Post-stroke functional limitations and changes in use of mode of transport

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T1 - Post-stroke functional limitations and changes in use of mode of transport

AU - Wendel, Kerstin

AU - Ståhl, Agneta

AU - Risberg, Jarl

AU - Pessah-Rasmussen, Hélène

AU - Iwarsson, Susanne

N1 - The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Transport and Roads (011034010), Neurology, Malmö (013027010), Department of Psychology (012010000), Division of Occupational Therapy (Closed 2012) (013025000)

PY - 2010

Y1 - 2010

N2 - 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.

AB - 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.

KW - Activities of daily living

KW - cognition

KW - outdoor mobility

KW - public transport

KW - stroke

U2 - 10.1080/11038120902964450

DO - 10.1080/11038120902964450

M3 - Article

VL - 17

SP - 162

EP - 174

JO - Scandinavian Journal of Occupational Therapy

JF - Scandinavian Journal of Occupational Therapy

SN - 1651-2014

IS - 2

ER -