Impact of Environmental Factors on Post-Stroke Disability: An Analytical Cross-Sectional Study.

Autor: Dos Santos HM; Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil., Pereira GS; Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil., Brandão TCP; Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil., Ramon FMV; Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil., Bazán JAP; Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil., Bissoli MEF; Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil., Faria CDCM; Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais (UFMG), Belo Horinzonte, MG, Brazil., Silva SM; Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil. Electronic address: soraia.micaelaa@gmail.com.
Jazyk: angličtina
Zdroj: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2022 Apr; Vol. 31 (4), pp. 106305. Date of Electronic Publication: 2022 Jan 29.
DOI: 10.1016/j.jstrokecerebrovasdis.2022.106305
Abstrakt: Objectives: Identify how environmental barriers and facilitators are associated with disability in stroke survivors.
Materials and Methods: An analytical, cross-sectional study was conducted involving individuals in the chronic stage of stroke. The dependent variable was disability, which was assessed using the World Health Organization Disability Assessment Schedule (WHODAS-2.0). Environmental factors (independent variable) were evaluated using the Measure of the Quality of the Environment (MQE). Multiple linear regression analysis was performed to estimate the impact of the environment on disability following a stroke.
Results: Seventy-five individuals (mean age: 54.2 + 9.8 years) were analyzed. The most frequent environmental facilitators were related to technology, social networks, and public services. The main barriers were related to the physical environment. Environmental barrier was a predictor of both overall disability [F(1.73) = 4.24; R 2 =0.06; β = -0.23; t = -2.06; p=0.04] and participation [F(1.73) = 10.45; R 2 =0.13; β = -0.35; t = -3.23; p = 0.01]. Environmental facilitators were not correlated with disability.
Conclusion: Environmental barriers explained 13% of the variation in restrictions to social participation and were also a significant predictor of overall disability. The main barriers were related to the physical environment. Identifying environmental factors related to disability in stroke victims can assist in the planning of guided therapy.
Competing Interests: Declaration of Competing interest The authors report no conflicts of interest.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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