1.Functionality among stroke survivors with upper limb impairment attending community-based rehabilitation
Noor Hazilah Omar ; Nor Azlin Mohd Nordin ; Chai Siaw Chui ; Aznida Firzah Abdul Aziz
The Medical Journal of Malaysia 2020;75(2):146-151
Introduction: There is scarcity of research information on
upper limb (UL) functionality among Malaysian post-stroke
population despite the increasing number of stroke
survivors. This study intends to evaluate functionality
among stroke survivors residing in the community, with a
specific focus on the UL.
Methods: This cross-sectional study involved 65 stroke
survivors with UL dysfunction (mean (SD) age = 64.83 (8.05)
years, mean (SD) post-stroke duration 41.62 (35.24) months)
who attended community-based rehabilitation program.
Upper limb functionality was assessed using the UL items of
Stroke Specific Quality of Life Scale (SSQOL), the Lawton
Instrumental Activities of Daily Living (IADL) Scale and the
Jebsen-Taylor Hand Function Test (JTHFT). The stroke
survivors’ performance in completing JTHFT using their
affected dominant hand was compared with standard norms.
Results: The three most affected UL daily living tasks were
writing (64.7%, n=42), opening a jar (63.1%, n=41) and
putting on socks (58.5%, n=38). As for IADL, the mean (SD)
score of Lawton scale was 3.26 (2.41), with more than 50%
unable to handle finance, do the laundry and prepare meals
for themselves. Performances of stroke survivors were
much slower than normal population in all tasks of JTHFT
(p<0.05), with largest speed difference demonstrated for
‘stacking objects’ task (mean difference 43.24 secs (p=0.003)
and 24.57 (p<0.001) in males and females, respectively.
Conclusion: UL functions are significantly impaired among
stroke survivors despite undergoing rehabilitation.
Rehabilitation professionals should prioritize highly
problematic tasks when retraining UL for greater post-stroke
functionality