Profile of Upper Extremities Function among Stroke Outpatients in Dr. Hasan Sadikin General Hospital, Bandung

Putri Pamulani, Novitri Novitri, Sofiati Dian

Abstract


Background: Stroke is one of the leading causes of death and disabilities worldwide. Among all types of disabilities, disturbance in upper extremities functions is at the highest percentage. This study aimed to determine the profile of upper extremities function among stroke outpatients in Dr. Hasan Sadikin General Hospital as an initial step to provide a better follow up and management.

Methods: The design of this study was a descriptive study, conducted from April to October 2014 among stroke outpatients in the Department of Physical Medicine and Rehabilitation Dr Hasan Sadikin General Hospital, Bandung based on a consecutive sampling method. The function of upper extremities was tested by Chedoke Arm and Hand Integrated version 9 (CAHAI-9).

Result: In total, 42 patients were included, consisting of a male (n=25) and a female (n=17). Nine tasks were performed with dependently by the patients such as open the coffee jar (n22; 52%), call 118 (n24;57%), draw a line with a ruler (n22;52%), pour a glass of water (n33;79%), wring out washed cloth (n26;62%) do up five-button (n31;74%), dry back with the towel (n25;60%), put toothpaste on a toothbrush (n25;60%), and cut medium resistance putty(n32;76%).

Conclusions: The majority of stroke outpatients in the sub-acute phase still have a dependent function of upper extremities. Better patient management and interventions focusing on this function need to be enhanced for a better outcome.

 


Keywords


CAHAI-9, disability, impairment, stroke, upper extremities

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References


Harris JE, Eng JJ. Paretic upper-limb strength best explains arm activity in people with stroke. Phys Ther. 2007;87(1):88–97.

Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesua. Riset Kesehatan Dasar 2013. Jakarta: Kementerian Kesehatan RI; 2013. p. 91.

Kartika DP, Kasim F, Saanin SN. Gambaran faktor risiko penderita stroke di Rumah Sakit Hasan Sadikin Bandung periode Januari–Desember 2011 [Undergraduated Thesis]. Bandung: Universitas Maranatha; 2012. [Cited 2019 November 27]. Available from: http://repository.maranatha.edu.

Patel MD, Tilling K, Lawrence E, Rudd AG, Wolfe CD, McKevitt C. Relationships between long-term stroke disability, handicap and health-related quality of life. Age Ageing. 2006;35(3):273–9.

Abubakar SA, Isezuo SA. Health related quality of life of stroke survivors: experience of a stroke unit. Int J Biomed Sci. 2012;8(3):183–7.

Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2197–223.

Sullivan JE, Hedman LD. A home program of sensory and neuromuscular electrical stimulation with upper-limb task practice in a patient 5 years after a stroke. Phys Ther. 2004;84(11):1045–54.

Barreca S, Stratford P, Masters L, Gowland C, Lambert C, Griffiths J, et al. The Chedoke Arm and Hand Activity Inventory administration guidelines version 2: General instruction for administering CAHAI. Hamilton: Chedoke Arm and Hand Inventory (CAHAI); 2004 [Cited 2014 December 7]. Available from: https://www.cahai.ca/layout/content/CAHAI-Manual-English-v2.pdf

Rowland T, Gustafsson L, Turpin M, Henderson R, Read S. Chedoke arm and hand activity inventory-9 (CAHAI-9): a multi-centre investigation of clinical utility. Int J Ther Rehabil. 2011;18(5):290–8.

Hong KS. Disability-adjusted life years analysis: implications for stroke research. J Clin Neurol. 2011;7(3):109–14.

Kissela BM, Khoury JC, Alwell K, Moomaw CJ, Woo D, Adeoye O, et al. Age at stroke: temporal trends in stroke incidence in a large, biracial population. Neurology. 2012;79(17):1781–7.

Ng YS, Stein J, Ning M, Black-Schaffer RM. Comparison of clinical characteristics and functional outcomes of ischemic stroke in different vascular territories. Stroke. 2007;38(8):2309–14.

Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, Jameson JL, et al. Harrison’s principles of internal medicines. 17th ed. New york: McGraw-Hill Companies; 2008.

Michielsen ME, Selles RW, Stam HJ, Ribbers GM, Bussmann JB. Quantifying nonuse in chronic stroke patients: a study into paretic, nonparetic, and bimanual upper-limb use in daily life. Arch Phys Med Rehabil. 2012;93(11):1975–81.

Ausenda C, Togni G, Biffi M, Morlacchi S, Corrias M, Cristoforetti G. A new idea for stroke rehabilitation: bilateral transfer analysis from healthy hand to the paretic one with a randomized and controlled trial. Int J Phys Med Rehabil. 2014;3(8):1–8.

Jauch EC, Saver JL, Adams P, Bruno A, Connors JJ, Demaerschalk BM, et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2013;44(3):870–947.

Bumaa F, Kwakkela G, Ramseyc N. Understanding upper limb recovery after stroke. Restor Neurol Neuros. 2013;31(6):707–22.




DOI: https://doi.org/10.15850/amj.v7n1.1762

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