Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Functional Status and Disability in Stroke Survivors of North India


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1 Department of Physiotherapy, Punjabi University, Patiala, India
     

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Stroke is one of the leading causes of morbidity and mortality. It is necessary to not only focus on the medical aspect of the disease but to also cater the disabilities associated with it. The study investigated the complexity of factors that influence the functional status and disability following stroke using qualitative interviews. It was found that majority of stroke patient's fall in the age group of 60-75 years. Occurrence of stroke was found to be more among high income group; those living in joint families and urban dwelling, but the post of disabilities were more severe in rural dwellers. The percentage of motor disability was highest followed by cognitive and social. A majority of stroke patients were leading a poor quality of life with male sufferer's leading a comparatively better life. Disability increased with the increase in level of spasticity and decrease in balance status Majority of subjects who received physiotherapy were mildly dependent for their daily activity and on the other hand those who did not receive were moderate to very severely dependent, depicting that physiotherapy is essential during rehabilitative phase of stroke management.
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  • Davidson. Principles and Practice of Medicine. 18 ed. New York: Churchill Livingstone. 1999; 974-977.

  • Anand K, Chowdhury D, Singh KB, Pandav CS and Kapoor SK. Estimation of mortality and morbidity due to strokes in India. J. Neuroepidemiology 2001; 20(3): 208-11.

  • Ellekjaer H, Holmen J, Indredavik B and Terent A. Epidemiology of stroke in Innherred, Norway, 1994 to 1996: Incidence and 30-Day Case Fatality Rate. J. Stroke 1997; 8(11): 2180-2184.

  • Sackley CM, Baguley BI, Gent S and Hodgson P. The use of a balance performance monitors in the treatment of weight bearing and weight transference problems after stroke. J.Stroke 1992; 78:907-913.

  • Engstram G, Berglund G, Hedblad B, Janson L, Jerntop I and Rasmussen H. Geographic distribution of stroke incidence within an urban population: relations to socioeconomic circumstances and prevalence of cardiovascular risk factors. J. Stroke 2001; 32(5): 1098-103.

  • Salem NC Pioneering stroke spasticity expert Welcomes FDA approval of botox to treat upper limb spasticity following stroke. Wake Forest University, Baptist Medical Centre, Medical Centre, Boulevard 2010.

  • Tyson SF, Tallis RC, Chillala J, Hanley M. and Selley A. Balance disability after stroke. J. Phys Ther 2006; 86(1): 30-8.

  • Mercier L, Rochette A, Audet T, Dubios MF and Hacbert R. Impact of motor, cognitive, and perceptual disorders on ability to perform activities of daily living after stroke. J.Stroke 2001; 32(11):2602-8.

  • Jonathan W, Amanda K, Geoffrey A, Dewey P, Donnan MD, Helen M, Richard A, Sturm PD, Macdonnel MD, and Velandi S. Quality of life after stroke. J. Stroke 2004; 35:2340.

  • Sethi N, Anand I, Ranjan R., Sethi P, and Torgovnickn J. Stroke: The neglected epidemic, an Indian perspective. The Internet Journal of Neurology 2007; 8(1).

  • Kapral MK, Mamdani M and Wang H. Effect of socioeconomic status on treatment and mortality after stroke. J. Stroke 2002; 33(1):274-5.

  • Watkins CL, Gregson JM, Leathley MJ, Moore AP, Sharma AK and Smith TL. Prevalence of spasticity post stroke. J. Clin Rehabil 2002; 6(5):515-22.13. Pound P, Ebrahim S, Bury M and Gompertz P. Views of survivors of stroke on benefits of physiotherapy. J. Quality Health Care 1994; 3(2):69-74.


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  • Functional Status and Disability in Stroke Survivors of North India

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Authors

A. G. K. Sinha
Department of Physiotherapy, Punjabi University, Patiala, India
Divya Dhamija
Department of Physiotherapy, Punjabi University, Patiala, India
Supreet Bindra
Department of Physiotherapy, Punjabi University, Patiala, India

Abstract


Stroke is one of the leading causes of morbidity and mortality. It is necessary to not only focus on the medical aspect of the disease but to also cater the disabilities associated with it. The study investigated the complexity of factors that influence the functional status and disability following stroke using qualitative interviews. It was found that majority of stroke patient's fall in the age group of 60-75 years. Occurrence of stroke was found to be more among high income group; those living in joint families and urban dwelling, but the post of disabilities were more severe in rural dwellers. The percentage of motor disability was highest followed by cognitive and social. A majority of stroke patients were leading a poor quality of life with male sufferer's leading a comparatively better life. Disability increased with the increase in level of spasticity and decrease in balance status Majority of subjects who received physiotherapy were mildly dependent for their daily activity and on the other hand those who did not receive were moderate to very severely dependent, depicting that physiotherapy is essential during rehabilitative phase of stroke management.

References