Stroke in working age: characterization of patients sent to physiotherapy
DOI:
https://doi.org/10.25758/set.2191Keywords:
Stroke, Working age, Functionality, Functional mobility, PhysiotherapyAbstract
Introduction – Stroke increases with age, however, the disability resulting from a stroke in a young and active population has a major impact on the individual and society. Aim – To analyze personal, clinical, and functional data of individuals with a stroke of working age, verifying the association between variables and comparing their results with the elderly individuals with stroke. Methods – Observational, descriptive, and cross-sectional study. The study population was individuals with strokes sent to ambulatory physiotherapy in a tertiary hospital, for a period of three years. Personal and clinical characteristics were collected; the Motor Assessment Scale (MAS) was applied and the Timed Up and Go Test (TUG) was performed. Data were analyzed through descriptive statistics, correlation analysis, and statistical inference (Chi-square test and Mann-Whitney test), considering a 95% confidence interval. Results – Of the 151 individuals evaluated, 64 were under 65 years (42.4%), including 10 under 45 (6.6%). The male gender was the most affected, and most cases were ischemic strokes. The younger ones had a better functional performance, a greater percentage of elements with autonomous gait, and better functional mobility. These differences are statistically significant when comparing the TUG results of the working-age individuals with the elderly (p=0.004) and the MAS among the under 45 years with those older than 65 (p=0.048). Most of the evaluated individuals were at risk of falling, being noticed an association between age and the risk of falls. There was a negative correlation between the MAS and TUG variables. Conclusions – With this study, due to its dimensions and limitations, it is not possible to elaborate definitive considerations about stroke in working age and its functional repercussions; however, it intends to contribute to a reflection on this theme. Physiotherapists should be aware of the specific needs of this population and adapt their intervention in order to minimize the impact of this condition on the quality of life of individuals.
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