http://www.mtprehabjournal.com/files/v15nx/mtprehabAR1517503.pdf
REVIEW Manual Therapy, Posturology & Rehabilitation Journal. ISSN 2236-5435. Copyright © 2017. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non- commercial use, distribution, and reproduction in any medium provided article is properly cited. Social Participation as a goal of the post-stroke rehabilitation program: a literature review Felipe Heylan Nogueira de Souza 1 , Edson Meneses da Silva Filho 1 , Leandro Gonçalves Cezarino 1 , Egmar Longo Araújo de Melo1 , Ênio Walker Azevedo Cacho 1
ABSTRACT
Introduction: Stroke is considered one of the leading causes of long-term disability worldwide. Physical, cognitive and psychological disabilities resulting from stroke can lead to a wide variety of activity limitations and participations restrictions.
Objective: To verify the incidence of articles in the literature that used physiotherapy programs aimed at social participation and to analyze if these programs are based on domains of the International Classification of Functioning Disability and Health (ICF) in post-stroke people. Method: It was selected any type of study that presented post-stroke human sample over 18 years of age with no gender restriction, to be written in any language and year of publication, to have used physical rehabilitation as a form of treatment and social participation assessed by ICF as outcome. The descriptors and Boolean operators: stroke, rehabilitation, International Classification of Functioning Disability and Health, social participation, were used in the sample search strategy in database PEDro, PubMed, Web of Science and Scielo.
Results: After applying the inclusion/exclusion criteria, five articles remaining. Assessment tools for participation in daily and social activities were not consensual in the range of areas that needed to be addressed in stroke rehabilitation. A single study used the ICF-based design model in its program. Conclusion: There are few studies that have measured the various characteristics of social participation using the ICF as a tool. More studies are needed to create an ideal standardization and strategy that direct interventions to improve specific aspects of social participation, including the involvement in activities that provide post-stroke individuals interaction with society. Keywords: Stroke; International Classification of Functioning, Disability and Health; Social Participation. Corresponding author: Edson Meneses da Silva Filho Rua Vila Trairi, S/N; Centro; Santa Cruz (RN), Brazil. CEP: 59200-000. Phone:+55 (81) 9 9470 6661; +55 (81) 3631 1304 Email: meneses.edson@yahoo.com.br 1
Universidade Federal do Rio Grande do Norte (UFRN), Santa Cruz (RN), Brazil.
Financial support:
None.
Submission date 24 July 2017; Acceptance date 15 September 2017; Publication date 11 October 2017
http://dx.doi.org/10.17784/mtprehabjournal.2017.15.503
INTRODUCTION
Described as a multidimensional concept, the social
participation is defined by the International Classification of
Functioning, Disability and Health (ICF) as involvement of a
person in a real-life situation, representing a social perspective
of functionality(1, 2)
. Social participation is considered as one of
the most relevant fundamental results to a successful recovery,
however, individuals after cerebrovascular accident (CVA) have
shown dissatisfaction with their own ability to develop some
of its aspects such as socializing, tours and travelling
(3)
, so the
ICF considers that the functionality is the result of complex
interactions, among the health and environmental measures
as well as personal factors conditions
(1)
.
Corroborating the ICF, some authors state that several
factors may affect the social participation, such as, the
restrictions due to changes in functionality, limitations in
activities and the interference of environmental and personal
factors
(2, 4)
. Among the physical and social consequences, those
which are generated by the stroke are one of the important
health problems in industrialized countries
(5)
. Those impacts
on functionality may result in neurological and functional
changes, in which generate limitations in daily live activities
of these subjects
(4, 6)
.
The consequences of stroke and the complex recovery
process often require the necessity for various therapeutic
interventions
(7, 8)
. The knowledge regarding the treatments
which promote the best results may help optimize its effects
and provide a better functionality for these patients
(2)
.
The successful recovery of a stroke should result in a
quality of life and degree of participation in the community
similar to the previous injury, however, not all patients
have access to care and rehabilitation that they need
(9,
10)
.
The provision of rehabilitation services after discharge is
essential to promote independence and reintegration of
patients in the community
(10)
. Although many interventions
and measurements are not aimed at social participation,
even though it is considered one of the most important and
fundamental factors for a successful recovery, there is the
necessity to measure what the studies have been using to
2
Social Participation as a goal of the post-stroke rehabilitation
MTP&RehabJournal
2017, 15: 503
assess the social participation of people who had stroke, in
order to suggest a standardization of the use of more sensitive
tools to classify the social participation in this population.
Therefore, and present study aimed to determine the
incidence of articles which used physical therapy programs
for the social participation and analyze if these programs are
based on the ICF domains in people who had stroke.
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