Introduction Stroke is the most common cause of disability in Western countries, yet there is no consensus in the literature on how to measure and describe disability from stroke. Objective To conduct a systematic literature review on disability in stroke survivors. Method Observational studies published in the PubMed, LILACS and SciELO online databases were selected, to evaluate disability in adults and in the elderly after stroke in the period 2002–2012. The Downs and Black checklist for non-randomized studies was used to assess the quality of the articles. Results 212 articles were found from which 16 were selected to compose the study. The mean age of participants was 67 years, and disability affected 24% to 49% of the population evaluated. With regard to measurement instruments, 31% of the studies analyzed presented results of disability by means of the modified Rankin Scale; 19% by means of the World Health Organization’s International Classification of Functioning, Disability and Health; 19% by means of Katz’ Index of Independence in Activities of Daily Living; 12.5% by means of the London Handicap Scale; 12.5 % by means of the Barthel Index; and 6.25% by means of the Functional Independence Measure. Conclusion Literature is not uniform as regards means of measuring disability after stroke, but considering the preference of articles in assessing physical performance in activities of daily living, it can be concluded that a quarter to half of the population that survives stroke has some degree of disability.

Objective: The aim of the present study was to estimate the prevalence of disability and associated factors in elderly stroke survivors. Methods: A cross-sectional study of 230 elderly persons was conducted in the 22 territories of the Estratégia de Saúde da Família (the Family Health Strategy) of Vitória, in the state of Espirito Santo. Patients were assessed using the modified Rankin Scale. Poisson regression with robust variance in crude and adjusted analyses was employed. Results: The majority of subjects were men (52.1%) aged between 60 to 98 years, with a mean age of 75.8 (sd±9.2). The prevalence of disability was 66%. Age ≥80 years, self-perceived limitations in bodily function, considering the physical structure of the street to be a barrier to leaving home and believing street lighting to be insufficient were positively associated with functional disability. Possessing 12 or more years of schooling was inversely associated with the outcome. Conclusions: The high prevalence of disability and associated factors in elderly stroke survivors reinforce the need for a health system that operates continuously and proactively, promoting active aging.

O Protocolo de Levantamento de Problemas para a Reabilitação (PLPR) é um instrumento de triagem baseado no modelo da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF), que sistematiza o acolhimento e possibilita a formação de bancos de dados sobre as demandas funcionais dos usuários de serviços de reabilitação. Objetivo: Relatar e analisar a partir da percepção dos profissionais o processo de implantação do PLPR em uma Unidade de Tratamento Neurológico Adulto de um Centro Especializado de Reabilitação (CER II). Métodos: Trata-se de uma pesquisa descritiva exploratória do tipo qualitativa. Para coleta dos dados foram utilizadas informações documentais e um grupo focal, adotado para compreender a percepção dos profissionais sobre as mudanças no processo de triagem após implementação do PLPR. Utilizou-se como ferramentas de processamento dos dados o software IRAMUTEQ. Resultados: A classificação hierárquica descendente apresentou cinco categorias temáticas de análise: Fluxo e Rede; Acolhimento e Cuidado; PLPR; Triagem; Reabilitação. Conclusão: A falta de uma rede de cuidados à pessoa com deficiência constituída e consolidada foi apontada como uma barreira importante que influencia o processo de reabilitação. A equipe demonstrou compreender a necessidade de reformular os atendimentos, através do modelo conceitual da CIF. Ressaltando que a aplicação do PLPR foi a primeira ação de estruturação deste modelo no serviço, todavia, não houve um consenso se o uso do instrumento promoveu um atendimento mais próximo deste modelo.