Impact of social support on outcome in first stroke.

Glass, Thomas A.; Matchar, David B.; Belyea, Michael; Feussner, John R.

doi:10.1161/01.str.24.1.64

Cited by 310 publications

(224 citation statements)

References 22 publications

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“…Moreover, the majority of these studies (5)(6)(7)(8)10,11,16), in contrast with the present one, defined an initial short-term stage of around three months which is characterised by a relatively rapid recovery rate. Some of these studies (6,7) also report that 80-85% of the total recovery occurs during first month or month and a half, with 95% of the recovery having been achieved at three months.…”

Section: Resultscontrasting

confidence: 59%

“…Yet it has still been possible to discuss our results with reference to those elsewhere in the literature as the improvement percentages attributed to the different periods are also provided in terms of the commonly used assessment scales. Most of the studies cited use a scale for the assessment of the ADL -the Barthel index (4-7,11), -although some have employed motor indices such as the Functional Ambulation Category, Fugl-Meyer Assessment or the Motricity Index (5,9) or neurological scales such as the Scandinavian Stroke Scale (6).…”

Section: Resultsmentioning

confidence: 99%

“…Although a great deal is known about the neurophysiological mechanisms responsible for recovery from neurological deficits, involving brain reorganization and the mechanism of neuroplasticity (3), a variety of functional recovery patterns have been described for patients with stroke sequelae by a range of authors (4)(5)(6)(7)(8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Study of the Recovery Patterns of Elderly Subacute Stroke Patients in an Interdisciplinary Neurorehabilitation Unit

Balasch-Bernat

Parisi

Sebastián

et al. 2015

Journal of Stroke and Cerebrovascular Diseases

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Section: Resultscontrasting

confidence: 59%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Study of the Recovery Patterns of Elderly Subacute Stroke Patients in an Interdisciplinary Neurorehabilitation Unit

Balasch-Bernat

Parisi

Sebastián

et al. 2015

Journal of Stroke and Cerebrovascular Diseases

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“…For example, it has been shown that the use of assistive devices has a strong impact on stroke survivors' daily activities [7,8]. Another example is the widely accepted but less studied impact of social support, which facilitates stroke outcome [9,10]. The best documented environmental factor in the context of stroke is possibly stroke unit care as a type of health care service [11].…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers of stroke survivors in the early post-stroke phase

Algurén

Lundgren‐Nilsson

Sunnerhagen

2009

Disability and Rehabilitation

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Purpose. To identify facilitators and barriers among persons with first-ever stroke discharged to the home in the first 3 months post-stroke by means of ICF categories. Method. Stroke survivors were interviewed using semi-structured questions based on the ICF categories of Environmental factors of the Comprehensive ICF Core Set for Stroke (extended version) at 6 weeks and at 3 months post-stroke.Results. The study sample exists of 67 stroke survivors with an average age of 71 years (51% women). Eleven environmental factors from the ICF chapters 'support and relationship', 'products and technology' and 'services, systems and policies' were experienced to be facilitators and only 'physical geography' was experienced as a barrier by 50% or more of the participants in the study. Conclusions. It was possible to document facilitators and barriers among stroke survivors in a structured way using ICF categories. The high number of experienced facilitators gives an idea of how well stroke care functions in Sweden. There is a great need for further studies examining environmental factors in the post-stroke phase.

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“…The amount of social support a patient gets after having a stroke is positively associated with the extent of the functional status (Glass et al 1993) with socially isolated stroke patients being at risk of poor function (Glass et al 1993). Patients who have had a stroke generally function better in activities of daily living than they do in social activities and interactions (Schmidt et al 1986).…”

Section: Introductionmentioning

confidence: 99%

The influence of demographic, environmental and physical factors on functional independence post stroke

Mamabolo

Mudzi

Stewart

et al. 2008

South African Journal of Physiotherapy

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Purpose: The magnitude of disability observed in strokesurvivors is believed to be dependent in part, on the severity of neurological deficits incurred. A s important but less well understood, is thecontribution of demographic, physical and environmental factors. The objective of this study was to establish what demographic, environmentaland physical factors influence functional independence post stroke. Method: Convenience sampling was used in the selection of subjects from four stroke outpatient public health facilities in the Gauteng Province of South Africa. The data were collected using a structured questionnaire. The analytical tools used included descriptive statistics to measure percentages and cross tabulations to measure the level of associations between functional independence and some of the demographic factors. The Barthel Index was computed to establish the degree of functional independence. Finally the influence of factors on functional independence was investigated using bivariate logistic regressions.Results: The results showed that younger patients (18 - 34 yrs) may have a higher likelihood of functional independence compared to older patients at the time of discharge from hospital (18 - 34 years: Odds Ratio = 1). Patients without helpers were more likely to be functionally independent than those with a helper (p = 0.03). Involvement in household activities (p = 0.01), participation in community activities (p = 0.02) and bowel and bladder continence (p = 0.003 and p = 0.04) improved the likelihood of functional independence.Conclusion and im plications: Factors that influence functional independence post stroke are: age, bowel and bladder continence, the presence of a caregiver, participation in household and community activities. It is also of value to encourage patients to participate in household and community activities post stroke as well as being less dependent on helpers in an effort to attain functional independence post stroke.

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Impact of social support on outcome in first stroke.

Cited by 310 publications

References 22 publications

Study of the Recovery Patterns of Elderly Subacute Stroke Patients in an Interdisciplinary Neurorehabilitation Unit

Study of the Recovery Patterns of Elderly Subacute Stroke Patients in an Interdisciplinary Neurorehabilitation Unit

Facilitators and barriers of stroke survivors in the early post-stroke phase

The influence of demographic, environmental and physical factors on functional independence post stroke

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