Social participation and its relationships with sensorimotor and functional aspects in post-stroke patients
DOI:
https://doi.org/10.21527/2176-7114.2024.49.14685Keywords:
Stroke, Social Participation, Functional Independence, Sensory Motor PerformanceAbstract
Objective: To describe social participation and assess its correlation with sensorimotor impairment and functional independence in patients after a stroke in a region of Northeast Brazil. Methods: A cross-sectional study was conducted with 34 stroke patients, aged 18 years or older, selected for convenience from the institution's health records. Participants were assessed using the following clinical instruments: Assessment of Life Habits 3.1 (LIFE-H 3.1), Functional Independence Measure (FIM), Fugl-Meyer Assessment (FMA) – motor subsection (upper limb-UL and lower limb-LL), and Nottingham Sensory Assessment (NSA). Results: Post-stroke patients exhibited reduced social participation (LIFE-H 3.1), with moderate positive correlations observed between the personal, mobility, and responsibility domains and the total scores of FIM, FIM motor, FMA-motor, and FMA-UL. There was a moderate positive correlation between the total scores of LIFE-H 3.1, FIM, FMA-motor, and FMA-UL. Conclusion: The present study demonstrated a critical loss of social participation in post-stroke subjects, likely attributed to various sensorimotor and functional aspects, in a semi-arid region of Northeast Brazil.
References
1 Johnson CO, Nguyen M, Roth GA, Nichols E, Alam T, Abate D, et al. Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol 2019;18:439-458. DOI: 10.1016/ S1474-4422(19)30034-1
2 Erler KS, Sullivan V, Mckinnon S, Inzana R. Social Support as a Predictor of Community Participation After Stroke. Front. Neurol. 2019;10:1013. DOI: 10.3389/fneur.2019.01013
3 Ezekiel L, Collett J, Mayo NE, Pang L, Field L, Dawes H. Factors Associated With Participation in Life Situations for Adults With Stroke: A Systematic Review. Archives of Physical Medicine and Rehabilitation. 2019;100:945-955. DOI: 10.1016/j.apmr.2018.06.017
4 Sennfält S, Norrving Bo, Petersson J, Ulberg T. Long-Term Survival and Function After Stroke a Longitudinal Observational Study From the Swedish Stroke Register. Stroke. 2019;50:53-61. DOI: 10.1161/Strokeaha.118.022913
5 Li Y, Zhang W, Ye M, Zhou L. Perceived participation and autonomy post-stroke and associated factory: An explorative cross-sectional study. J Adv Nurs. 2021;77:1293-1303. DOI: 10.1111/jan.14670
6 Aroogh MD, Shahboulaghi FM. Social Participation of Older Adults: A Concept Analysis. IJCBNM. 2020;8(1):55-72. DOI: 10.30476/IJCBNM.2019.82222.1055
7 Norlander A, Iwarsson S, Jönsson AC, Lindgren A, Lexell EM. Participation in social and leisure activities while re-constructiong the self: understanding strategies used by stroke survivors from a long-term perspective. Disabil Rehabil, 2022;44(16):4284-4202. DOI: 10.1080/09638288.2021.1900418
8 Temehy B, Rosewilliam S, Alvey G, Soundy A. Exploring Stroke Patients' Needs after Discharge from Rehabilitation Centres: Meta-Ethnography. Behav. Sci. 2022;12(10)404. DOI: 10.3390/bs12100404
9 Zhou X, Du M, Dai X, Zhu Shenghui, Zhou L, Li Xuemei. Intervention patterns and preliminary effectiveness on Social Participation following stroke: a scoping review. BMC Neurology. 2023;23:275. DOI: doi.org/10.1186/s12883-023-03250-2
10 Assefa YA, Demeke ZD, Wolde S, Guadie YG. Environmental determinants for participation among stroke survivors in Africa, a Scoping review. Front. Rehabil. Sci. 4:1136742. DOI: doi: 10.3389/fresc.2023.1136742
11 Bertolucci PH, Brucki SM, Campacci SR, Juliano Y. The Mini-Mental State Examination in a general population: influence of literacy. Arq Neuropsiquiatr. 1994;52 (1):1-7. DOI: 10.1590/S0004-282X1994000100001
12 Assumpção FSN, Faria-Fortini I, Basilio ML, Magalhães LC, Carvalho AC, Teixeira-Salmela LF. Adaptação transcultural do LIFE-H 3.1: um instrumento de avaliação da participação social. Cad Saúde Pública. 2016;32(6). DOI: 10.1590/0102-311X00061015
13 Riberto M, Batistella LR, et al. Validação da versão brasileira da medida de independência funcional. Acta Fisiatr. 2004;11(2):72-76. DOI: 10.5935/0104-7795.20040003
14 Maki T, Quagliato EMAB, Cacho EWA, Paz LPS, Nascimento NH, Inoue MMEA, et al. Estudo de confiabilidade da aplicação da Escala de Fugl-Meyer no Brasil. Rev Bras Fisioter. 2006;10(2):177-183. DOI: 10.1590/S1413-35552006000200007
15 Jamal K, Penisson A, Rostagno S, Duclos C. Where Are We on Proprioception Assessment Tests Among Poststroke Individuals? A Systematic Review of Psychometric Properties. Journal of Neurologic Physical Therapy. oct. 2022. 46(4):231-239. DOI: 10.1097/NPT.0000000000000405
16 Munro BH. (2005). Statistical Methods for Health Care Research. 5. ed. Philadelphia, London Lippincott: Willians & Willians; 2004.
