Level of Activity Daily Living in Post Stroke Patients

Abstract

Background: Stroke is the leading cause of disability and dependency which directly decrease patient'slife quality . Disability caused by stroke can be prevented by holistic and comprehensive management plan of stroke. Until now, there was no study conducted to evaluate management for post stroke patients in Dr. Hasan Sadikin General Hospital (RSHS). Therefore, this studyaimed to describe level of activities of daily living (ADL) in post stroke patients in Neurology unit of RSHS as a basic evaluation for a better management hereafter.Methods: This descriptive quantitative study participated by 31 post-stroke outpatients in Neurology Policlinic of RSHS was conducted from September to October 2015. Interviews were done to assess level of ADL by the Barthel Index score. Variables correlated with ADL (age, gender, stroke type, stroke occurrence, stroke risk factors and muscle strength) were collected from medical records. Collected data was input and presented in tables. Results: There were 19 females and 12 males with the age group of 55-64 year old (35.5%). Most subjects had first stroke attack (71.0%). The most common type and risk factor were ischemic stroke (83.9%) and hypertension (81%) respectively. Patients with a maximum score in the entire extremity muscle strength were in the range of 60-70%. Out of the 31 patients, 18 (58.1%) were classified as independent in ADL. Conclusions: The majority of post stroke patients in the Neurology unit of RSHS wereindependent in ADL.

Relation Between the Corticospinal Tract State and Activities of Daily Living in Patients With Intracerebral Hemorrhage

“… 1 , 2 Impairment of ADL independence can result in patients having decreased quality of life and social participation. 3 ADL independence is affected by neurological impairments, including motor weakness, sensory loss, language dysfunction, and impaired consciousness. 3 , 4 Among the neurological impairments, motor weakness can be mainly caused by the corticospinal tract (CST) injury, the most important neural tract for motor function in the human brain.…”

“… 3 ADL independence is affected by neurological impairments, including motor weakness, sensory loss, language dysfunction, and impaired consciousness. 3 , 4 Among the neurological impairments, motor weakness can be mainly caused by the corticospinal tract (CST) injury, the most important neural tract for motor function in the human brain. 5 Many studies have demonstrated differences in motor function according to the state of the ipsilesional CST in patients with stroke.…”

Family functioning and stroke: Family members’ perspectives

“…The most common neurological dysfunctions caused by stroke include mobility, speech problems and the inability to perform activities of daily living (ADL) (Ramos-Lima et al 2018 ), such as home management, self-care, work and social roles (Ahn & Hwang 2018 ). As a result of decreased physical functioning, stroke survivors may find it difficult to actively participate or engage in social activities (Whitiana, Vitriana & Cahyani 2017 ). This may lead to social isolation and contribute to depression and feelings of helplessness (Brookfield & Mead 2016 ).…”

“…Upon discharge, stroke survivors are often cared for by their families who ensure that the home environment is conducive enough to support the recovery process (Whitiana et al 2017 ). When first receiving the stroke diagnosis, the family is often confused and worried about the life of their family member.…”

Pursuing the Need for Physical Activity in Recurrent CVA Patients During Hospitalization: A Case Report

“…Some studies also argue that the above conditions can trigger recurring CVAs due to falls or severe stiffness (Park et al, 2016). The most frequently disrupted physical activity in CVA patients is activities of daily living, such as the ability to eat, bathe, dress up, and move their upper and lower limbs (Whitiana et al, 2017).…”