title: Functional limitation and health-related quality of life, and associated factors among long term stroke survivors in a Malaysian community.
abstract: this study aimed to evaluate function and quality of life (QoL) and associated factors among long term stroke survivors in the Malaysian community.
  
  
  
  A cross-sectional study was conducted involving stroke survivors living in the community at two or more years post-stroke. Eligible participants with the diagnosis of stroke were identified from 2005-2010 case mix database of a tertiary hospital. the patients' medical records were analysed and data on demographic and clinical profiles were collected. telephone interviews were conducted to assess existing stroke-related impairments, comorbidities, stroke recurrences, current level of function and QoL, with the usage of rivermead mobility index (rMI), barthel index (bI) and stroke specific quality of life scale (ssQOL).
  
  
  
  A total of 203 stroke survivors; mean age 64.5 (standard Deviation(sD) 12.2) years, 45.3% males, stroke duration 44.7 (sD 13.8) months completed the interviews. Mean rMI was 11.7 (sD 3.4) and bI was 89.8 (sD 19.8). Forty three percent and 99% had difficulty in ascending/descending stairs and fast walking, respectively. Up to 20% had limitations in most of the bI subsets. Mean ssQOL was 207.6 (sD 37.2), with domains mostly affected were 'energy' and 'social role'. Function and QOL were both influenced by age (p<0.01) and stroke related impairments (p<0.05), but not by co-morbidities or stroke recurrence. QoL and function (both mobility and ADL) were strongly positively correlated with each other (p<0.01).
  
  
  
  It was observed that functional limitations especially mobility, remains post-stroke major problem and were attributed mainly to stroke-related impairments.
authors.affiliation: Universiti Kebangsaan Malaysia, Faculty of Health Sciences, School of Rehabilitation Sciences, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia. norazlin8@ukm.edu.my.
authors.forename: M N
authors.initials: MN
authors.lastname: Nor Azlin
authors.affiliation: Universiti Kebangsaan Malaysia Medical Centre, Malaysia.
authors.forename: N A
authors.initials: NA
authors.lastname: Aziz
authors.affiliation: Universiti Kebangsaan Malaysia Medical Centre, Malaysia.
authors.forename: B S
authors.initials: BS
authors.lastname: Saperi
authors.affiliation: Universiti Kebangsaan Malaysia, International Center for Casemix and Clinical Coding, Malaysia.
authors.forename: S M
authors.initials: SM
authors.lastname: Aljunid
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D020521:Stroke / Q000150:complications / Q000523:psychology; D017741:Survivors