Abstract
Introduction. In addition to different functional and structural deficits, cerebrovascular disease causes several types of restrictions in social participation.
Objective. The aim of this study was to describe the clinical, social and occupational characteristics as well as the self-perception in patients with cerebrovascular disease (stroke) attended in a neurological institution in Colombia.
Materials and Methods. 81 clinical records with stroke diagnosis and a hospital discharge time between 6 months and two years were evaluated. Date regarding sings, symptoms and vascular territory were collected. Additionally a 19 questions interview was applied asking about self-perception, course and current state of disability
Results. The distribution of patients was ischemic stroke 71,6%, hemorrhagic stroke 19.8% and lacunar infarction 8.6%. Right middle cerebral artery was the most frequently affected (58%). Motor deficit and dysarthria were the main complains at the admission time. 65.3% reported improvement of the motor deficit initially described. Before the stroke 64.3% were occupationally active, after the stroke only 10.7% kept their previous job.
Conclusion. In this sample ischemic stroke was the most frequent cause of cerebrovascular disease. Alterations on the speaking and motor skills are explainable by the compromise of the right middle cerebral artery. In spite of the self - perception of improvement there is considerable impact on the occupational field.
References
PETREA RE, BEISER AS, SESHADRI S, KELLY-HAYES M, KASE CS, WOLF PA. Gender Differences in Stroke Incidence and Poststroke Disability in the Framingham Heart Study. Stroke. 2009: 40; 1032-1037.
WHO. World health statistics 2008 (ISBN 978 92 4 0682740 electronic version). In WHO Library Cataloguing-in-Publication Data. World Health Organization 2008. URL: http://who.int/whosis/whostat/EN_WHS08_Full.pdf (18.08.2009).
QUEREJETA M. La discapacidad. En Querejeta M, Ed. Discapacidad/dependencia, Unificación de criterios de valoración y clasificación. España: RECEDIS; 2003: 5-17.
DOBKIN BH, CARMICHAEL S. Principles of recovery after stroke. In Barnes M, Dobkin B, Bogousslavsky J, Eds. Recovery after Stroke. United Kingdom: Cambridge University Press; 2005: 47-66.
OMS. Estrategia paso a paso de la OMS para la vigilancia de accidentes cerebrovasculares (ISBN 924 1594047). In WHO Library Cataloguing-in-Publication Data. Organización Mundial de la Salud 2005. URL: http://paho.org/Spanish/AD/DPC/NC/steps-stroke.pdf (18.08.2009)
WHO. Global burden of neurological disorders estimates and projections. In WHO, ed. Neurological Disorders: public health challenges. Geneva: World Health Organization; 2006: 27-39.
FLICK CL. Stroke rehabilitation. Stroke outcome and psychosocial consequences. Arch Phys Med Rehabil. 1999-05; 80(5 Suppl 1):S21-26.
Group AHA. Heart Disease and Stroke Statistics-2009 Update (AHA Statistical Update): A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2009; 119: e21-e181.
BONITA R, SOLOMON N, BROAD JB. Prevalence of stroke and stroke-related disability. Estimates from the Auckland stroke studies. Stroke. 1997; 28: 1898-1902.
SALINAS FA. Rehabilitación en enfermedad cere-brovascular. En Salinas FA, Lugo LH, Restrepo R. Eds. Rehabilitación en salud. Medellín: Universidad de Antioquia; 2008: 529-546.
SILVA F, QUINTERO C, ZARRUK JG. Comportamiento epidemiológico de la enfermedad cerebro-vascular en la población Colombiana. En Pérez GE Ed. Guía Neurológica 8. Enfermedad Cerebrovascular. Bogotá: Asociación Colombiana de Neurología. 2007:23-29.
PRADILLA G, VESGA BE, LEÓN-SARMIENTO FE, GENECO. National neuroepidemiological study in Colombia (EPINEURO). Rev Panam Salud Publica. 2003 Aug; 14(2): 104-11.
URIBE CS, JIMÉNEZ I, MORA MO, ARANA A, SÁNCHEZ JL, ZULUAGA L, ET AL. Epidemiología de las enfermedades cerebrovasculares en Sabaneta, Colombia 1992-1993. Rev Neurol. 1997; 25: 1108-1012.
OMS. Clasificación Internacional del Funcionamiento, de la discapacidad y de la salud. Traducción, análisis lingüístico y revisión editorial realizada por el Centro Colaborador en España junto con la RHHD y OMS/OPS. España: OMS; 2001.
