- Title
- Handicap 5 years after stroke in the North East Melbourne Stroke Incidence Study
- Creator
- Gall, Seana L.; Dewey, Helen M.; Sturm, Jonathan W.; MacDonell, Richard A. L.; Thrift, Amanda G.
- Relation
- Cerebrovascular Diseases Vol. 27, Issue 2, p. 123-130
- Publisher Link
- http://dx.doi.org/10.1159/000177919
- Publisher
- Karger
- Resource Type
- journal article
- Date
- 2009
- Description
- Background: Handicap is rarely comprehensively examined after stroke. We examined handicap among 5-year stroke survivors from an ‘ideal’ stroke incidence study. Methods: Survivors were assessed with the London Handicap Scale [LHS, score range: 0 (greatest handicap) to 100 (least handicap)]. Multivariable regression was used to examine demographic, risk and stroke-related factors associated with handicap. Results: 351 of 441 (80%) survivors were assessed. Those assessed were more often Australian born than those not assessed (p < 0.05). The mean LHS score was 73 (SD = 21). The greatest handicap was present for physical independence and occupation/leisure items. Handicap was associated with older age, manual occupations, smoking, initial stroke severity, recurrent stroke and mood disorders. Conclusion: Reducing recurrent stroke, through better risk factor management, is likely to reduce handicap. The association between handicap and mood disorders, which are potentially modifiable, warrants further investigation.
- Subject
- stroke; handicap after stroke; stroke recovery
- Identifier
- http://hdl.handle.net/1959.13/916967
- Identifier
- uon:8171
- Identifier
- ISSN:1015-9770
- Language
- eng
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