Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Dec 10;10(12):e0144344.
doi: 10.1371/journal.pone.0144344. eCollection 2015.

Participation in Complex and Social Everyday Activities Six Years after Stroke: Predictors for Return to Pre-Stroke Level

Avvai Singam  1   2 , Charlotte Ytterberg  2   3 , Kerstin Tham  2   3 , Lena von Koch  2   3
Affiliations

Participation in Complex and Social Everyday Activities Six Years after Stroke: Predictors for Return to Pre-Stroke Level

Avvai Singam et al. PLoS One. .

Abstract

Background: Long-term disability following stroke can lead to participation restrictions in complex and social everyday activities, yet information is lacking on to what extent stroke survivors return to their pre-stroke levels of participation.

Objectives: The objectives of this study were to investigate the level of participation in complex and social everyday activities 6 years after stroke, to compare this with pre-stroke participation and to identify predictors of returning to pre-stroke levels of participation.

Method: All patients admitted to Karolinska University Hospital's stroke units during a 1-year period were eligible to participate and 349 patients were recruited. Assessments were made at base-line, 3 months and 6 years using self-reported outcome measures. Participation was assessed using the Frenchay Activities Index (FAI). The 6-year score for each participant was compared to the pre-stroke score, both for the total score and for each domain (domestic chores, leisure/work and outdoor activities). Predictors of having the same or better level of participation at 6 years were identified using logistic regression.

Results: At 6 years, 121 participants were followed up, 166 were deceased, 44 declined to take part and 18 could not be traced. At 6 years 84% could be described as active (FAI≥15). The same level of participation or better than pre-stroke was found in 35% of participants, in 65% the level was lower. Similar predictors were identified for achieving the same or better level of participation at 6 years for FAI total and the three domains; ability to walk without aids and a lower age at stroke onset, and perceived mobility, participation and recovery at 3 months.

Conclusion: Six years after stroke, 35% of participants had the same or better level of participation as pre-stroke. Rehabilitation after stroke to improve walking ability and participation might improve long-term participation in complex and social everyday activities.

PubMed Disclaimer

Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

References

    1. Norrving, B. Förekomst i befolkningen. Vårdalinstitutets Tematiska rum: Stroke—vård, omsorg och rehabilitering. 2010. Available: http://www.vardalinstitutet.se/sv/node/1105.
    1. World Health Organization. International Classification of Functioning, Disability and Health. Geneva: World Health Organization; 2001.
    1. Tse T, Douglas J, Lentin P, Carey L. Measuring participation after stroke: a review of frequently used tools. Arch Phys Med Rehabil. 2013;94: 177–192. 10.1016/j.apmr.2012.09.002 - DOI - PubMed
    1. Lu W- S, Chen C, Huang S-L, Hsieh C-L. Smallest real difference of 2 instrumental activities of daily living measures in patients with chronic stroke. Arch Phys Med Rehabil. 2012;93: 1097–1100. 10.1016/j.apmr.2012.01.015 - DOI - PubMed
    1. Young J, Bogle S, Forster A. Determinants of social outcome measured by the Frenchay Activities Index at one year after stroke onset. Cerebrovasc Dis. 2001;12: 114–120. - PubMed

Publication types

MeSH terms