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Prevalence of motor and non-motor impairment among stroke survivors in a Medical Centre in Nigeria
Tolulope Adeniji * 1, Thayananthee Nadasan1 , Oladapo Olagbegi1 , Dada Olumide2
1- University of KwaZulu-Natal, Durban, South Africa
2- University of Ibadan, Nigeria
Abstract:   (785 Views)
Objectives: This study aimed to investigate the prevalence of pain, motor and cognitive impairments, and their associated comorbidities among older adult patients with stroke at the UNIOSUN Teaching Hospital (UTH) in Osogbo, Nigeria. Methods: This was a cross-sectional survey of older adult patients with stroke at UTH. The survey assessed the prevalence of different post-stroke symptoms using validated instruments. Results: The study included 261 stroke survivors with a mean age of 69.4 years. The majority of them had pain (70.1%), balance impairment (93.9%), and mild cognitive impairment (80.8%). The prevalence of these symptoms varied by age, gender, and education level. Stroke survivors aged 65-75 years had the highest odds of having pain (OR=0.93; 95% CI=0.44-1.99; p=0.86), mild cognitive impairment (OR=1.55; 95% CI=0.71-3.36; p=0.27), and balance impairment (OR=1.08; 95% CI=0.28-4.13; p=0.91). Male participants had higher odds of having pain (OR=1.36; 95% CI=0.73-2.54; p=0.34), balance impairment (OR=0.78; 95% CI=0.26-2.33; p=0.65), and lower odds of having cognitive impairment (OR=0.43; 95% CI=0.21-0.87; p=0.02) than female participants. Participants with primary school education level had higher odds of having pain (OR=0.95; 95% CI=0.27-3.33; p=0.94) and mild cognitive impairment (OR=0.67; 95% CI=0.15-3.01; p=0.6) than those with tertiary education level. Discussions: This study revealed a high prevalence of pain, balance impairment, and mild cognitive impairment among older adult patients with stroke in Nigeria. These symptoms may affect stroke survivors' functional recovery and quality of life. The findings also suggest that age, gender, and education level may influence the occurrence and severity of these symptoms. Conclusions: This study reported the high prevalence of pain, balance impairment, and mild cognitive impairment among older adult patients with stroke at a teaching hospital in Nigeria. The findings also indicated that age, gender, and education level may influence the likelihood of having these symptoms among stroke survivors. Therefore, this study suggested that more attention should be given to the assessment and management of these symptoms in order to enhance the quality of life and functional outcomes of stroke survivors
Keywords: stroke, pain, motor dysfunction, balance impairment, cognitive impairment
     
Article type: Original Research Articles | Subject: Neurorehabilitation
Received: 2023/10/22 | Accepted: 2024/04/7
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