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Individuals' perception about upper limb influence on participation after stroke: an observational study
Renata Morales Banjai1,2, Sandra Maria Sbeghen Ferreira de Freitas1, Flavia Paiva da Silva1,3
1a Master's and Doctoral Program in Physical Therapy , Universidade Cidade de São Paulo , São Paulo , Brazil.
Topics in Stroke Rehabilitation
|December 12, 2017
Summary
Sensory-motor function, specifically the Fugl-Meyer scale, significantly predicts upper limb participation after stroke. Improved scores indicate better self-perceived participation in daily activities.
Area of Science:
- Neurorehabilitation
- Stroke Recovery
- Occupational Therapy
Background:
- Stroke frequently impairs upper limb function, impacting daily life participation.
- Understanding factors influencing post-stroke participation is crucial for effective rehabilitation.
Purpose of the Study:
- To determine how body function and activity components influence self-perceived participation after stroke.
- To explore the relationship between specific functional measures and upper limb participation.
Main Methods:
- Observational study using the International Classification of Functioning, Disability and Health framework.
- Assessed body function (strength, tone, Fugl-Meyer, visual perception) and activity (Purdue Pegboard, aiming).
- Analyzed upper limb participation using the Stroke Impact Scale (SIS) Hand Function domain in 34 chronic stroke survivors.
Main Results:
- Non-severe group showed greater strength and higher Fugl-Meyer scores.
- No significant differences in activity measures between groups.
- The upper limb Fugl-Meyer score predicted 79% of individuals' participation groups based on SIS scores.
Conclusions:
- Sensory-motor impairment, quantified by the Fugl-Meyer scale, is a key predictor of upper limb participation post-stroke.
- Focusing on sensory-motor recovery can improve individuals' perceived ability to engage in activities.
