Functional behavior of individuals after chronic stroke: a longitudinal study
DOI:
https://doi.org/10.11606/issn.2317-0190.v31i1a221866Keywords:
Stroke, Motor Disorders, Exercise, Continuity of Patient CareAbstract
Objective: Identify the functional behavior of individuals after chronic stroke eighteen months of evolution. Method: Prospective longitudinal study with data collections carried out between February 2019 and December 2019. Data was collected from individuals who had ischemic or hemorrhagic stroke more than 6 months previously and individuals were over the age of 18 years. An assessment was carried out to collect sociodemographic data, and information was collected on the use of orthoses, physical activity, physiotherapy treatment, smoking history, frequency and occurrence of falls, among others. In addition, the 10-meter Walk Test (10MWT), the Human Activity Profile (HAP) questionnaire, cognition assessment with the Mini Mental State Examination (Mini-Mental), the international falls self-efficacy scale (FESi) and functional capacity assessment with the Duke Activity Status Index (DASI) were carried out. An 18-month follow-up was carried out. Results: The study obtained 44 individuals, among which 35 had ischemic stroke, with an average age of 65 years and 60 months after the stroke. The individuals did not show changes in their functional level, they maintained independent walking with an average habitual walking speed of 0.75m/s, the use of orthosis, the reach of objects, independent feeding, and the use of an independent bathroom. Conclusion: After 18 months of follow-up, the individuals had maintained their functional behavior in most cases, and it can be said that they had reached a plateau in their state of health.
Downloads
References
Katan M, Luft A. Global Burden of Stroke. Semin Neurol. 2018;38(2):208-211. Doi: https://doi.org/10.1055/s-0038-1649503
Tsao CW, Aday AW, Almarzooq ZI, Alonso A, Beaton AZ, Bittencourt MS, et al. Heart Disease and Stroke Statistics-2022 Update: a Report From the American Heart Association. Circulation. 2022;145(8):e153-e639. Doi: https://doi.org/10.1161/CIR.0000000000001052
Kalkonde YV, Alladi S, Kaul S, Hachinski V. Stroke Prevention Strategies in the Developing World. Stroke. 2018;49(12):3092-97. Doi: https://doi.org/10.1161/STROKEAHA.118.017384
Medeiros CSP, Pacheco TBF, Cavalcanti FADC, Cacho RO, Bezerra AMDS. Level of motor, sensory and functional impairment from stroke at admission and hospital discharge in Brazil. Brain Inj. 2019;33(11):1430-35. Doi: https://doi.org/10.1080/02699052.2019.1642515
Silva BC, Lacerda CSA, Rosa EA, Junqueira DP, Costa PHV, Polese JC. Confiabilidade interexaminadores do teste e re-teste do esfigmomanômetro modificado em indivíduos saudáveis. Conexão Cien. 2017;12(1):8-45. Doi: https://doi.org/10.24862/cco.v12i1.522
Abreu FG, Goulart AC, Birck MG, Benseñor IM. Stroke at baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): a cross-sectional analysis. Sao Paulo Med J. 2018;136(5):398-406. Doi: https://doi.org/10.1590/1516-3180.2018.0129060818
Campos LM, Martins BM, Cabral NL, Franco SC, Pontes-Neto OM, Mazin SC, et al. How Many Patients Become Functionally Dependent after a Stroke? A 3-Year Population-Based Study in Joinville, Brazil. PLoS One. 2017;12(1):e0170204. Doi: https://doi.org/10.1371/journal.pone.0170204
Matos I, Fernandes A, Maso I, Oliveira-Filho J, de Jesus PA, Fraga-Maia H, et al. Investigating predictors of community integration in individuals after stroke in a residential setting: A longitutinal study. PLoS One. 2020;15(5):e0233015. Doi: https://doi.org/10.1371/journal.pone.0233015
Cabral NL, Nagel V, Conforto AB, Amaral CH, Venancio VG, Safanelli J, et al. Five-year survival, disability, and recurrence after first-ever stroke in a middle-income country: A population-based study in Joinvile, Brazil. Int J Stroke. 2018;13(7):725-33. Doi: https://doi.org/10.1177/1747493018763906
Oliveira-Kumakura ARS, Batista LMOS, Spagnol GS, Valler L. Functionality and quality of life in Brazilian patients 6 months post-stroke. Front Neurol. 2023;14:1020587. Doi: https://doi.org/10.3389/fneur.2023.1020587
Scianni A, Teixeira-Salmela LF, Ada L. Challenges in recruitment, attendance and adherence of acute stroke survivors to a randomized trial in Brazil: a feasibility study. Rev Bras Fisioter. 2012;16(1):40-5. Doi: https://doi.org/10.1590/s1413-35552012000100008
Blanton S, Morris DM, Prettyman MG, McCulloch K, Redmond S, Light KE, et al. Lessons learned in participant recruitment and retention: the EXCITE trial. Phys Ther. 2006;86(11):1520-33. Doi: https://doi.org/10.2522/ptj.20060091
Nagano K, Hori H, Muramatsu K. A comparison of at-home walking and 10-meter walking test parameters of individuals with post-stroke hemiparesis. J Phys Ther Sci. 2015;27(2):357-9. Doi: https://doi.org/10.1589/jpts.27.357
Bernhardt J, Hayward KS, Kwakkel G, Ward NS, Wolf SL, Borschmann K, et al. Agreed definitions and a shared vision for new standards in stroke recovery research: The Stroke Recovery and Rehabilitation Roundtable taskforce. Int J Stroke. 2017;12(5):444-450. Doi: https://doi.org/10.1177/1747493017711816
Abu-Bader, SH. Using Statistical Methods in Social Sciences Research. 2nd ed. Chicago: Lyceuam Books; 2011.
