Functional Status of Stroke Patients at Neurologic Outpatient Clinic Dr. Hasan Sadikin General Hospital
Abstract
Background: Functional status refers to the ability of an individual to perform normal daily activity required to meet basic needs, fulfill usual roles, and maintain health and well-being. The objective of this study was to evaluate the level of disability and independency of stroke patients who had undergone rehabilitation therapy as the routine activity using Instrumental Activity of Daily Living (IADLs) and basic Activity of Daily Living (BADLs).
Methods: This descriptive study carried out from September to October 2014 at Neurologic outpatient clinic Dr. Hasan Sadikin General Hospital Bandung with a total 33 subjects. Barthel index and IADLs questionnaire was used as an instrumental tool. Barthel index was used to measure the level of disability and IADLs was used to measure the level of independency of an individual.
Results: From the 33 patients, 20 patients completed their rehabilitation therapy; 5 patients showed a moderate disability and 15 patients showed a mild disability at the Barthel Index of ADLs. The result of IADLs showed that 7 patients who completed the therapy had moderate level of independency, and 3 patients were at the category of high level of independency.
Conclusions: Most of the stroke patients have moderate disability in Barthel Index and had low level of independency in IADLs. [AMJ.2016;3(1):126–31]
DOI: 10.15850/amj.v3n1.720
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Canning CG, Ada L, Adams R, O’Dwyer NJ. Loss of strength contributes more to physical disability after stroke than loss of dexterity. Clin Rehabil. 2004;18(3):300–8.
Di Carlo A. Human and economic burden of stroke. Age Ageing. 2009;38(1):4–5.
Holloway R, Arnold R, Creutzfeldt C, Lewis E, Lutz B, Macann R, et al. Pallitative and end of life care in stroke. Am Heart J. 2014;45(6):1887-916.
Davenport R, Manson J, De’Ath H, Platton S, Coates A, Allard S, et al. Functional definition and characterisation of acute traumatic coagulopathy. Crit care med. 2011;39(12):2652–8.
Kwon S, Hartzema AG, Duncan PW, Min-Lai S. Disability measures in stroke relationship among the Barthel Index, the functional independence measure, and the modified Rankin Scale. Stroke.2004;35(4):918–23.
Gold AD. An examination of instrumental activities of daily living assessment in older adults and mild cognitive impairment. J Clin Exp Neuropsychol. 2012;34(1):11–34.
Graf C. The Lawton instrumental activities of daily living scale. AJN. 2008;108(4):52–62.
Sangha H, Lipson D, Foley N, Salter K, Bhogal S, Pohani G, et al. A comparison of the Barthel Index and the functional independence measure as outcome measures in stroke rehabilitation: patterns of disability scale usage in clinical trials. Int J Rehabil Res. 2005;28(2):135–9.
Kusuma Y, Venketasubramanian N, Kiemas L, Misbach J. Burden of stroke in Indonesia. Int J Stroke. 2009;4(5):379–80.
Ferri CP, Acosta D, Guerra M, Huang Y, Llibre-Rodriguez JJ, Salas A, et al. Socioeconomic factors and all cause and cause-specific mortality among older people in Latin America, India, and China: a population-based cohort study. PLoS Med. 2012;9(2):e1001179.
Dobkin BH. Rehabilitation after stroke. N Eng J Med. 2005;352(16):1677–84.
Hummel F,Celnik P,Giraux P, Floel A,Wan Hsun W, Gerloff C, et al. Effects of non-invasive cortical stimulation on skilled motor function in chronic stroke. Brain J Neurol. 2005;128(3):490–9.
Duncan PW, Zorowitz R, Bates B, Choi JY, Glasberg JJ, Graham GD, et al. Management of adult stroke rehabilitation care a clinical practice guideline. Am Heart J. 2005;36(9):100–43.
Beaglehole R, Epping Jordan J, Patel V, Chopra M, Ebrahim S, Kidd M, et al. Improving the prevention and management of chronic disease in low-income and middle-income countries: a priority for primary health care. Lancet. 2008;372(9642):940–9.
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