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尼日利亚卒中幸存者卒中后 1 年内功能纵向变化模式是否存在性别差异?

Are there gender differences in longitudinal patterns of functioning in Nigerian stroke survivors during the first year after stroke?

机构信息

Department of Medical Rehabilitation (Physiotherapy), University of Maiduguri, Maiduguri, Borno State, Nigeria.

Department of Physiotherapy, University of Ibadan, Ibadan, Nigeria.

出版信息

NeuroRehabilitation. 2014;34(2):297-304. doi: 10.3233/NRE-141047.

Abstract

BACKGROUND

Several studies have examined gender differences in various stroke outcomes. There is however little information on the influence of gender on post-stroke functioning in the context of the International Classification of Functioning, Disability and Health (ICF).

OBJECTIVE

Gender differences in selected components of functioning, namely motor performance (body function), activity and participation, were examined in a sample of Nigerian stroke survivors.

METHODS

This longitudinal study involved consenting first-incidence stroke survivors who were consecutively recruited from in-patient wards of a University teaching hospital in northern Nigeria. Demographic and clinical data were obtained at recruitment while motor performance, activity and participation were assessed at the 1st, 3rd, 6th, 9th and 12th months using the Simplified Fugl Meyer scale, the Functional Independence Measure Motor Sub-scale and the London Handicap Scale respectively.

RESULTS

Participants were thirty-three male (60%) and 22 female (40%) stroke survivors who did not significantly differ in age, stroke sub-type, laterality and initial severity (P > 0.05). There were also no significant differences in motor performance, activity and participation between the male and female stroke survivors across the time points.

CONCLUSION

Gender differences were not observed in the components of functioning over the first 12 months post-stroke.

摘要

背景

多项研究已经考察了不同卒中结局的性别差异。然而,关于国际功能、残疾和健康分类(ICF)背景下性别对卒中后功能的影响的信息很少。

目的

本研究旨在考察尼日利亚卒中幸存者样本中,功能的特定组成部分(即运动表现[身体功能]、活动和参与)的性别差异。

方法

本纵向研究纳入了连续招募自尼日利亚北部一所大学教学医院住院病房的首诊卒中幸存者。在招募时获得人口统计学和临床数据,而运动表现、活动和参与则使用简化 Fugl-Meyer 量表、功能独立性测量运动子量表和伦敦残损量表在第 1、3、6、9 和 12 个月进行评估。

结果

参与者为 33 名男性(60%)和 22 名女性(40%)卒中幸存者,他们在年龄、卒中亚型、侧别和初始严重程度方面无显著差异(P>0.05)。在整个时间点,男性和女性卒中幸存者的运动表现、活动和参与方面也没有显著差异。

结论

卒中后 12 个月内,功能组成部分未观察到性别差异。

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