An Examination of the Physical, Psychological and Social Factors Associated with Housebound Living in Community-Dwelling Stroke Patients

Abstract

Abstract.[Purpose] The purpose of this study was to investigate the physical, psychological and social factors associated with the locomotor skills of housebound community-dwelling stroke patients.[Methods] The subjects were 78 stroke patients who had been discharged for more than six months. We classified subjects as 31 patients who had difficulty with going out by themselves and, 47 patients who could go out by themselves. We investigated psychological and social factors by questionnaire and physical factors from medical records.[Results] The number of "type 1" housebound patients were 25, and the main factor associated with "type 1" housebound was instrumental self-maintenance of the TMIG index of competence. The number of "type 2" housebound patients were 18, and the main factors associated with "type 2" housebound were the Barthel Index, expectations for rehabilitation, and presence or absence of a role in the community.[Conclusions] The factors associated with housebound were different according to type. Therefore it is necessary to tailor physical therapy to prevent a housebound condition according to locomotor skills.