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Self-Assessed Physical, Cognitive, and Emotional Impact of Stroke at 1 Month: The Importance of Stroke Severity and Participation

Journal article
Authors Karin Törnbom
Hanna C Persson
Jörgen Lundälv
Katharina S Sunnerhagen
Published in Journal of Stroke & Cerebrovascular Diseases
Volume 26
Issue 1
Pages 57–63
ISSN 1052-3057
Publication year 2017
Published at University of Gothenburg Centre for person-centred care (GPCC)
Department of Social Work
Pages 57–63
Language en
Keywords Stroke, social participation, rehabilitation, physical function
Subject categories Disability research, Neuroscience


Objectives The aims of this study were to describe the self-assessed physical, emotional, and cognitive impact of stroke and to investigate associations with participation and stroke severity in early stage (1 month) poststroke. Methods Participants (n = 104, mean age = 68) with reduced upper extremity function assessed at day 3 were included from a Swedish stroke unit. Participants were evaluated with The National Institutes of Health Stroke Scale at arrival, median 7.9 (0-24). The cohort was assessed for their perceived impact of stroke with the Stroke Impact Scale at 1 month poststroke. Results The perceptions of emotional health, communication skills, and ability to remember were perceived as quite good, with a mean score of 83-86. However, nearly 60% reported limitations in participation. This group also evaluated their physical function to be significantly lower compared to participants who did not report limitations in participation. Conclusions One month poststroke, a lower score on self-assessed physical function was associated with both a perceived restriction in participation and a more severe stroke. The association of physical function and perceived participation at 1 month poststroke needs to be taken into account when planning the early rehabilitation.

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