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June 11, 2026Journal of Stroke and Cerebrovascular DiseasesOpen Access

Distinct Functional Recovery Trajectories and Their Multidimensional Determinants Among Stroke Survivors: Evidence From a National Longitudinal Cohort

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Authors

YLYawen LVZZZiwen ZhouXSXiaoyue Shen

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Overview

Randomized trial identifies distinct recovery trajectories in stroke survivors, suggesting tailored rehabilitation strategies.

Key Points

  • This study aims to identify recovery trajectories in activities of daily living among Chinese stroke survivors and assess the role of baseline factors in shaping these trajectories.
  • Analyzed four waves (2011–2018) of CHARLS data including 851 stroke survivors with ≥ two follow-up ADL assessments.
  • Utilized latent class growth analysis to identify recovery trajectories.
  • Employed multivariate logistic regression to assess associations between baseline characteristics and trajectory membership.
  • Identified three distinct ADL-based recovery trajectories: Moderate-Improving (16.8%), Severe-Improving (18.0%), and Mild-Worsening (65.2%).
  • Patients in Moderate-Improving and Severe-Improving classes showed significant ADL improvements over time; slopes: -0.317 (P=0.011) and -0.716 (P<0.001), respectively.
  • Cognitive function, self-rated health, depressive symptoms, physical function, social participation, and employment status were significant predictors of recovery trajectory membership.

Cite This Study

LV et al. (2026) studied this question.

synapsesocial.com/papers/6a2a4ff180c8f91e7f39c9a5https://doi.org/10.1016/j.jstrokecerebrovasdis.2026.108673
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Functional Recovery After Stroke and Its Association with Patient’s Quality of Life and Caregiver Burden2026
  2. 2Heterogeneous Recovery Trajectories and Prognostic Factors After Ischemic Stroke2026 · 5 citations
  3. 3Prospective analysis of long-term trajectories of functional scores before and after a diagnosis of stroke2026 · 1 citations
  4. 4Longitudinal trajectories of stroke risk among Chinese adults: a four-year community screening cohort study2026
  5. 5Trajectories of Objective Sleep Quality and Their Association With Neurological Functional Recovery After Stroke: A Prospective Longitudinal Study2026