How does context influence arm use after stroke? Aqualitative content analysis among ruralcommunity-dwelling stroke survivors

Rajagopalan, Vasanthan and Manikandan, Natarajan and Solomon, John M (2018) How does context influence arm use after stroke? Aqualitative content analysis among ruralcommunity-dwelling stroke survivors. Brazilian Journal of Physical Therapy, 184. pp. 1-8. ISSN 1413-3555

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Abstract

Objective: To explore the personal and environmental contextual factors that influence use ofaffected arm for function among stroke survivors.Methods: We conducted a qualitative phenomenological study using an interpretivist paradigmamong 23 stroke survivors in their late sub-acute and chronic stages and their relatives living inthe rural regions of India using maximum variation sampling. Semi-structured interviews wereconducted to identify personal and environmental contextual factors relevant to arm use. Theircurrent level of arm use, motor and functional ability were evaluated using Motor ActivityLog, AbilHand and Lawton Instrumental Activities of Daily Living scales and the scores werecategorized in order to describe and compare the participant’s characteristics before analyzingeach interview. Differences among the contextual factors of participants with high and lowlevels of functional arm use and exercise using paretic limb were analyzed using qualitativecontent analysis.Results: Study participants followed active exercises or passive interventions to improve theirarm. Their immediate social environment influenced these decisions. Lack of awareness on howto self-engage or scale down their physical environment to match their abilities demoted activefunctional task performance. Ability to perceive small gains in arm function helped them sustaintheir efforts.

Item Type: Article
Uncontrolled Keywords: Stroke recovery; Rehabilitation; Qualitative research; Psychology andbehaviour; Prognostic factor
Subjects: Allied Health > MCOAHS Manipal > Physiotherapy
Depositing User: KMC Library
Date Deposited: 09 Mar 2019 11:12
Last Modified: 09 Mar 2019 11:12
URI: http://eprints.manipal.edu/id/eprint/153422

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