OLNEY SJ, MARTIN CS. Rehabilitation: physical therapy for stroke. In Welch KMA, Caplan LR, Reis DJ, Siesjo BK, Weir B, Eds. Primeron cerebrovascular diseases. New York: Academic Press; 1997: 751-754.
FERNÁNDEZ O, FIALLO MC, ALVAREZ MA, ROCA MA, CONCEPCIÓN M, CHÁVEZ L. Lacalidad de vida del paciente con accidente cerebro-vascular: una visión desde sus posibles factores determinantes. Rev Neurol. 2001; 32: 725-773.
MORRIS DM, TAUB E, MARK VW. Constraint-Induced movement therapy: Characterizing the intervention protocol. Eura Medicophys. 2006; 42: 257-68.
FREGNI F, PASCUAL-LEONE A. Hand Motor Recovery After Stroke: Tuning the Ochesta to Improve Hand Motor Function. Cog Behav Neurol. 2006; 19(1): 21-33.
OMS. Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud: CIF (CD-ROM) Versión 1.0. ISBN: 92 4 056020 3. Organización Mundial de la Salud; 2001.
PETREA RE, BEISER AS, SESHADRI S, KELLY-HAYES M, KASE CS, WOLF PA. Gender differences in stroke incidence and poststroke disability in the Framingham heart study. Stroke. 2009; 40: 1032-1037.
Dirección Seccional de Salud de Antioquia. URL: http://dssa.govco. (29.08.2009).
WATTIGNEY WA, MENSAH GA, CROFT JB. Increasing trends in hospitalization for atrial fibrillation in the United States, 1985 through 1999: implications for primary prevention. Circulation. 2003; 108: 711-716.
PAHO/WHO. Observatorio de políticas para la prevención de enfermedades no transmisibles en Latinoamérica y el Caribe. In División de prevención y control de enfermedades, programa de enfermedades no transmisibles. Organización Panamericana de la Salud/Organización Mundial de la Salud. 2002. URL: http://paho.org/spanish/ad/dpc/nc/cmn-pol-obs-2002-desc.pdf. (03.08.2009).
PAHO/WHO. Documento CD47/17, Revi (Esp). In 47° Consejo Directivo, 58a Sesión del Comité regional. Washington, DC, 2006.
CARMEN NCD. policy observatory. URL: http://paho.org/spanish/ad/dpc/nc/carmen-info.htm. (13.06.2009).
BONICA R. Epidemiology of Stroke. Lancet. 1992; 339: 342-344.
CAROD-ARTAL J, EGIDO JA, GONZALEZ JL, VARELA DE SEIJAS E. Quality of life among stroke survivors evaluated 1 year after stroke: experience of a stroke unit. Stroke. 2000; 31: 2995-3000.
OLSEN TS. Arm and leg paresis as outcome predictors in stroke rehabilitation. Stroke. 1990; 21: 247-251.
JIMÉNEZ MT, GONZÁLEZ D, MARTÍN J. La Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud 2001. Rev Esp Salud Pública. 2002; 76: 271-279.
BARD G, HIRSBERG CG. Recovery of voluntary motion in upper extremity following hemiplegia. Arch Phys Med Rahabil. 1965; 46: 567-572.
DUFFAU H. Brain plasticity: from pathophysiological mechanisms to therapeutic applications. J Clin Neurosci. 2006; 13: 885-897.
FROST SB, BARBAY S, FRIEL KM, PLAUTZ EJ, NUDO RJ. Reorganization of remote cortical regions after ischemic brain injury: a potential substrate for stroke recovery. J Neurophysiol. 2003; 89:3205-3214.
Departamento Administrativo Nacional de Estadística. Industria, comercio y servicios; Mercado Laboral. URL: http://dane.gov.co. (15.02.2009).
DANE. Censo General 2005 nivel nacional (ISBN: 978-958-624-072-7). In Dirección de difusión, mercadeo y cultura - Departamento Administrativo Nacional de Estadística 2008. URL: http://dane.gov.co/censo/files/libroCenso2005nacional.pdf. (10.03.2009).
DICHGANS M. Genetics of ischaemic stroke. Lancet Neurol. 2007; 6: 149-161.
DOMINGUES-MONTANARI S, MENDIOROZ M, DEL RIO-ESPINOLA A, FERNÁNDEZ-CADENAS I, MONTANER J. Genetics of stroke: a review of recent advances. Expert Rev Mol Diagn. 2008; 8: 495-513.
ROLFS A, BÖTTCHER T, ZSCHIESCHE M, MORRIS P, WINCHESTER B, BAUER P, ET AL. Prevalence of Fabry disease in patients with cryptogenic stroke: a prospective study. Lancet. 2005; 366(9499): 1794-1796.

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.