Functional and disability status of persons with stroke in a Specialized Rehabilitation Centre

Abstract

Purpose: The purpose of the study was to find out the overall functional and disability status of the persons with stroke. Objectives: To assess the Socio-demographic information, existing functional ability after stroke, level of difficulties of understanding and communicating with others, level of difficulties in mobility, self-care, socialization, life activities, and social participation, the association between different sociodemographic features, stroke parameters, and functional and disability status. Methodology: It was a cross-sectional study. 121 samples were conveniently selected from Neurology OPU of CRP, Savar, and Dhaka. The interviewer-administered Bengali version of The World Health Organization Disability Assessment Scale 2.0 (WHODAS 2.0) 36 items was applied to people with stroke. Data were analyzed through descriptive and inferential statistics. The Chi-square test for independence and Pearson correlation coefficient test were applied. Results: In this study age of the participants (mean ± SD) was 50.05±9.008 years. Among them 74% (n=89) was male and 26% (n=32) was female. According to FIM scoring among all gross motor functional activities of the participants, most of those were modified independent and were need moderate assistance. The domains mostly affected with severe difficulty were household activities (49%), mobility (44%) and self-care (45%). Getting along with others was the domain that most (44%) of the participants had no difficulty with. Strong and weak significant association of age and stages of stroke with gross motor function category and significant positive and medium correlation found in every domain individual score and subtotal score with age. Here, cognition (r=.331, p=.0002*), mobility (r=.388, p=.00001*), self care activities (r=.374, p=.00002*), getting along with people (r=.379, p=.00002*), life activities (r=.455, p=.0001*), participation (r=.378, p=.00002*) and WHODAS subtotal (r=.460, p=.0001*). Conclusion: This study is explained the overall functional and disability status of the stroke survivors. In future, clinicians can take help from this study for knowing the existing functional and disability status so that they can make their appropriate rehabilitation program according to the difficulties of the stroke survivors. Keyword: Stroke, Functional status, Disability status, Rehabilitation.