Level of motor function using Stroke Rehabilitation Assessment of Movement (STREAM) among stroke patients in selected De La Salle-Health Sciences Campus affiliated centers

Date of Completion

2007

Document Type

Thesis

Degree Name

Bachelor of Science in Physical Therapy

Keywords

Stroke, Rehabilitation

Abstract

Objectives: The study aimed to determine the level of motor function among stroke patient in selected De La Salle-Health Sciences Campus Affiliated Centers using Stroke Rehabilitation Assessment of movement (STREAM). It also sought to determine the socio-demographic profile of the patient as to age and gender, to describe the clinical profile of the patient as to side of lesion, co-morbid status and type of aid/s used and to determine the level of motor function among stroke patients as to voluntary movement in supine, sitting, standing and basic mobility in supine, sitting, standing and walking. Research Design: This study utilized a descriptive type of research design. Setting: De La Salle University Medical Center, Jose P. Rizal National Medical Research Center, Jose Reyes Memorial Center and Armed forces of the Philippines Medical Center. Participants: 30 diagnosed stroke out-patient who undergoing Physical therapy evaluation and treatment from different affiliated centers of De La Salle-Health Sciences Campus. Procedures/Intervention: Each center was given a letter of permission for presurvey and implementation. Pre-survey includes the name, age, gender, address, type of stroke, date of stoke, date of initial evaluation and secondary complications. During implementation each subjects were assessed using the stroke rehabilitation assessment of movement (stream). The evaluation was done as to voluntary movement and basic mobility with corresponding body position. Results: The study shows that the highest prevalence of stroke falls in the age of 50-56 years old and majority of them were female. The clinical profile reveals that most of them had a right sided lesion and hypertension was the leading co-morbid condition. Majority of them do not use ambulatory aids. The level of motor function in voluntary movement as to supine position (54.33%), sitting position (47.14%) and standing position (54.76%) is moderate. On the other hand, the level of motor function in basic mobility as to supine position (78.66%) have a severe level of motor function. Conclusion: the over-all level of motor function of stroke patient is moderate. It also shows that they are having more difficulty in performing movements which involves upper extremity function in supine and sitting position. Lower extremity shows a great chance of recovery since most of the patients were able to perform standing and walking activities that may consider a prognosticating factor for ambulation.

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