Activity limitations and factors influencing functional outcome of patients with stroke following rehabilitation at a specialised facility in the Western Cape

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dc.contributor.authorJoseph, Conran
dc.contributor.authorRhoda, Anthea
dc.date.accessioned2017-07-06T08:45:43Z
dc.date.available2017-07-06T08:45:43Z
dc.date.issued2013
dc.description.abstractBACKGROUND: Determining the functional abilities and factors influencing outcome of patients with stroke following rehabilitation are essential for the planning of future interventions and services in order to optimise recovery. OBJECTIVES: To determine the activity limitations and factors influencing functional outcome of patients with stroke managed at a specialised rehabilitation centre. METHODOLOGY: A longitudinal study design was used to determine the functional outcomes of patients admitted to the centre on admission and discharge. A data gathering sheet was developed to collect information pertaining to the demographicand medical profile and process of rehabilitation, whereas the Barthel Index was used to collect data relating to functional abilities. For analysis, descriptive statistics as well as inferential statistics (Student t test) were utilised to determine the paired differences. Six prognostic factors influencing functional outcome were selected and tested using linear (bivariate) regression. RESULTS: The mean Barthel Index scores on admission and at discharge were 58.85 and 81.59 respectively. A significant improvement was noted in the execution of functional task of patients with stroke (p< 0.01) between the data collection points. Despite the significant overall improvement, results show a high prevalence of dependence with walking and stair climbing at discharge. Only functional ability on admission (r=0.49) predicted a favourable functional outcome at discharge. CONCLUSION: This study highlights the limitations of younger stroke survivors and the need for continued rehabilitation following in-patient care. It further underscores the administration of a functional rating scale on admission in order to aggressively manage activity limitations.en_US
dc.description.accreditationDepartment of HE and Training approved list
dc.identifier.citationJoseph, C. & Rhoda, A. J. (2013). Activity limitations and factors influencing functional outcome of patients with stroke following rehabilitation at a specialised facility in the Western Cape. African Health Sciences, 13(3): 646 - 654en_US
dc.identifier.issn1680-6905
dc.identifier.urihttp://hdl.handle.net/10566/3049
dc.language.isoenen_US
dc.publisherAfrican Health Sciencesen_US
dc.rightsPublisher retains copyright. Authors may archive the published version in their institutional repository.
dc.source.urihttp://dx.doi.org/10.4314/ahs.v13i3.18
dc.subjectStroke, activity limitationsen_US
dc.subjectFactors influencing outcomeen_US
dc.subjectICFen_US
dc.subjectRehabilitationen_US
dc.titleActivity limitations and factors influencing functional outcome of patients with stroke following rehabilitation at a specialised facility in the Western Capeen_US
dc.typeArticleen_US

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