DOI QR코드

DOI QR Code

An investigation of factors influencing the participation of stroke survivors in social and leisure activities

  • Ahn, Si-Nae (Department of Occupational Therapy, College of Health and Medical Sciences, Cheongju University) ;
  • Hwang, Sujin (Department of Physical Therapy, Division of Health Science, Baekseok University)
  • Received : 2018.03.05
  • Accepted : 2018.05.21
  • Published : 2018.06.30

Abstract

Objective: Participation restrictions are serious problems that stroke survivors experience while reintegrating into family, work, community, and social situations after participating in rehabilitation programs. The purpose of this study was to explore the factors affecting participation in activities of daily living (ADL), as well as social and leisure activities of individuals with hemiparetic stroke. Design: Cross-sectional study. Methods: The study involved 96 participants who were diagnosed with a first stroke 6 months before the study (58 men, 38 women; $60.3{\pm}14.3years$). The Berg Balance Scale, Modified Barthel Index, Manual Function test, and Activity Card Sort were used to assess static and dynamic balance function, upper limb function, level of independence, and their level of participation within the community. A regression analysis was used to identify the influence of factors affecting participation in ADL, social and recreational activities. Results: The Activity Card Sort scores were significantly affected by the Manual Function test and Modified Barthel Index scores (p<0.05). Participation in leisure activities was affected by the level of independence. Participation in social activities was affected by the balance function and level of independence of the participants. Conclusions: The results of this study have shown that participation restrictions are affected by upper limb function, balance function, and the level of independence in individuals with hemiparetic stroke.

