubert CC, Boustani M, Callahan CM, Perkins AJ, Carney CP, Fox C, et al.

Comorbidity profile of dementia patients in primary care: are they sicker? Journal of the American Geriatrics Society. 2006;54(1):104-9.

20. Kesarwani M, Perez A, Lopez VA, Wong ND, Franklin SS. Cardiovascular comorbidities and blood pressure control in stroke survivors. Journal of hypertension.

2009;27(5):1056-63.

21. Felce D, Perry J. Quality of life: its definition and measurement. Research in developmental disabilities. 1995;16(1):51-74.

22. WHOQOL: Measuring Quality of Life [cited 2017 October 16]. Available from:

http://www.who.int/healthinfo/survey/whoqol-qualityoflife/en/.

23. Quality of life. London: BMJ Books; 2003.

24. Henriksson M, Carlsson P. Att mäta hälsorelaterad livskvalitet : en beskrivning av instrumentet EQ-5D. Linköping: Centrum för utvärdering av medicinsk teknologi; 2002.

25. Luengo-Fernandez R, Gray AM, Bull L, Welch S, Cuthbertson F, Rothwell PM. Quality of life after TIA and stroke: ten-year results of the Oxford Vascular Study. Neurology. 2013;81(18):1588-95.

26. EuroQol--a new facility for the measurement of health-related quality of life. Health policy (Amsterdam, Netherlands). 1990;16(3):199-208.

27. EQ-5D-5L User Guide Basic information on how to use the EQ-5D-5L instrument [cited 2017 October 16]. Available from:

28. Golicki D, Niewada M, Buczek J, Karlinska A, Kobayashi A, Janssen MF, et al. Validity of EQ-5D-5L in stroke. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 2015;24(4):845-50.

29. Pinto EB, Maso I, Vilela RN, Santos LC, Oliveira-Filho J. Validation of the EuroQol quality of life questionnaire on stroke victims. Arquivos de neuro-psiquiatria. 2011;69(2b):320-3.

30. Self-Reported Population Health: An International Perspective based on EQ-5D. 1 ed. Springer Dordrecht Heidelberg New York London: Springer Netherlands; 2014. 196 p. 31. Golicki D, Niewada M. EQ-5D-5L Polish population norms. Archives of medical

science : AMS. 2017;13(1):191-200.

32. Garcia-Gordillo MA, Adsuar JC, Olivares PR. Normative values of EQ-5D-5L: in a Spanish representative population sample from Spanish Health Survey, 2011. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 2016;25(5):1313-21.

33. Ayis S, Wellwood I, Rudd AG, McKevitt C, Parkin D, Wolfe CD. Variations in Health-Related Quality of Life (HRQoL) and survival 1 year after stroke: five European population-based registers. BMJ open. 2015;5(6):e007101.

34. van Eeden M, van Heugten C, van Mastrigt GA, van Mierlo M, Visser-Meily JM, Evers SM. The burden of stroke in the Netherlands: estimating quality of life and costs for 1 year poststroke. BMJ open. 2015;5(11):e008220.

35. Chang WH, Sohn MK, Lee J, Kim DY, Lee SG, Shin YI, et al. Predictors of functional level and quality of life at 6 months after a first-ever stroke: the KOSCO study. Journal of neurology. 2016;263(6):1166-77.

36. Min KB, Min JY. Health-related quality of life is associated with stroke deficits in older adults. Age and ageing. 2015;44(4):700-4.

37. Nationella riktlinjer för vård vid stroke 2017 [cited 2017 October 17]. Available from:

https://roi.socialstyrelsen.se/riktlinjer/nationella-riktlinjer-for-vard-vid-stroke.

38. Verksamhetsplan Stroke Centrum Väst: Stroke Centrum Väst; [cited 2017 20 September]. Available from:

http://strokecentrumvast.gu.se/digitalAssets/1524/1524155_verksamhetsplan-2012-stroke-centrum-vast.pdf.

39. Niklasson A. Associations between Socioeconomic Status and Prehospital Stroke Care [degree project]. Gothenburg: University of Gothenburg; 2017.

40. American College of Sports Medicine Position Stand. Exercise and physical activity for older adults. Medicine and science in sports and exercise. 1998;30(6):992-1008.

41. Blair SN, Kohl HW, 3rd, Paffenbarger RS, Jr., Clark DG, Cooper KH, Gibbons LW. Physical fitness and all-cause mortality. A prospective study of healthy men and women. Jama. 1989;262(17):2395-401.

42. Paffenbarger RS, Jr., Hyde RT, Hsieh CC, Wing AL. Physical activity, other life-style patterns, cardiovascular disease and longevity. Acta medica Scandinavica

Supplementum. 1986;711:85-91.

43. Puett DW, Griffin MR. Published trials of nonmedicinal and noninvasive therapies for hip and knee osteoarthritis. Annals of internal medicine. 1994;121(2):133-40.

44. Dohrn IM, Sjostrom M, Kwak L, Oja P, Hagstromer M. Accelerometer-measured sedentary time and physical activity-A 15 year follow-up of mortality in a Swedish population-based cohort. Journal of science and medicine in sport. 2017.

45. Regionala etikprövningsnämnden i Göteborg. Etikprövning för studentarbeten och ST-arbeten. 2015 [cited 2017 November 15]. Available from:

https://www.epn.se/goeteborg/anslagstavlan/etikproevning-under-st-utbildning/.

46. Lampinen EK, Eloranta AM, Haapala EA, Lindi V, Vaisto J, Lintu N, et al. Physical activity, sedentary behaviour, and socioeconomic status among Finnish girls and boys aged 6-8 years. European journal of sport science. 2017;17(4):462-72.

47. Cooney GM, Dwan K, Greig CA, Lawlor DA, Rimer J, Waugh FR, et al. Exercise for depression. The Cochrane database of systematic reviews. 2013(9):Cd004366. 48. Santalucia P, Pezzella FR, Sessa M, Monaco S, Torgano G, Anticoli S, et al. Sex

differences in clinical presentation, severity and outcome of stroke: results from a hospital-based registry. European journal of internal medicine. 2013;24(2):167-71.

Appendices

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