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Original Research Articles

Participation Restriction due to Arm and Leg Motor Impairment after Stroke Rehabilitation in the Tamale Metropolitan Area, Ghana

Authors:

Frank Twum ,

Centre for Disability and Rehabilitation Studies, Kwame Nkrumah University of Science and Technology, GH
About Frank

Mr. Frank Twum is a physiotherapist with a Masters Degree in Disability and Rehabilitation from the Kwame Nkrumah University of Science and Technology, Ghana. His current interests include research in disabilities, rehabilitation and special education.

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Joslin Alexander Dogbe,

Centre for Disability and Rehabilitation Studies, Kwame Nkrumah University of Science and Technology, GH
About Joslin Alexander

Dr. Joslin Alexei Dogbe is a consultant paediatric neurologist and a public health specialist with the Department of Child Health, School of Medical Sciences and the Centre for Disability and Rehabilitation Studies, Kwame Nkrumah University of Science and Technology. His current interests include disability, rehabilitation and public health.

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Anthony Kwaku Edusei,

Centre for Disability and Rehabilitation Studies, Kwame Nkrumah University of Science and Technology, GH
About Anthony Kwaku

Dr. Anthony Kwaku Edusei is a senior lecturer with the Department of Community Health and the Centre for Disability and Rehabilitation Studies, Kwame Nkrumah University of Science and Technology, Ghana. His interests include disability, rehabilitation and nutrition.

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Joseph Ampratwum

Centre for Disability and Rehabilitation Studies, Kwame Nkrumah University of Science and Technology, GH
About Joseph

Mr. Joseph Ampratwum is a resource person for the blind with the Centre for Disability and Rehabilitation Studies, Kwame Nkrumah University of Science and Technology, Ghana. He has a Masters Degree in Special Education. His research interests include disability, rehabilition and special education for the blind.

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Abstract

Purpose: The study was conducted to examine the relationship between arm and leg motor impairment in stroke survivors and participation restriction, post rehabilitation, within the Tamale metropolis.

Method: The participants were 102 stroke survivors from the Tamale metropolitan area, who had undergone at least 3 months of rehabilitation. Upper limb motor assessment was followed by lower limb motor assessment based on the Manual Muscle Test. Levels of participation restriction were measured using the London Handicap Scale. Correlation analysis of motor impairment and participation restriction were done using Spearman rank correlation analysis.

Results: The mean age of post-stroke participants was 62.08 years (95% CI= 59.77-64.39), with men comprising 67.65% and 32.35% women. The Spearman rank correlation co-efficient between arm motor impairment and participation was 0.8343, depicting a strong positive relationship between the aforementioned variables. The correlation between leg motor impairment and participation yielded 0.8013. Conversely, leg motor impairment was found to have a stronger relationship with participation restriction in comparison to arm motor impairment.

Conclusion and Implications: The strong relationship between limb motor impairment and participation restriction suggests that clinicians and disability experts involved in rehabilitation should take cognisance of the social implication of motor impairment in order to make informed decisions. Further to this, arm and leg assistive devices could be useful in reducing the levels of participation restriction among persons with stroke within the Tamale metropolis.

Limitations: A major limitation is that motor impairment was assessed solely on the ability to perform voluntary movement (muscle power). Sensory disturbances and motor coordination difficulties also have the potential to influence participation restriction, so the exclusion of stroke survivors who are unable to communicate implies that external validity of the research is limited.

How to Cite: Twum, F., Dogbe, J.A., Edusei, A.K. and Ampratwum, J., 2018. Participation Restriction due to Arm and Leg Motor Impairment after Stroke Rehabilitation in the Tamale Metropolitan Area, Ghana. Disability, CBR & Inclusive Development, 28(4), pp.60–79. DOI: http://doi.org/10.5463/dcid.v28i4.609
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Published on 16 Mar 2018.

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