Keywords

References

  1. Baseman S, Fisher K, Ward L, Bhattacharya A. The relationship of physical function to social integration after stroke. J Neurosci Nurs 2010;42:237-44. https://doi.org/10.1097/JNN.0b013e3181ecafea
  2. O'Sullivan SB, Schmitz TJ, Fulk GD. Physical rehabilitation. 6th ed. Philadelphia: F.A. Davis Co.; 2014.
  3. Radomski MV, Latham CAT. Occupational therapy for physical dysfunction. 7th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2014.
  4. Ru X, Dai H, Jiang B, Li N, Zhao X, Hong Z, et al. Community-based rehabilitation to improve stroke survivors' rehabilitation participation and functional recovery. Am J Phys Med Rehabil 2017;96:e123-9. https://doi.org/10.1097/PHM.0000000000000650
  5. Obembe AO, Eng JJ. Rehabilitation interventions for improving social participation after stroke: a systematic review and meta-analysis. Neurorehabil Neural Repair 2016;30:384-92. https://doi.org/10.1177/1545968315597072
  6. Morris J, Toma M, Kelly C, Joice S, Kroll T, Mead G, et al. Social context, art making processes and creative output: a qualitative study exploring how psychosocial benefits of art participation during stroke rehabilitation occur. Disabil Rehabil 2016;38: 661-72. https://doi.org/10.3109/09638288.2015.1055383
  7. Yi TI, Han JS, Lee KE, Ha SA. Participation in leisure activity and exercise of chronic stroke survivors using community-based rehabilitation services in seongnam city. Ann Rehabil Med 2015;39:234-42. https://doi.org/10.5535/arm.2015.39.2.234
  8. Stevenson TJ. Detecting change in patients with stroke using the Berg Balance Scale. Aust J Physiother 2001;47:29-38. https://doi.org/10.1016/S0004-9514(14)60296-8
  9. Saso A, Moe-Nilssen R, Gunnes M, Askim T. Responsiveness of the Berg Balance Scale in patients early after stroke. Physiother Theory Pract 2016;32:251-61. https://doi.org/10.3109/09593985.2016.1138347
  10. Blum L, Korner-Bitensky N. Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review. Phys Ther 2008;88:559-66. https://doi.org/10.2522/ptj.20070205
  11. Trauzettel-Klosinski S, Biermann P, Hahn G, Weismann M. Assessment of parafoveal function in maculopathy: a comparison between the Macular Mapping Test and kinetic Manual Perimetry. Graefes Arch Clin Exp Ophthalmol 2003;241: 988-95. https://doi.org/10.1007/s00417-003-0757-y
  12. Miyamoto S, Kondo T, Suzukamo Y, Michimata A, Izumi S. Reliability and validity of the Manual Function Test in patients with stroke. Am J Phys Med Rehabil 2009;88:247-55. https://doi.org/10.1097/PHM.0b013e3181951133
  13. Sulter G, Steen C, De Keyser J. Use of the Barthel index and modified Rankin scale in acute stroke trials. Stroke 1999;30: 1538-41. https://doi.org/10.1161/01.STR.30.8.1538
  14. Uyttenboogaart M, Stewart RE, Vroomen PC, De Keyser J, Luijckx GJ. Optimizing cutoff scores for the Barthel index and the modified Rankin scale for defining outcome in acute stroke trials. Stroke 2005;36:1984-7. https://doi.org/10.1161/01.STR.0000177872.87960.61
  15. Baum CM, Edwards DF. Activity card sort (ACS): test manual. 2nd ed. Bethesda, MD: AOTA Press; 2008.
  16. Packer TL, Boshoff K, DeJonge D. Development of the activity card sort--Australia. Aust Occup Ther J 2008;55:199-206. https://doi.org/10.1111/j.1440-1630.2007.00686.x
  17. Blomer AM, van Mierlo ML, Visser-Meily JM, van Heugten CM, Post MW. Does the frequency of participation change after stroke and is this change associated with the subjective experience of participation? Arch Phys Med Rehabil 2015;96:456-63. https://doi.org/10.1016/j.apmr.2014.09.003
  18. Schepers VP, Visser-Meily AM, Ketelaar M, Lindeman E. Prediction of social activity 1 year poststroke. Arch Phys Med Rehabil 2005;86:1472-6. https://doi.org/10.1016/j.apmr.2004.11.039
  19. Hsieh CL, Hoffmann T, Gustafsson L, Lee YC. The diverse constructs use of activities of daily living measures in stroke randomized controlled trials in the years 2005-2009. J Rehabil Med 2012;44:720-6. https://doi.org/10.2340/16501977-1008
  20. Tse T, Douglas J, Lentin P, Linden T, Churilov L, Ma H, et al. Reduction in retained activity participation is associated with depressive symptoms 3 months after mild stroke: an observational cohort study. J Rehabil Med 2017;49:120-7. https://doi.org/10.2340/16501977-2184
  21. Morris JH, Oliver T, Kroll T, Joice S, Williams B. Physical activity participation in community dwelling stroke survivors: synergy and dissonance between motivation and capability. A qualitative study. Physiotherapy 2017;103:311-21. https://doi.org/10.1016/j.physio.2016.05.001
  22. French MA, Moore MF, Pohlig R, Reisman D. Self-efficacy mediates the relationship between balance/walking performance, activity, and participation after stroke. Top Stroke Rehabil 2016;23:77-83. https://doi.org/10.1080/10749357.2015.1110306
  23. Chau JP, Thompson DR, Twinn S, Chang AM, Woo J. Determinants of participation restriction among community dwelling stroke survivors: a path analysis. BMC Neurol 2009;9:49. https://doi.org/10.1186/1471-2377-9-49
  24. van der Zee CH, Visser-Meily JM, Lindeman E, Jaap Kappelle L, Post MW. Participation in the chronic phase of stroke. Top Stroke Rehabil 2013;20:52-61. https://doi.org/10.1310/tsr2001-52

Cited by

  1. Validation of the Telephone-Based Application of the ABILHAND for Assessment of Manual Ability After Stroke vol.44, pp.4, 2020, https://doi.org/10.1097/npt.0000000000000326
  2. Family functioning and stroke: Family members’ perspectives vol.10, pp.None, 2018, https://doi.org/10.4102/ajod.v10i0.801
  3. A Comparative Study on Clinical Gait Abilities of Stroke Patients According to Indoor and Outdoor Environments vol.10, pp.3, 2018, https://doi.org/10.14474/ptrs.2021.10.3.356