Does Residing in Environments of Different Metropolises in a Developing Country exert an Impact on Disability after Stroke?

Soraia Micaela Silva; Fredi Alexander Diaz-Quijano; Camila Ferreira da Cruz; Paula da Cruz Peniche; João Carlos Ferrari Corrêa; Christina Danielli Coelho de Morais Faria

doi:10.47985/dcidj.484

Soraia Micaela Silva ⁽¹⁾, Fredi Alexander Diaz-Quijano ⁽²⁾, Camila Ferreira da Cruz ⁽³⁾, Paula da Cruz Peniche ⁽⁴⁾, João Carlos Ferrari Corrêa ⁽⁵⁾, Christina Danielli Coelho de Morais Faria ⁽⁶⁾

(1) Nove de Julho University, Brazil,

(2) University of São Paulo, Brazil,

(3) Federal University of Minas Gerais., Brazil,

(4) Federal University of Minas Gerais., Brazil,

(5) Nove de Julho University, Brazil,

(6) Federal University of Minas Gerais, Brazil

https://doi.org/10.47985/dcidj.484

Issue
Vol. 32 No. 2 (2021): Summer

Submitted
April 19, 2021

Published
July 29, 2021

Keywords:

Stroke, International Classification of Functioning, disability and health, environment

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Abstract

Purpose: The study aimed to analyse the association between the environment in two different Brazilian metropolises (São Paulo and Belo Horizonte) and disability after a stroke.

Method: A cross-sectional study was conducted involving individuals with chronic hemiparesis resulting from a stroke and residing in either São Paulo or Belo Horizonte. The environment (city of residence) was considered an independent variable and disability (modified Rankin scale) was the dependent variable. The following clinical and demographic covariates were considered: age, number of comorbidities, socio-economic class, motor impairment (Fugl-Meyer scale), emotional functioning (Geriatric Depression Scale) and walking ability (10-metre walk test).

Results: A total of 114 individuals were analysed - 51 from São Paulo (SP) and 63 from Belo Horizonte (BH). No association was found between the environment in which the individual resides and the degree of disability (OR = 1.436; 95%CI: 0.547 - 3.770; p = 0.46). However, the following variables were predictors of post-stroke disability: motor impairment (OR = 0.216; 95% CI: 0.090 - 0.520; p <0.001) and walking ability (OR = 0.066; 95% CI: 0.005 - 0.912; p = 0.04). The overall correctness of the model was 77.9%.

Conclusion: Living in different Brazilian cities had no impact on post-stroke disability. In contrast, motor impairment and walking ability were responsible for 77.9% of the disability found in the sample. The study findings identify possible causes of disabilities after stroke; these could facilitate the most appropriate actions to be taken during rehabilitation.

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Authors

Soraia Micaela Silva

Nove de Julho University

https://orcid.org/0000-0002-5929-3253

soraia.micaelaa@gmail.com (Primary Contact)

Fredi Alexander Diaz-Quijano

University of São Paulo

https://orcid.org/0000-0002-1134-1930

Camila Ferreira da Cruz

Federal University of Minas Gerais.

https://orcid.org/0000-0003-3079-2339

Paula da Cruz Peniche

Federal University of Minas Gerais.

https://orcid.org/0000-0001-8326-8974

João Carlos Ferrari Corrêa

Nove de Julho University

https://orcid.org/0000-0002-8642-9814

Christina Danielli Coelho de Morais Faria

Federal University of Minas Gerais

https://orcid.org/0000-0001-9784-9729

Author Biographies

Soraia Micaela Silva, Nove de Julho University

Dra. Soraia Micaela Silva is a Physiotherapist (Ph.D. in Rehabilitation Sciences). She has considerable experience in Neurological Physiotherapy, mainly on the following themes: Motor performance, functional outcomes measures, assessment tools, International Classification of Functionality, Disability and Health (CIF) and public health. Since 2015, she is a Professor at the University Nove de Julho-UNINOVE.

Fredi Alexander Diaz-Quijano, University of São Paulo

Dr. Fredi A. Diaz-Quijano is a Physician, Epidemiologist, Ph.D. in Public Health, and is skilled in research methods for causal inference. Currently, he is an Associate Professor at the Department of Epidemiology of the School of Public Health of the University of São Paulo, where he oversees the Laboratory of Causal Inference in Epidemiology (LINCE-USP)

Camila Ferreira da Cruz, Federal University of Minas Gerais.

Camila Ferreira da Cruz is a Physiotherapist by training and has over a year of clinical experience. She has a special interest in the rehabilitation of orthopedic dysfunctions and in the study of pain. She has a strong academic background and is currently engaged in physiotherapy and chiropraxy.

Paula da Cruz Peniche, Federal University of Minas Gerais.

Paula Peniche is a Physiotherapist and has a special interest in the rehabilitation of individuals with neurological problems, especially after stroke. Currently, she is pursuing a Master's degree in Rehabilitation Sciences from the Federal University of Minas Gerais, Brazil.

João Carlos Ferrari Corrêa, Nove de Julho University

Dr. João Carlos Ferrari Corrêa is a Physiotherapist with experience in Neurophysiology and Biodynamics, mainly on the following theme: Gait, neurophysiological aspects, motor behavior and physical resources. Since 2001, he has been a Professor at the University Nove de Julho - UNINOVE and since 2006, he has served as Director of Research, Professor and Director of the Master's and Doctorate Programs in Rehabilitation Sciences.

Christina Danielli Coelho de Morais Faria, Federal University of Minas Gerais

Christina Danielli Coelho de Morais Faria is a Physiotherapist (Ph.D. in Rehabilitation Sciences). She is experienced in Rehabilitation, working mainly on the following themes: Motor performance, anatomy and biomechanics, methodology, assessment tools, prevention of health problems and disabilities in adults and the elderly with disabilities. Since 2011, she has been advising Postgraduate students at Federal University of Minas Gerais, Brazil.

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Silva SM, Diaz-Quijano FA, da Cruz CF, Peniche P da C, Corrêa JCF, Faria CDC de M. Does Residing in Environments of Different Metropolises in a Developing Country exert an Impact on Disability after Stroke?. DCIDJ [Internet]. 2021 Jul. 29 [cited 2024 Dec. 22];32(2):142-59. Available from: https://dcidj.uog.edu.et/index.php/up-j-dcbrid/article/view/484

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