Uncorrected Author Proof
NeuroRehabilitation xx (20xx) x–xx
DOI:10.3233/NRE-192754
IOS Press
1
Functional activities habits in chronic
stroke patients: A perspective based
on ICF framework
1
2
3
Tania Fernandes Campos
a
, Luciana Prot´ asio de Melo
a
, Ana Am´ alia Torres Souza Gandour Dantas
a
,
D´ ebora Carvalho de Oliveira
a
, Raul Alexandre Nunes da Silva Oliveira
b
, Rita Cordovil
b
and Aline Braga Galv˜ ao Silveira Fernandes
c,∗
4
5
6
a
Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal/RN, Brazil 7
b
Faculty of Human Kinetics, CIPER, Interdisciplinary Centre for the Study of Human Performance,
University of Lisbon, Cruz Quebrada, Portugal
8
9
c
Faculty of Healthy Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz/RN, Brazil 10
Abstract. 11
BACKGOUND: Functional autonomy and social inclusion are of key importance for stroke patient‘s rehabilitation. 12
OBJECTIVE: To evaluate activity and participation of chronic stroke patients by means of basic (BADL), instrumental
(IADL) and social (SADL) activities of daily living.
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14
METHODS: Forty individuals, 24 patients and 16 healthy individuals fill in a functional activities habits questionnaire. 15
RESULTS: Regarding BADL, 25% of the patients did not get out of bed and 70.8% did not use toilet by themselves.
Considering IADL, 29.2% of the patients did not dial the telephone, 70.8% did not wash dishes and clothes, 58.3% did not
cook, 100% did not sew, 87.5% did not carry out repairs, 41.7% did not go to the bank, 54.2% did not shop and 45.8% did
not write (all p < 0.05). Regarding SADL, 87.5% of the patients were not working professionally, 41.7% did not visit friends
or relatives, 75% did not travel and go to the beach and 95.8% did not dance (all p < 0.05).
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CONCLUSIONS: Chronic stroke patients have limitations in activity and restrictions to participation, even after few years
of stroke onset, particularly regarding applying knowledge, use of communication devices, domestic life, major life areas
and community, social and civic life.
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Keywords: Cerebrovascular disorder, activities of daily living, international classification of functioning, disability and health,
disability evaluation, social participation
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1. Introduction 26
Stroke effects are extensive and cannot be properly 27
understood if viewed from a single perspective or 28
approach. In this regard, it is fundamental to try to 29
understand the patient’s experience, especially with 30
∗
Address for correspondence: Aline Braga Galv˜ ao Silveira Fer-
nandes, Faculty of Healthy Sciences of Trairi, Federal University
of Rio Grande do Norte, Rua Vila Trairi, S/N, CEP: 59200-
000, Santa Cruz/RN, Brazil. Tel./Fax: +55 84 32912411; E-mail:
linebraga.fisio@gmail.com.
respect to their functionality (Mayo et al., 2015; Salter 31
et al., 2008). 32
In recent years, studies focused on physical func- 33
tioning or on functional ability of the activities of 34
daily living, however, it is observed that there is a 35
greater attention to basic activities of daily living 36
(BADL) (Ahn, 2016; Cerniauskaite et al., 2012; Thel- 37
well, 2013). BADL are those activities performed 38
on the daily routine, such as self-feeding, dress- 39
ing, bathing and showering, getting out of bed and 40
on a wheelchair, walking and communicating. Usu- 41
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