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Original Research Articles

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

Authors:

Soraia Micaela Silva ,

Nove de Julho University, BR
About Soraia Micaela

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. 

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Fredi Alexander Diaz-Quijano,

University of São Paulo, BR
About Fredi Alexander
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)
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Camila Ferreira da Cruz,

Federal University of Minas Gerais., BR
About Camila Ferreira
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.
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Paula da Cruz Peniche,

Federal University of Minas Gerais., BR
About Paula da Cruz
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.
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João Carlos Ferrari Corrêa,

Nove de Julho University, BR
About João Carlos Ferrari
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.
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Christina Danielli Coelho de Morais Faria

Federal University of Minas Gerais, BR
About Christina Danielli Coelho de Morais
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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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 HorizonteThe 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.

How to Cite: Silva, S.M., Diaz-Quijano, F.A., da Cruz, C.F., Peniche, P. da C., Corrêa, J.C.F. and Faria, C.D.C. de M., 2021. Does Residing in Environments of Different Metropolises in a Developing Country exert an Impact on Disability after Stroke?. Disability, CBR & Inclusive Development, 32(2), pp.142–159. DOI: http://doi.org/10.47985/dcidj.484
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Published on 29 Jul 2021.

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