Evaluation of Predictive Factors Influencing Community Reintegration in Adult Patients with Stroke

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dc.contributor.authorOlawale, O. A.
dc.contributor.authorUsman, J. S.
dc.contributor.authorOke, K. I.
dc.contributor.authorOsundiya, O. C.
dc.date.accessioned2020-03-11T07:18:37Z
dc.date.available2020-03-11T07:18:37Z
dc.date.issued2018-01
dc.descriptionStaff publicationsen_US
dc.description.abstractObjectives: Patients with stroke are faced with gait, balance, and fall difficulties which could impact on their community reintegration. In Nigeria, community reintegration after stroke has been understudied. The objective of this study was to evaluate the predictors of community reintegration in adult patients with stroke. Materials and methods: Participants were 91 adult patients with stroke. Gait variables, balance self-efficacy, community balance/mobility, and fall self-efficacy were assessed using Rivermead Mobility Index, Activities-specific Balance Confidence Scale, Community Balance and Mobility Scale, and Falls Efficacy Scale-International respectively. Reintegration to Normal Living Index was used to assess satisfaction with community reintegration. Pearson Product-Moment Correlation Coefficient was used to determine the relationship between community reintegration and gait spatiotemporal variables, balance performance, and risk of fall. Multiple regression analysis was used to determine predictors of community reintegration (P ≤ 0.05). Results: There was significant positive relationship between community reintegration and cadence (r = 0.250, P = 0.017), functional mobility (r = 0.503, P = 0.001), balance self-efficacy (r = 0.608, P = 0.001), community balance/mobility (r = 0.586, P = 0.001), and duration of stroke (r = 0.220, P = 0.036). Stride time (r = -0.282, P = 0.073) and fall self-efficacy (r = 0.566, P = 0.001) were negatively correlated with community reintegration. Duration of stroke, balance self-efficacy, community balance/mobility, and fall self-efficacy (52.7% of the variance) were the significant predictors of community reintegration. Conclusion: Community reintegration is influenced by cadence, functional mobility, balance self-efficacy, community balance/mobility, and duration of stroke. Hence, improving balance and mobility during rehabilitation is important in enhancing community reintegration in patients with stroke.en_US
dc.identifier.citationOlawale OA, Usman JS, Oke KI, Osundiya OC. Evaluation of Predictive Factors Influencing Community Reintegration in Adult Patients with Stroke. J Neurosci Rural Pract. 2018;9(1):6–10.en_US
dc.identifier.issn29456337
dc.identifier.otherdoi:10.4103/jnrp.jnrp_386_17
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/8106
dc.language.isoenen_US
dc.publisherJournal of Neurosciences in Rural Practiceen_US
dc.relation.ispartofseriesJ Neurosci Rural Pract.;Vol.9(1)
dc.subjectBalanceen_US
dc.subjectCommunity reintegrationen_US
dc.subjectGaiten_US
dc.subjectMobilityen_US
dc.subjectStrokeen_US
dc.subjectResearch Subject Categories::MEDICINEen_US
dc.titleEvaluation of Predictive Factors Influencing Community Reintegration in Adult Patients with Strokeen_US
dc.typeArticleen_US
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