Clinical predictors of functional recovery at six month post-stroke

Authors

  • Caleb Ademola Gbiri Department of Physiotherapy, College of Medicine, University of Lagos, Idi-Araba, Lagos
  • Aderonke Omobonike Akinpleu Department of Physiotherapy, College of Medicine, University of Ibadan
  • Adesola Ogunniyi Department of Medicine, College of Medicine, University of Ibadan
  • Abiodun E Akinwuntan Department of Physical Therapy, Georgia Regents University, Augusta GA
  • C Werdie Van Staden Department of Psychiatry, University of Pretoria, South Africa, Department of Psychiatry, Faculty of Health Sciences, University of Pretoria

DOI:

https://doi.org/10.3126/ajms.v6i1.5911

Keywords:

Stroke, Rehabilitation, Functional recovery, Stroke survivors

Abstract

Aim: To investigate predictors of functional recovery at six-month among Nigerians with first-ever stroke.

Methods: Participants with first ever stroke were recruited at stroke?onset from the University College Hospital, Ibadan, Nigeria. Stroke severity was measured using the National Institute of Health Stroke-Scale. Stroke was classified using the results of the CT scan of the brain. The weighted-standard values of Barthel Index and Frenchay Activities Index were combined to indicate Comprehensive Activities of Daily Living (CADL). The presence of depressive features and Trunk-Control (TC) were measured using the Centre for Epidemiological Scale-Depression and the Postural Assessment-Scale for Stroke?Patients respectively. Measurements were taken every month for six months. Data were analyzed using multivariate regression and survival analyses at p=0.05.

Results: Sixty?five participants were recruited. Ten died within a week of stroke onset. Fifty-five (mean age = 57.4±14.8 years, 28 males) participants completed the study; Twenty-six (47.3%) had ischaemic stroke and 29 (52.7%) had haemorrhagic stroke. Forty of the 55 participants were married and of the 40, 31 reported spousal support. Type of stroke (β=7.5) and age (β=–0.4) significantly predicted functional recovery after controlling for co-morbidity (β=–2.1), brainstem lesion (β= –0.2), stroke severity (β= –0.6) and TC (β= 0.7) and the scores on depressive symptoms ratings (β= –0.1).

Conclusion: Functional recovery at six?month is better in individuals who had haemorrhagic stroke. However, functional recovery decreases as age increases. The combination of haemorrhagic stroke with the presence of co-morbidity predicted death after stroke.

DOI: http://dx.doi.org/10.3126/ajms.v6i1.5911

Asian Journal of Medical Sciences Vol.6(1) 2015 49-54

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Author Biographies

Caleb Ademola Gbiri, Department of Physiotherapy, College of Medicine, University of Lagos, Idi-Araba, Lagos

Lecturer and Neurophysiotherapist

Aderonke Omobonike Akinpleu, Department of Physiotherapy, College of Medicine, University of Ibadan

Physiotherapy and Lecturer

Adesola Ogunniyi, Department of Medicine, College of Medicine, University of Ibadan

Neurology and Lecturer

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Published

2014-07-25

How to Cite

Gbiri, C. A., Akinpleu, A. O., Ogunniyi, A., Akinwuntan, A. E., & Van Staden, C. W. (2014). Clinical predictors of functional recovery at six month post-stroke. Asian Journal of Medical Sciences, 6(1), 49–54. https://doi.org/10.3126/ajms.v6i1.5911

Issue

Vol. 6 No. 1 (2015)

Section

Original Articles

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