Abstract

SUAREZ-ESCUDERO, Juan Camilo et al. Clinical, social, occupational and of self - perception description of stroke patients. Acta Neurol Colomb. [online]. 2011, vol.27, n.2, pp.97-105. ISSN 0120-8748.

Introduction. In addition to different functional and structural deficits, cerebrovascular disease causes several types of restrictions in social participation. Objective. The aim of this study was to describe the clinical, social and occupational characteristics as well as the self-perception in patients with cerebrovascular disease (stroke) attended in a neurological institution in Colombia. Materials and Methods. 81 clinical records with stroke diagnosis and a hospital discharge time between 6 months and two years were evaluated. Date regarding sings, symptoms and vascular territory were collected. Additionally a 19 questions interview was applied asking about self-perception, course and current state of disability Results. The distribution of patients was ischemic stroke 71,6%, hemorrhagic stroke 19.8% and lacunar infarction 8.6%. Right middle cerebral artery was the most frequently affected (58%). Motor deficit and dysarthria were the main complains at the admission time. 65.3% reported improvement of the motor deficit initially described. Before the stroke 64.3% were occupationally active, after the stroke only 10.7% kept their previous job. Conclusion. In this sample ischemic stroke was the most frequent cause of cerebrovascular disease. Alterations on the speaking and motor skills are explainable by the compromise of the right middle cerebral artery. In spite of the self - perception of improvement there is considerable impact on the occupational field.

Keywords : Stroke; Rehabilitation; Neurology.

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