Social participation following a stroke: an assessment in accordance with the international classification of functioning, disability and health

Abstract

Twenty-four ICF categories were coded and qualified with the use of the SS-QOL, enabling the participation component of the ICF biopsychosocial model to be easily evaluated in clinical practice. Overall, the sample in the present study demonstrated a moderate decline in participation following a stroke and only the "social roles" domain was severely affected. The FIM was the main predictor of participation and the depression was a moderate predictor. Therefore, health professionals involved in the rehabilitation of these patients should focus on the promotion of functional independence and improvements in emotional health to optimize social participation following a stroke. Implications for Rehabilitation The Brazilian stroke individuals analyzed exhibited a moderate level of participation. Functional independence was the main predictor of participation and the occurrence of depressive symptoms was a moderate predictor. Age, sex and affected side of the body were not predictors of participation. Our findings support that twenty-four International classification of functioning, disability and health categories were coded and qualified with the use of the stroke specific quality of life. Rehabilitation of social functioning post stroke patients should be focused on the promotion of functional independence and improvement in emotional health. This study offers a participation assessment model that can facilitate the incorporation of the ICF in the clinical practice.

Use of client-centered virtual reality in rehabilitation after stroke: a feasibility study

“…However, the effect size was not significant and the change between the scores was below 30%. Different factors are indicated as barriers to social participation 3,4,25 . Therefore, the restrictions in participation should not be analyzed from a single therapeutic approach, but rather, they should involve proposals that encompass the dynamic interactions between the individual and their environment 35 .…”

“…In view of the results, the participants reported that the video game helped in the rehabilitation and in improvements of occupational performance and social participation 3 .…”

“…A stroke is a sudden syndrome, characterized by sensory, motor, and cognitive-perceptual alterations 1 . These alterations are associated with disability, limitations in activities of daily life (ADL) and restrictions in social participation, with loss of autonomy and independence 3,4 .…”

Translation and Cross-Cultural Adaptation of SATIS-Stroke for Use in Brazil: A Satisfaction Measure of Activities and Participation in Stroke Survivors

“…According to the World Health Organization, stroke is the second major cause of death in the world and the third major cause of functional disability in worldwide [1]. With regard functioning, stroke survivors in Brazil demonstrate a moderate decline in participation and functional capacity [2]. After a stroke, the affected individual may have motor, sensory, perceptive, and cognitive impairments that exert an impact on functioning and lead to disability, with 24 to 75% of stroke survivors dependent on others for assistance with regard to activities of daily living [3–5].…”

“…Both constructs are considered important measures in the rehabilitation process, since activities and participation enable an individual to establish social relations, develop skills to meet social needs, and perform routine tasks and find purpose and meaning in life, which can have a positive impact on both physical and mental health [9, 10]. The decline in activity and social participation following a stroke has been demonstrated in the Brazilian population [2] and there is a need to monitor these constructs during the rehabilitation process.…”