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Social activity one and three years post-stroke.

Hanna E Jansen1, Vera P Schepers, Johanna M Visser-Meily

  • 1Rudolf Magnus Institute of Neuroscience and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and Rehabilitation Center De Hoogstraat, Utrecht, The Netherlands.

Journal of Rehabilitation Medicine
|November 30, 2011
PubMed
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For most stroke survivors, social activity remains stable one year after the event. Early inactivity predicts long-term social challenges, highlighting the need for targeted rehabilitation support.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Social Sciences

Background:

  • Stroke significantly impacts patients' lives, affecting their social engagement.
  • Understanding the long-term trajectory of social activity post-stroke is crucial for effective rehabilitation.

Purpose of the Study:

  • To investigate the long-term course of social activity in individuals following a first-ever supratentorial stroke.
  • To identify factors associated with changes in social activity beyond the initial year post-stroke.

Main Methods:

  • A prospective cohort study involving 190 patients from 4 Dutch rehabilitation centers.
  • Social activity was assessed using the Frenchay Activities Index (FAI) at 1 and 3 years post-stroke.
  • A change of ≥7 FAI points was considered a significant alteration in social activity.

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Main Results:

  • The mean FAI score remained stable between 1 and 3 years post-stroke for the majority of patients.
  • 12% of patients experienced a decline, while another 12% showed improvement in social activity.
  • Inactivity at 1 year post-stroke strongly predicted inactivity at 3 years (OR=19.9). Motor impairment of the leg and early social inactivity were associated with a lower risk of decline.

Conclusions:

  • Social activity levels are generally stable in the chronic phase (beyond 1 year) after stroke.
  • Social activity at 1 year post-stroke is a strong indicator of activity levels at 3 years.
  • Rehabilitation programs should prioritize follow-up for inactive patients at 1 year to mitigate chronic inactivity and promote social reintegration.