Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Research Article Volume 4 Issue 12

The Effect on Stroke Survivors Functional Outcome According to their Gender

Abdulmajeed Ali Alkathami1, Omar Khaled Ameen2*, Reem Hussein Darwich3, Ali Mahmoud Albalawi2 and Elhadi Miskeen4

1Medical Students, College of Medicine, University of Bisha, Bisha, Saudi Arabia
2Stroke Fellow Physician, King Fahad Medical City, Riyadh, KSA
3Pediatric Cardiology Fellow Physician, Prince Sultan Cardiac Center, Riyadh, KSA
4Department of Obstetrics and Gynaecology, College of Medicine, University of Bisha, Bisha, Saudi Arabia

*Corresponding Author: Omar Khaled Ameen, Stroke Fellow Physician, King Fahad Medical City, Riyadh, KSA.

Received: October 25, 2021; Published: November 29, 2021


Introduction: Functional impairments accumulated after the stroke significantly affect daily living activities, and these patients often need assistance in performing basic life activities. The study aimed to assess the gender differences in functional disabilities among stroke survivors in home care facilities in the Bisha City of Saudi Arabia.

Methodology: An institutional survey was conducted using a standardized proforma. The proforma had the provision for recording sociodemographic details, and post-stroke functional status (degree of disability) was recorded using the Modified Rankin Scale (MRS). Pearson's chi-square test was used to see the association of degrees of disability with various sociodemographic and medical status of the stroke survivors. 

Results: The mean mRS score was found to be 3.87 ± 0.8, where male stroke survivors showed significantly higher scores (4.10 ± 0.9) compared to females (3.70 ± 0.7) (p = 0.034). The IRS assessment also showed that severe disability was seen in 25.9% of patients, and it was comparatively higher in male stroke survivors. The degree of disability was also significantly higher among stroke patients who didn't involve in any physical activities (p = 0.047).

Conclusion : Functional status was more severe in male stroke survivors than females. Understanding the gender differences in the health profile would help the health professional for a better orientation of rehabilitative care in order to improve current intervention and/or implement new treatment strategies. 

Keywords: Rehabilitation; Stroke; Functional Disability; Health Related Quality of Life


  1. GBD 2019 Stroke Collaborators. “Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019”. Lancet Neurology10 (2021): 795-820.
  2. Kim K., et al. “Correlation between the Activities of Daily Living of Stroke Patients in a Community Setting and Their Quality of Life”. The Journal of Physical Therapy Science3 (2014): 417-419.
  3. Lee PH., et al. “Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging”. Scientific Reports 1 (2011): 12199.
  4. Carvalho-Pinto BP and Faria CD. “Health, function and disability in stroke patients in the community”. Brazilian Journal of Physical Therapy 4 (2016): 355-366.
  5. Lv Y., et al. “Disability Status and Its Influencing Factors Among Stroke Patients in Northeast China: A 3-Year Follow-Up Study”. Neuropsychiatric Disease and Treatment 17 (2021): 2567-2573.
  6. Wang YC., et al. “Important factors influencing the return to work after stroke”. Work 4 (2014): 553-559.
  7. Platz T. “Evidence-Based Guidelines and Clinical Pathways in Stroke Rehabilitation-An International Perspective”. Frontiers in Neurology 10 (2019): 200.
  8. Ministry of Health. Key Health Indicators (2020).
  9. Robert AA and Zamzami MM. “Stroke in Saudi Arabia: a review of the recent literature”. The Pan African Medical Journal 17 (2014): 14.
  10. Al Rajeh S., et al. “Stroke in a Saudi Arabian National Guard community. Analysis of 500 consecutive cases from a population-based hospital”. Stroke11 (1993): 1635-1639.
  11. Al-Rajeh S., et al. “Stroke register: experience from the eastern province of Saudi Arabia”. Cerebrovascular Diseases 2 (1998): 86-89.
  12. Hackett ML., et al. “Health-related quality of life among long-term survivors of stroke: results from the Auckland Stroke Study, 1991-1992”. Stroke2 (2000): 440-447.
  13. Suenkeler IH., et al. “Timecourse of health-related quality of life as determined 3, 6 and 12 months after stroke. “Relationship to neurological deficit, disability, and depression”. Journal of Neurology 9 (2002): 1160-1167.
  14. Dobkin BH. “Clinical practice. Rehabilitation after stroke”. The New England Journal of Medicine16 (2005): 1677-1684.
  15. Lai SM., et al. “Persisting consequences of stroke measured by the Stroke Impact Scale”. Stroke 33.7 (2002): 1840-1844.
  16. Gurcay E., et al. “Health-related quality of life in first-ever stroke patients”. Annals of Saudi Medicine1 (2009): 36-40.
  17. Niewada M., et al. “A International Stroke Trial Collaborative Group. Influence of gender on baseline features and clinical outcomes among 17,370 patients with confirmed ischaemic stroke in the international stroke trial”. Neuroepidemiology 24 (2005): 123-128.
  18. van Swieten JC., et al. “Interobserver agreement for the assessment of handicap in stroke patients”. Stroke 19(1988): 604-607.
  19. Kim JS., et al. “Gender differences in the functional recovery after acute stroke”. Journal of Clinical Neurology 4 (2010): 183-188.
  20. Kapral MK., et al. “Sex differences in stroke care and outcomes: results from the Registry of the Canadian Stroke Network”. Stroke 36 (2005): 809-814.
  21. Di Carlo A., et al. “Sex differences in the clinical presentation, resource use, and 3-month outcome of acute stroke in Europe: data from a multicenter multinational hospital-based registry”. Stroke 34 (2003): 1114-1119.
  22. Reeves MJ., et al. “Sex differences in stroke: epidemiology, clinical presentation, medical care, and outcomes”. The Lancet Neurology 10 (2008): 915-926.
  23. Haast RA., et al. “Sex differences in stroke”. Journal of Cerebral Blood Flow and Metabolism 12 (2012): 2100-2107.
  24. Wyller TB. “Stroke and gender”. The Journal of Gender-Specific Medicine 3 (1999): 41-45.
  25. Barker-Collo S., et al. “Sex Differences in Stroke Incidence, Prevalence, Mortality and Disability-Adjusted Life Years: Results from the Global Burden of Disease Study 2013”. Neuroepidemiology3 (2015): 203-214.
  26. Roy-O'Reilly M and McCullough LD. “Age and Sex Are Critical Factors in Ischemic Stroke Pathology”. Endocrinology8 (2018): 3120-3131.
  27. World Health Organization-WHO. “International Classification of Functioning, Disability and Health-ICF”. Geneva. WHO (2001).
  28. Rochette A., et al. “Association between personal and environmental factors and the occurrence of handicap situations following a stroke”. Disability and Rehabilitation 13 (2001): 559-569.
  29. Boosman H., et al. “Social activity contributes independently to life satisfaction three years post stroke”. Clinical Rehabilitation 5 (2011): 460-467.
  30. Egan M., et al. “Participation and well-being poststroke: evidence of reciprocal effects”. Archives of Physical Medicine and Rehabilitation 2 (2014): 262-268.
  31. Bayliss EA., et al. “Descriptions of barriers to self-care by persons with comorbid chronic diseases”. Annals of Family Medicine 1 (2003): 15-21.
  32. Gillick MR. “The critical role of caregivers in achieving patient-centered care”. JAMA6 (2013): 575-576.


Citation: Omar Khaled Ameen., et al. “The Effect on Stroke Survivors Functional Outcome According to their Gender”. Acta Scientific Neurology 4.12 (2021): 60-65.


Copyright: © 2021 Omar Khaled Ameen., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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