title: [Evaluation of the instrumental activities of daily living following a stroke by means of the Lawton and Brody scale].
abstract: BACKGROUND
  The instrumental activities of daily living are activities that are somewhat more complex than basic activities of daily living, and being able to perform them allows a person to be independent within a community. They include housework, tasks involving mobility, managing the home and property; catching the bus; cooking meals and going shopping, among other things.
  
  
  OBJECTIVE
  To evaluate these activities using the Lawton and Brody scale following an ischaemic stroke or intraparenchymatous haemorrhage and to analyse the factors that have an influence on the functional status at six months.
  
  
  METHODS
  We conducted a prospective study of patients admitted to the stroke unit between September 2010 and June 2011 diagnosed with ischaemic strokes and spontaneous intraparenchymatous haemorrhages. A series of clinical and demographic variables were collected. In the follow-up visit at six months, the patients were re-evaluated by measuring their score on the Lawton and Brody scale again.
  
  
  RESULTS
  The percentages of the Lawton and Brody scale at six months were as follows: 28.9% of patients were highly dependent, 45.4% were moderately dependent and 25.6% were dependent. There were differences according to age, severity and the type of stroke, and also depending on the presence of aphasia or hemiparesis.
  
  
  CONCLUSIONS
  Patients who have suffered an ischaemic stroke or haemorrhage present a poorer score in instrumental activities of daily living when age is more advanced, the stroke is more severe and when aphasia or hemiparesis are present.
authors.affiliation: Hospital San Pedro de Alcantara, 10003 Caceres, España. pjimenez1010j@yahoo.es
authors.forename: Pedro Enrique
authors.initials: PE
authors.lastname: Jiménez-Caballero
authors.forename: Fidel
authors.initials: F
authors.lastname: López-Espuela
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Portilla-Cuenca
authors.forename: Juan Diego
authors.initials: JD
authors.lastname: Pedrera-Zamorano
authors.forename: M Antonia
authors.initials: MA
authors.lastname: Jiménez-Gracia
authors.forename: Jesús M
authors.initials: JM
authors.lastname: Lavado-García
authors.forename: Ignacio
authors.initials: I
authors.lastname: Casado-Naranjo
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests; D011446:Prospective Studies; D020521:Stroke / Q000175:diagnosis