Article

Purpose: To investigate the use of different modes of transport and long-term
changes among stroke survivors with cognitive functional limitations (CFLs), and
to study differences among sub-groups (decreased/ceased vs. unchanged and
increased public transport use) regarding physical functional limitations (PFLs),
CFLs, depression, and social activity outside home. Method: Survey of 79
individuals living in the community with CFLs post-stroke (mean 26 months).
Well-established and study-specific instruments were used capturing the mode of
transport use, CFLs (professionally assessed and self-reported), depression
symptoms, and PFLs. Results: Over one third of the participants reported
decreased/ceased use of bus and train, among whom more PFLs were found in
comparison with those reporting unchanged use and more depression was found in
comparison with those showing increased use. There were no sub-group differences
concerning occurrence of CFLs and decrease in social activity. The use of own car
or motorbike had largely ceased, most often replaced by Special Transportation
Service or travelling by private car or taxi. Yet 27% were still frequent car
drivers. Conclusion: The results indicate considerably affected use of modes of
transport after stroke, and higher frequencies of PFLs and symptoms of depression
among those with decreased/ceased public transport use.

Langue : ANGLAIS