Article

PURPOSE: To describe activity in different aspects of daily life among long-term
stroke survivors, and conceptualise the content of the Barthel Index (BI) and the
Swedish extended and modified Frenchay Activities Index (mFAI) using the ICF
framework. METHOD: Assessments were performed by means of the BI and the mFAI at
a 10-year follow-up of 145 consecutive stroke survivors from Lund Stroke
Register, Sweden. After linking the two instruments to the ICF core set for
stroke, data were analysed and presented in terms of activity-specific
domain-scores for the total sample and sub-groups according to gender and age.
RESULTS: Together the two instruments covered 69% of the Activities and
participation component of the ICF core set for stroke. Two activity-specific
domains were identified within the BI and six within the mFAI. Most participants
reported a high overall activity level. Inactivity was most common among those
>/=80 years. Men and women participated in different types of activities and used
different modes of transport. CONCLUSIONS: Long-term stroke survivors have a high
activity level in daily life, though individual variation is considerable. The
structure provided by linking instruments to the ICF core set for stroke can be
used for more fine-tuned descriptions of activity. Implications for
Rehabilitation Since most long-term stroke survivors are independent in ADL but
may have limitations in other activity domains such as social and leisure
activities, these aspects should be considered in the rehabilitation process.
Older stroke survivors deserve special attention due to their higher risk of
long-term inactivity. The Barthel Index and the Swedish extended and modified
Frenchay Activities Index are complementary for assessments of ADL and social
activity after stroke and cover over two thirds of the Activities and participation component in the ICF core set for stroke.

Langue : ANGLAIS