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Residual mobility problems after stroke.

F M Collen1, D T Wade

  • 1Rivermead Rehabilitation Centre, Oxford, UK.

International Disability Studies
|January 1, 1991
PubMed
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Long-term immobility after stroke is less common than expected. Many immobile patients have other conditions like arthritis or dementia, not direct stroke impairments, affecting mobility.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Gerontology

Background:

  • Stroke survivors often experience long-term mobility disability.
  • Understanding the causes of immobility is crucial for effective rehabilitation.

Purpose of the Study:

  • To assess long-term mobility disability in stroke survivors.
  • To identify the primary causes of immobility in this population.

Main Methods:

  • Assessed 328 stroke survivors 2-7 years post-stroke using defined mobility criteria.
  • Analyzed reasons for immobility and participation in a physiotherapy trial.

Main Results:

  • 190 of 328 survivors were immobile; only 60 entered physiotherapy.
  • Major attrition causes included refusal (97) and non-stroke impairments (18).

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  • Arthritis (67) and dementia (39) were common comorbidities in immobile patients.

    • Conclusions:

    • Long-term immobility directly due to stroke impairments is relatively infrequent.
    • Comorbidities like arthritis and dementia significantly contribute to mobility disability in stroke survivors.
    • Older age and stroke severity were associated with long-term immobility.