Arendzen, J.H.

Dekker, R.

Eisma, W.H.

Objectives. A population of stroke patients is described five years after discharge from a rehabilitation centre. The aim of the study was to obtain insight in a) long-term changes in functional capacities; b) disability and the perceived problems; and c) the sort of help needed. Methods. Fifty stroke patients (mean age 63 years) treated between January 1986 and October 1990, were visited at home by a physician. Four functional measurements were used; the newly developed Rehabilitation Activities Profile, the Barthel Index, a four-item (Barthel Index) subscore (B4), and the Frenchay Activities Index. Results. There was some disability in communication, but in this group much help was needed concerning mobility. The majority was independent in personal care, but frequently needed help with household activities. Most patients experienced disabilities with occupational and leisure activities and many problems were encountered in relations. Basic functional items (B4) did not seem to have changed. The majority of the patients (82%) was living at home, but a considerable part was depending on home care (40%), physical therapy (26%), home adjustments (50%) and/or appliances (50%). In spite of the complexity of the problems only 12% of the patients was seen regularly by their rehabilitation physician. Conclusion. From this selected group of stroke patients we learned that treatment strategies and research concerning rehabilitation of these patients should be directed towards mobility, daily activities and personal relations

Functional status and dependency of stroke patients 5 years after clinical rehabilitation

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