Level of Activity Daily Living in Post Stroke Patients
Abstract
Background: Stroke is the leading cause of disability and dependency which directly decrease patient’slife quality . Disability caused by stroke can be prevented by holistic and comprehensive management plan of stroke. Until now, there was no study conducted to evaluate management for post stroke patients in Dr. Hasan Sadikin General Hospital (RSHS). Therefore, this studyaimed to describe level of activities of daily living (ADL) in post stroke patients in Neurology unit of RSHS as a basic evaluation for a better management hereafter.
Methods: This descriptive quantitative study participated by 31 post-stroke outpatients in Neurology Policlinic of RSHS was conducted from September to October 2015. Interviews were done to assess level of ADL by the Barthel Index score. Variables correlated with ADL (age, gender, stroke type, stroke occurrence, stroke risk factors and muscle strength) were collected from medical records. Collected data was input and presented in tables.
Results: There were 19 females and 12 males with the age group of 55-64 year old (35.5%). Most subjects had first stroke attack (71.0%). The most common type and risk factor were ischemic stroke (83.9%) and hypertension (81%) respectively. Patients with a maximum score in the entire extremity muscle strength were in the range of 60-70%. Out of the 31 patients, 18 (58.1%) were classified as independent in ADL.
Conclusions: The majority of post stroke patients in the Neurology unit of RSHS wereindependent in ADL.
DOI: 10.15850/amj.v4n2.1068
Keywords
Full Text:
PDFReferences
R, Mensah GA, Connor M, Bennett DA, et al. Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010. Lancet.2014;383(9913):245–54.
Brewer L, Horgan F, Hickey A, Williams D. Stroke rehabilitation: recent advances and future therapies. QJM. 2013;106(1):11–25.
Di Carlo A. Human and economic burden of stroke. Age Ageing. 2009;38(1):4–5.
Haghgoo HA, PazukiES, Hosseini AS, Rassafiani M. Depression, activities of daily living and quality of life in patients with stroke. J Neurol Sci. 2013;328(1):87–91.
Staines R, Mccoy WE, Brooks D. Functional impairments following stroke: implications for rehabilitation. Curr Issues Cardiac Rehab Prevent. 2009;17(1):5–8.
Burke TA, Venketasubramanian RN. The epidemiology of stroke in the East Asian region: a literaturebased review. Int J Stroke.2006;1(4):208–15.
Wang J, An Z, Li B, Yang L, Tu J, Gu H, et al. Increasing stroke incidence and prevalence of risk factors in a low-income Chinese population. Neurology. 2015;84(4):374–81.
Liu X, Lv Y, Wang B, Zhao G, Yan Y, Xu D. Prediction of functional outcome of ischemic stroke patients in northwest China. Clin Neurol Neurosurg.2007;109(7):571–7.
Hislop H, Avers D, Brown M. Daniels and Worthingham’s muscle testing: Techniques of manual examination and performance testing. 9th ed. St. Louis: Elsevier Health Sciences; 2014.
Kwakkel G, Veerbeek JM, Harmeling-van der Wel BC, van Wegen E, Kollen BJ. Diagnostic accuracy of the Barthel Index for measuring activities of daily living outcome after ischemic hemispheric stroke: does early poststroke timing of assessment matter? Stroke. 2011;42(2):342–6.
LeBrasseur NK, Sayers SP, Ouellette MM, Fielding RA. Muscle impairments and behavioral factors mediate functional limitations and disability following stroke. Phys Ther. 2006;86(10):1342–50.
Reeves MJ, Bushnell CD, Howard G, Gargano JW, Duncan PW, Lynch G, et al. Sex differences in stroke: epidemiology, clinical presentation, medical care, and outcomes. The Lancet Neurol. 2008;7(10):915–26.
Bushnell C, McCullough LD, Awad IA, Chireau MV, Fedder WN, Furie KL, et al. Guidelines for the prevention of stroke in women a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45(5):1545–88.
Bohannon RW. Muscle strength and muscle training after stroke. J Rehabil Med. 2007;39(1):14–20.
Chattopadhyay K, Douiri A, Sheldenkar A. Trends in activities of dailyliving among stroke survivors: Analysis from the South London Stroke Register. IJTRR.2013;2(2):6–21.
Henriksson KM, Farahmand B, Asberg S, Edvardsson N, Terent A. Comparison of cardiovascular risk factors and survival in patients with ischemic or hemorrhagic stroke. Int J Stroke. 2012;7(4):276–81.
Bhalla A, Wang Y, Rudd A, Wolfe CD. Differences in outcome and predictors between ischemic and intracerebral hemorrhage The South London Stroke Register. Stroke.2013;44(8):2174–81.
Harris JE, Eng JJ. Paretic upper–limb strength best explains arm activity in people with stroke. Phys Ther. 2007;87(1):88–97.
Kluding P, Gajewski B. Lower-extremity strength differences predict activity limitations in people with chronic stroke. Phys Ther.2009;89(1):73–81.
Harris JE, Eng JJ. Individuals with the dominant hand affected following stroke demonstrate less impairment than those with the non-dominant hand affected. Neurorehabil Neural Repair. 2006;20(3):380–9
DOI: https://doi.org/10.15850/amj.v4n2.1068
Article Metrics
Abstract view : 1855 timesPDF - 1055 times
This Journal indexed by
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
View My Stats