Article

OBJECTIVE: To investigate changes in the frequency of participation 6 months
poststroke compared with prestroke; and to establish whether the change is
associated with participation restrictions and satisfaction with participation 6
months poststroke. DESIGN: Inception cohort study. Prestroke frequency of
participation was measured retrospectively in the first week poststroke.
Frequency, participation restrictions, and satisfaction with participation were
assessed 6 months poststroke. SETTING: General hospitals and home residences.
PARTICIPANTS: Patients with stroke (N=325; 65.5% men; mean age, 66.9+/-12.2y)
admitted to 1 of 6 participating general hospitals. INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURE: Utrecht Scale for Evaluation of
Rehabilitation-Participation (0-100), which consists of 3 scales: frequency,
restrictions, and satisfaction. The frequency scale consists of 2 parts:
vocational activities (work, volunteer work, education, household activities) and
leisure and social activities. RESULTS: Vocational activities showed a large
decrease (effect size: 0.6) poststroke; leisure and social activities showed a
small decrease (effect size: 0.13) poststroke. In multiple regression analyses,
both the frequency of participation in vocational activities 6 months poststroke
and the decrease in vocational activities compared with before the stroke were
significantly associated with the participation restrictions experienced and
satisfaction with participation after controlling for age, sex, level of
education, dependency in activities of daily living, cognitive functioning, and
presence of depressive symptoms. The presence of depressive symptoms showed the
strongest association with the subjective experience of participation.
CONCLUSIONS: The frequency of participation decreased after a stroke, and this
decrease was associated with participation restrictions experienced and
satisfaction with participation. Resuming vocational activities and screening
and, if applicable, treatment of depressive symptoms should be priorities in
stroke rehabilitation.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS