Functional Status of Post Stroke Survivors

Post Stroke Functional Status
Vol. 10 No. 1 : 2015 (32-36)

BALA KRISHNIAN M BALA KRISHNIAN M
Leong JWS Leong JWS
Lye MS Lye MS
JOHAR MJ JOHAR MJ
Ismail MS Ismail MS

Abstract
Globally, stroke is the commonest cause of long-term disability. The residual disabilities among post stroke patients affect their daily living activities. The aim of rehabilitation therapy is to help stroke survivors to gain back their functional ability. The present study aimed to determine the relationship between post stroke duration with functionality status of post-stroke survivals at a teaching hospital in Kuala Lumpur. A cross-sectional study involved one hundred nine five post stroke patients who attended the Rehabilitation Clinic over a 4-month period. The data on  post stroke duration was reveale from patient’s cleckship. Their functional status was assessed with Modified Barthel Index (MBI). Results showed the mean age of participants was 61 years (SD=13.86, range:22-87 years), with 118 males and 81 females  having  a median duration of 12 months post-stroke (range: 1–79 months). The prevalence 123 (63.1%) of stroke survivors are found to be dependent in their daily living activity. A Chi-square test for independence  indicated there was significant relationship between post-stroke duration with levels of functioning, χ2 (2 , n=195) = 6.455, p<0.05,phi = 0.182. Patients in post-stroke duration of 13-24 months were independent (52.1) than ≤ 12 months and ≥ 24 months.  

Keywords : Activities of Daily Living, functional status, mbi, post-stroke disability, rehabilition therapy,

Correspondance Address
Bala Krishnian R.Muniandy, Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. Tel: +603-91455495 Fax: +60391456577 Email: blrmsh@yahoo.com


References
Bendz, M. 2003. The first years of rehabilitation after a stroke-from two perspectives. Scand J Caring Sci 17(3): 215-222. Burton, C.R. 2000. Re-thinking stroke rehabilitation: the Corbin and Strauss chronic Illness trajectory framework. J Adv Nurs 32(3): 595-602. Elmstahl, S., Sommer, M., Hagberg, B. 1996. A 3 – year follow-up of stroke patient: relationships between activities of daily living and personality characteristics. Arch Gerontol Geriatr 22(3): 233-244. Eriksson, M., Norrving, B., Terent, A., Stegmayr, B. 2008. Functional outcome 3 months after stroke predicts long-term survival. Cerebrovasc Dis 25(5): 423-429. Heart and Stroke Foundation of Ontario & Registered Nurses Association of Ontario. 2005. Stroke assessment across the continuum of care. Toronto: Heart and Stroke foundation of Ontario and Registered Nurses Association of Ontario.http://www.rnao.org/bestpractices/PDF [8 May 2008] Internet Stroke Center. 2008. What is a stroke? http://www.strokecenter.org/patients/about.htm [29 May 2008]. Kapral, M.K., Silver, F.L., Richards, J.A., Lindsay, M.P., Fang, J., Shi, S., Hill, M.D., Phillips, S.J., Robertson, A., Tu, J.V. 2005. Registry of the Canadian Stroke Network. Report on 2004/05. Toronto: Institute for Clinical Evaluative Sciences. http://www.ontariostrokenetwork.ca/wp-content/uploads/2014/06/Full-Report1.pdf [10 May 2008] Rosamond, W., Flegal, K., Furie, K., Go, A., Greenlund, K., Haase, N., Hailpern, S.M., Ho, M., Howard, V., Kissela, B., Kittner, S., Lloyd-Jones, D., McDermott, M., Meigs, J., Moy, C., Nichol, G., O’Donnell, C., Roger, V., Sorlie, P., Steinberger, J., Thom, T., Wilson, M., Hong, Y. 2008. Heart disease and stroke statistics--2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 117(4): e25-146. Wolfe, C.D., Taub, N.A., Woodrow, E.J., Burney, P.G. 2002. Assessment of scales of disability and handicap for stroke patients. Stroke 22(10): 1242-1244. World Health Organization. 2002. Towards a Common Language for Functioning, Disability, and Health. The International Classification of Functioning, Disability and Health (ICF). Geneva: World Health Organization. http://www.jefferson.edu/content/dam/tju/JIEC/files/WHO%20-%20ICF.pdf [15 May 2008]