Publication: Factors related to community participation by stroke victims six month post-stroke
Issued Date
2011-07-01
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ISSN
01251562
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2-s2.0-80054935310
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Mahidol University
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SCOPUS
Bibliographic Citation
Southeast Asian Journal of Tropical Medicine and Public Health. Vol.42, No.4 (2011), 1005-1013
Suggested Citation
Chutima Jalayondeja, Jaranit Kaewkungwal, Patricia E. Sullivan, Samart Nidhinandana, Sopa Pichaiyongwongdee, Sutthi Jareinpituk Factors related to community participation by stroke victims six month post-stroke. Southeast Asian Journal of Tropical Medicine and Public Health. Vol.42, No.4 (2011), 1005-1013. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/12446
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Title
Factors related to community participation by stroke victims six month post-stroke
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Abstract
Participation in the community socially by stroke victims is an optimal outcome post-stroke. We carried out a cohort study to evaluate a model for community participation by Thai stroke victims 6 months post-stroke. Six standardized instruments were used to assess the patient's status 1, 3 and 6 months after stroke. These were the modified Rankin Scale, the National Institute of Health Stroke Scale, the Fugl-Meyer Assessment and the Berg Balance Scale. The performance of activities of daily living and community ambulation were measured using the Barthel Index and walking velocity. Participation in the community was measured by the Stroke Impact Scale. The outcomes demographics and stroke related variables were analyzed using the Generalized Estimating Equations. Of the 98 subjects who completed the follow-up assessment, 72 (86.5%) felt they had more participation in the community 6 months post-stroke. The level of disability, performance of independent activities and length of time receiving physical therapy were associated with the perceived level of participation in the community among stroke victims 6 months post-stroke. To achieve a goal of good participation in the community among stroke victims, health care planning should focus on improving the stroke victim's ability to independently perform daily activities. The average length of physical therapy ranged from 1 to 6 months, at 3 to 8 hours/month. Clinical practice guidelines should be explored to optimize participation in the community.