17 Obembe AO, Eng JJ. Rehabilitation Interventions for Improving Social Participation After Stroke: A Systematic Review and Meta-analysis. Neurorehabilitation and Neural Repair. 2016;30(4):384-392. DOI: 10.1177/1545968315597072
18 Edwards JD, Kapoor A, Linkewich E, Swartz RH. Return to word after young stroke: A systematic review. International Journal of Stroke. 2018;13(3):243-256: DOI: 10.1177/1747493017743059
19 Saar K, Tolvanen A, Poutiainen E, Aro T. Returning to work after stroke: Association with cognitive performance, motivation, perceived working ability and barriers. J Rehabil Med. 2023;55. DOI: 10.2340/jrm.v55.2576
20 Graaf JA, van Mierlo ML, pós-MWM, Achterberg WP, Kappelle LJ, Visser-Meily JMA. Restrições a longo prazo na participação em sobreviventes de AVC com menos de 70 anos de idade. Disabil Rehabil. 2018;40:637-645.
21 Verberne DPJ, Post M WM, Köhler S, Carey LM, Visser-Meily JMA, van Heugten CM. Course of Social Participation in the First 2 Years After Stroke and Its Associations With Demographic and Stroke-Related Factors. Neurorehabilitation and Neural Repair. 2018;32(9):821-833. DOI: 10.1177/1545968318796341
22 Faria-Fortini I, Basílio ML, Polese JC, Menezes KKP, Faria CDCM, Scianni AA, Teixeira-Salmela LF. Caracterização da participação social de indivíduos na fase crônica pós-acidente vascular encefálico. Rev Ter Ocup Univ. 2017;28(1):71-78. DOI: 10.11606/issn.2238-6149.v28i1p71-78
23 Santos HM, Pereira GS, Brandão TCP, Ramon FMV, Bazán JAP, Bissoli MEF et al., Impact of Environmental Factors on Post-Stroke Disability: An Analytical Cross-Sectional Study. Journal of Stroke and Cerebrovascular Diseases. 2022;31(4). DOI: 106305
24 Foley EL, Nicholas ML, Baum CM, Connor LT. Influence of Environmental Factors on Social Participation Stroke. Behavioural Neurology. 2019;1-8. DOI: 10.1155/2019/2606039
25 Vicent-Onabajo GO. Social Participation after Stroke: One-Year Follow-Up of Stroke Survivors in Nigeria. ISRN Stroke; 2013. DOI. 10.1155/2013/532518
26 Silva SM, Corrêa JCF, Pereira GS, Corrêa FI. Social participation following a stroke: an assessment in accordance with the international classification of functioning, disability and health. Disability and Rehabilitation. 2019;41(8):879-886. DOI: 10.1080/09638288.2017.1413428
27 Ali A, Tabassum D, Baig SS, Moyle B, Redgrave J, Nichols S et al., Effect of Exercise Interventions on Health-Related Quality of Life After Stroke and Transient Ischemic Attack. A Systematic Review and Meta-Analysis. Stroke. 2021;52:2445-2455. DOI: 10.1161/STROKEAHA.120.032979
28 Souza FR, Sales M, Laporte LR, Melo A, Ribeiro NMS. Body structure/function impairments and activity limitations of post-stroke that predict social participation: a systematic review. Topics in Stroke Rehabilitation. 2022;5;1-14. DOI: 10.1080/10749357.2022.2095086
29 IBGE. Instituto Brasileiro de Geografia e Estatística. Censos 2023. Prévia da população calculada com base nos resultados do Censo Demográfico 2022 até 25 de dezembro de 2022. Available from: https://www.ibge.gov.br/estatisticas/sociais/populacao/22827-censo-demografico-2022.html?edicao=35938&t=resultados
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista Contexto & Saúde
This work is licensed under a Creative Commons Attribution 4.0 International License.
By publishing in Revista Contexto & Saúde, authors agree to the following terms:
The works are licensed under the Creative Commons Atribuição 4.0 Internacional (CC BY 4.0) license, which allows:
Share — to copy and redistribute the material in any medium or format;
Adapt — to remix, transform, and build upon the material for any purpose, including commercial.
These permissions are irrevocable, provided that the following terms are respected:
Attribution — authors must be properly credited, with a link to the license and indication of any changes made.
No additional restrictions — no legal or technological measures may be applied that restrict the use permitted by the license.
Notes:
The license does not apply to elements in the public domain or covered by legal exceptions.
The license does not grant all rights necessary for specific uses (e.g., image rights, privacy, or moral rights).
The journal is not responsible for opinions expressed in the articles, which are the sole responsibility of the authors. The Editor, with the support of the Editorial Board, reserves the right to suggest or request modifications when necessary.
Only original scientific articles presenting research results of interest that have not been published or simultaneously submitted to another journal with the same objective will be accepted.
Mentions of trademarks or specific products are intended solely for identification purposes, without any promotional association by the authors or the journal.
License Agreement (for articles published from September 2025): Authors retain copyright over their article and grant Revista Contexto & Saúde the right of first publication.
