Functionality and disability of post cerebral stroke patients: cases report

Abstract

INTRODUCTION: Stroke is the main cause of neurological incapacity, and hemiparesis is the most common sequel of the disease. The physical and functional limitations, associated with disability, directly affect the functionality of individuals. OBJECTIVE: To classify the functionality and disability of post-stroke patients of a public physiotherapy service in Teresina. MATERIALS AND METHODS: This is a descriptive and quantitative case report with a sample of seven participants seen at a public physiotherapy service in Teresina. Data were collected from October 2016 to February 2017. The instrument used for data collection was an evaluation form, prepared by the authors of the research, consisting of data on clinical diagnosis, time of injury and neurological semiology. The items of the International Classification of Functioning, Disability and Health (CIF) selected for the present study were: neuromusculoskeletal functions related to movement (b7), activities and participation (d3), mobility (d4) and self care (d5). RESULTS: A greater impairment in neuromusculoskeletal functions related to strength and resistance was observed, presenting severe deficiency. Considering the domain activity and participation, the participants showed moderate difficulty. CONCLUSION: This study found that most of the participants have implications for their structural and functional functions, which limit them to perform mobility activities, disabling them to participate in daily activities.