Impact of post-stroke impairments on activities and participation as experienced by stroke survivors in a Western Cape setting
Date
2016
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Occupational Therapy Association of South Africa
Abstract
ENGLISH SUMMARY : Introduction: This paper explores causal connections between impairments, activity limitations and participation restrictions after stroke.
Methods: The study population (N=267) of this descriptive study were public health care users, from the eastern sub-district of the Western Cape Metropole, who had a stroke between 1 January 2009 and 31 December 2010. Fifty-three study participants were selected through stratified, proportional, random sampling. Data was collected using the Stroke Impact Scale-3.0; the Modified Barthel Index; the Loewenstein Occupational Therapy Cognitive Assessment and a language screening test. Spearman correlations were used to determine statistical significance.
Results: The mean Stroke Impact Scale participation score was 31.3/100. Limb strength (<0.01), visual perception (<0.01), spatial perception (0.02), motor praxis (<0.01), visuomotor organisation (<0.01), and thinking operations (<0.01), impacted participation scores negatively. The mean Modified Barthel Index score was 70.58/100. Limb strength (<0.01), hand function (<0.01), visual perception (<0.01), motor praxis (<0.01), visuomotor organisation (<0.01), and thinking operations (<0.01) impacted Modified Barthel Index scores negatively.
Conclusion: Motor, cognitive and perceptual impairments impacted activities and participation negatively. Stroke survivors should receive routine cognitive, perceptual and motor evaluations. The effect of intervention strategies on cognitive and perceptual impairment post-stroke must be studied.
Description
CITATION: Cawood, J., Visagie, S. & Mji, G. 2016. Impact of post-stroke impairments on activities and participation as experienced by stroke survivors in a Western Cape setting. South African Journal of Occupational Therapy, 46(2):10-15, doi:10.17159/2310-3833/2016/v46n2a3.
The original publication is available at http://www.sajot.co.za
The original publication is available at http://www.sajot.co.za
Keywords
Aphasic persons -- Western Cape (South Africa), Cerebrovascular disease -- Patients -- Western Cape (South Africa), Cerebrovascular disease -- Psychological aspects -- Western Cape (South Africa), Cerebrovascular disease -- Patients -- Rehabilitation -- Western Cape (South Africa)
Citation
Cawood, J., Visagie, S. & Mji, G. 2016. Impact of post-stroke impairments on activities and participation as experienced by stroke survivors in a Western Cape setting. South African Journal of Occupational Therapy, 46(2):10-15, doi:10.17159/2310-3833/2016/v46n2a3