Social activity one and three years post-stroke.
Summary of "Social activity one and three years post-stroke."
Objective: To determine the long-term course of social activity after a stroke. Design: Prospective cohort study. Patients: Patients with a first-ever supratentorial stroke were selected in 4 Dutch rehabilitation centres. Methods: Social activity was measured by the Frenchay Activities Index (FAI) at 1 and 3 years post-stroke to determine social activity. Changes in FAI scores ≥ 7 points were considered real change. Results: Data from 190 patients were available for analysis. The mean FAI score was stable between 1 and 3 years post-stroke. A decline in social activity was seen in 12% of all individuals and improvement in another 12%. Inactivity at 1 year post-stroke was strongly associated with inactivity at 3 years post-stroke (odds ratio (OR) = 19.9; 95% confidence interval (CI) 9.1-43.3). Motor impairment of the leg (OR = 0.39; 95% CI 0.15-0.97) and being socially inactive at 1 year post-stroke (OR = 0.19; 95% CI 0.04-0.84) were associated with a lower risk of decline in FAI scores. Conclusion: For the majority of stroke patients, the level of social activity is stable during the chronic phase (beyond 1 year post-stroke). Only 1 in 10 patients showed improvement, and 1 in 10 declined. The level of social activity at 1 year post-stroke is indicative of the level of social activity at 3 years post-stroke. Rehabilitation professionals should focus their follow-up programmes on patients inactive at 1 year post-stroke, as this group is at risk for chronic inactivity, and should be stimulated to achieve social reintegration.
Rudolf Magnus Institute of Neuroscience and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and Rehabilitation Center De Hoogstraat, Utrecht, The Netherlands.
This article was published in the following journal.
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22124636
- DOI: http://dx.doi.org/10.2340/16501977-0908
Medical and Biotech [MESH] Definitions
A personality trait rendering the individual acceptable in social or interpersonal relations. It is related to social acceptance, social approval, popularity, social status, leadership qualities, or any quality making him a socially desirable companion.
Syndromes which feature DYSKINESIAS as a cardinal manifestation of the disease process. Included in this category are degenerative, hereditary, post-infectious, medication-induced, post-inflammatory, and post-traumatic conditions.
Disciplines concerned with the interrelationships of individuals in a social environment including social organizations and institutions. Includes Sociology and Anthropology.
A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)
The study of the social determinants and social effects of health and disease, and of the social structure of medical institutions or professions.
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