Nascimento LR, Caetano LC, Freitas DC, Morais TM, Polese JC, Teixeira-Salmela LF. Different instructions during the ten-meter walking test determined significant increases in maximum gait speed in individuals with chronic hemiparesis. Rev Bras Fisioter. 2012;16(2):122-7. Doi: https://doi.org/10.1590/s1413-35552012005000008
Salbach NM, Mayo NE, Higgins J, Ahmed S, Finch LE, Richards CL. Responsiveness and predictability of gait speed and other disability measures in acute stroke. Arch Phys Med Rehabil. 2001;82(9):1204-12. Doi: https://doi.org/10.1053/apmr.2001.24907
Brito SAF, Aguiar LT, Quintino LF, Ribeiro-Samora GA, Britto RR, Faria CDCM. Assessment of V̇o2peak and Exercise Capacity After Stroke: A Validity Study of the Human Activity Profile Questionnaire. Arch Phys Med Rehabil. 2022;103(9):1771-1776. Doi: https://doi.org/10.1016/j.apmr.2022.01.141
Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. O Mini-Exame do Estado Mental em uma população geral: impacto da escolaridade. Arq Neuro-Psiquiatr. 1994;52(1):1–7. Doi: https://doi.org/10.1590/S0004-282X1994000100001
Camargos FF, Dias RC, Dias JM, Freire MT. Cross-cultural adaptation and evaluation of the psychometric properties of the Falls Efficacy Scale-International Among Elderly Brazilians (FES-I-BRAZIL). Rev Bras Fisioter. 2010;14(3):237-43. Doi: https://doi.org/10.1590/S1413-35552010000300010
Polese J, Silva S, Faria-Fortini I, Faria C, Teixeira-Salmela L. Duke Activity Status Index cut-off scores for assessing functional capacity after stroke. Disabil Rehabil. 2021;43(5):713-717. Doi: https://doi.org/10.1080/09638288.2019.1632942
Palstam A, Sjödin A, Sunnerhagen KS. Participation and autonomy five years after stroke: A longitudinal observational study. PLoS One. 2019;14(7):e0219513. Doi: https://doi.org/10.1371/journal.pone.0219513
Cabral NL, Muller M, Franco SC, Longo A, Moro C, Nagel V, et al. Three-year survival and recurrence after first-ever stroke: the Joinville stroke registry. BMC Neurol. 2015;15:70. Doi: https://doi.org/10.1186/s12883-015-0317-1
Lv Y, Sun Q, Li J, Zhang W, He Y, Zhou Y. Disability Status and Its Influencing Factors Among Stroke Patients in Northeast China: A 3-Year Follow-Up Study. Neuropsychiatr Dis Treat. 2021;17:2567-2573. Doi: https://doi.org/10.2147/NDT.S320785
Sylaja PN, Srivastava MVP, Shah S, Bhatia R, Khurana D, Sharma A, et al. The SARS-CoV-2/COVID-19 pandemic and challenges in stroke care in India. Ann N Y Acad Sci. 2020;1473(1):3-10. Doi: https://doi.org/10.1111/nyas.14379
Polese JC, Faria-Fortini I, Basílio ML, Faria GS, Teixeira-Salmela LF. Recruitment rate and retention of stroke subjects in cross-sectional studies. Cien Saude Colet. 2017;22(1):255-260. Doi: https://doi.org/10.1590/1413-81232017221.14262015
Gul RB, Ali PA. Clinical trials: the challenge of recruitment and retention of participants. J Clin Nurs. 2010;19(1-2):227-33. Doi: https://doi.org/10.1111/j.1365-2702.2009.03041.x
Hadidi N, Lindquist R, Treat-Jacobson D, Swanson P. Participant withdrawal: challenges and practical solutions for recruitment and retention in clinical trials. Creat Nurs. 2013;19(1):37-41. Doi: https://doi.org/10.1891/1078-4535.19.1.37
Costa PHV, Jesus TPD, Winstein C, Torriani-Pasin C, Polese JC. An investigation into the validity and reliability of mHealth devices for counting steps in chronic stroke survivors. Clin Rehabil. 2020;34(3):394-403. Doi: https://doi.org/10.1177/0269215519895796
Dias C, Torriani-Pasin C, Galvão ACJ, Costa PHV, Polese JC. Validation of the Duke Activity Status Index questionnaire by telephone in individuals after stroke. Int J Cardiol Cardiovasc Risk Prev. 2023;19:200208. Doi: https://doi.org/10.1016/j.ijcrp.2023.200208
Bedaque HP, Bezerra ELM. Descomplicando MBE: uma abordagem prática da medicina baseada em evidências. Natal: Caule de Papiro; 2018.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.