Rehabilitation of Stroke Patients in India: An Exploratory Study from a National-Level Survey Data

Abstract

Background: Stroke is one of the significant public health challenges and one of the critical causes of disability. It has been forecasted that globally age group 6o and above will outnumber children under age 14 in 2047. With the increasing rate of survival, the burden of stroke is going to increase continuously. Currently, old age people suffer from stroke, which limits their activities of daily living. This study explores the determinants of stroke survivors seeking rehabilitation services and the factors affecting them.Methods: In this study, first wave of Longitudinal aging study in India (LASI) data has been used. The data was collected from all the States and Union Territories across India in 2017-2018. A total number of 72,265 individuals (45 years and above) participated in this study. Subjects who have been ever diagnosed with stroke by any health care professionals were considered as the study population. Subjects were categorized into two groups based on accessing rehabilitation services. For the data analysis, survey-weighted tools have been applied for descriptive statistics and multivariable logistic regression model. The data analysis used R version 4 using R studio. Results and Discussion:The prevalence of stroke is 1.8% in India. Nearly 40% of them visited Physical therapy or Occupational therapy services for their rehabilitation. Household economical condition, gender, residence, requirement of additional help for daily activities and availability of health insurance are strongly determining visiting rehabilitation services. The summary of this will help to develop our understanding of, why people are not availing of rehabilitation services despite having multiple problems.

Stress in Caregivers of Stroke Patients During Rehabilitation: An Observational Study

“…In India, the stroke prevalence is 1.8% and nearly 40% of them sought rehabilitation services from physical therapy or occupational therapy clinics [1]. According to the Indian Global Burden of Disease Study 1990-2019, stroke was the main cause of death due to neurological illnesses and the leading cause of disabilityadjusted life years (DALYs) in India.…”

“…According to the Indian Global Burden of Disease Study 1990-2019, stroke was the main cause of death due to neurological illnesses and the leading cause of disabilityadjusted life years (DALYs) in India. The factors that substantially influence using rehabilitation services include household economic situation, gender, place of residence, need for additional assistance with daily tasks, and availability of health insurance [1]. Stroke has many social, physical, emotional, occupational, and economic implications on the patients and their caregivers [2].…”