Functional recovery after stroke in Benin: A six-month follow-up study.

Authors

  • Oyéné Kossi
  • Charles Sèbiyo Batcho
  • Thierry Adoukonou
  • Jean-Louis Thonnard

DOI:

https://doi.org/10.2340/16501977-2128

Keywords:

stroke, neuro-rehabilitation, functional recovery.

Abstract

OBJECTIVE: Stroke is a major public health problem in developing countries. However, few studies have quantified the functional recovery of stroke patients in sub-Saharan Africa. This study examined the functional recovery of stroke patients in the Republic of Benin. METHODS: A total of 68 patients with acute stroke were recruited from hospitals and health centres in Benin. Patients were evaluated at enrolment and 1, 3 and 6 months post-stroke. The ACTIVLIM-Stroke scale, Barthel Index, and modified Rankin Scale were used to assess activity limitations, functional autonomy, and overall level of disability, respectively. RESULTS: Over the 6-month follow-up period, 18 patients died and 9 dropped out. Overall, the 3 measures highlighted progressive and significant functional recovery during the first 6 months. At enrolment, the mean score on ACTIVLIM-Stroke was 16% (standard deviation (SD) 9), indicating that patients were almost totally dependent and unable to perform most activities of daily living. At 6 months, the mean score for activity limitation reached 67% (SD 15) and most patients were able to perform some basic tasks easily. Patients had difficulty with tasks requiring walking and remained unable to perform certain activities requiring manual dexterity. CONCLUSION: The study sample showed significant functional recovery (~50%) during the first 6 months post-stroke. We recommend the integration of group-based brisk walking into a cost-effective rehabilitation programme as a suitable way to increase functional recovery of chronic stroke patients in sub-Saharan Africa after hospital discharge.

Downloads

Download data is not yet available.

Downloads

Published

2016-07-12

How to Cite

Kossi, O., Sèbiyo Batcho, C., Adoukonou, T., & Thonnard, J.-L. (2016). Functional recovery after stroke in Benin: A six-month follow-up study. Journal of Rehabilitation Medicine, 48(8), 671–675. https://doi.org/10.2340/16501977-2128

Issue

Section

Original Report