Background and Purpose: Assessment of functional outcome in stroke patients after rehabilitation program. Functioning and disability after stroke are clinically meaningful and of major relevance to patients.

Methods: Present hospital based prospective study was carried out in PMR department in Sawai Man Singh hospital in Jaipur, Rajasthan state ( west part of India ) during the year 2016-2017, include two hundred stroke patients for inrehabilitation program. Assessment neurological Severity of stroke on European stroke scale (ESS) and functional disability on Glasgow outcome scale (GOS).

Results:  Out of 200 included cases, seven were dropped out. Mean age of this study was 56.33 Yrs ± 2 SD (Incidence of stroke in young individual is significantly less than older individual). Hypertension was significant risk factor (p<0.005) and obesity was non significant risk factor (p>0.005). The correlation between the ESS and on functionally outcome was significant (p<0.005). Significant improvement in functional status and motor recovery in higher ESS score (≥64) patients than lower ESS score (<64) patients.

Keywords: Stroke, European Stroke Scale (ESS), Glasgow outcome scale (GOS).

1. Hanston L, De Weerdt W, et al. The European Stroke Scale. Stroke. 1994 ; 25 :2215-2219.
2. Jenett B, Bond M. Assessment of outcome after severe brain damage. Lnacet 1975 Mar 1 ;1 (7905) :480-4
3. Sunder Rao PSS : Some aspects of epidemelogy of stroke in south india, in Abraham J (ed) : proceeding of the first AU- Indian workshop- Conference on stroke New Delhi, Indian Councilof Medical Research, 1973,PP 27-33
4. Saha SP, Bhattacharya S, Das SK, Maity B, Roy T, Raut DK. Epidemiology study of neurological disorder in a rural population of eastern India. J Indian Med Assooc 2003; 101:299-304.
5. Bharucha NE, Bharucha EP, Bharchaae, Bhise AV. Schoenberg BS. Prevalence of stroke in the Parsi community of Bombay. Stroke 1988; 19: 60-2.
6. Razdan S, Kaul RL MottaA, kaul S. cerebrovascular disease in rural Kashmir, India. Stroke 1989; 20: 1691-3.
7. Banerjee TK, Das SK, epidemiology of stroke in India, neurology asia 2006; 11: 1-4
8. Lavy S,MD; Melamed E, MD; Cahane E, MD; Carmon A, MD. Hypertension and diabetes as risk factor in stroke patient. Stroke 1973; 4: 751-759.
9. Salonen JT, Puska P, Yuomilehto J, et al. Relation of blood pressure, serum lipid and smoking to risk of cerebral stroke- A longitudinal study in eastern Finland. Stroke 1982; 13: 327-333
10. Goldstein LB, et al. Primary prevention of ischemic stroke: A statement for healthcare professionals from the Stroke Council of the American Heart Association. 2001;103:163–182. doi: 10.1161/01.CIR.103.1.163.
11. Mitchell AB, et al. Obesity increases risk of ischemic stroke in young adults. Stroke; a journal of cerebral circulation.  2015;46:1690–1692. doi: 10.1161/STROKEAHA.115.008940.
12. Gan Y, et al. prevalence and risk factors associated with stroke in middle-aged and older Chinese: A community-based cross-sectional study. Sci Rep. 2018 march 9; 8: 4563
13. Gourie Devi M, Gururaj G, Satishchandra P, Subbakrishna DK.prevalence of neurological disorder in Bangalore, India: a community based study with comparison between urban and rural areas. Neuroepidemiology 2004 23: 26- 8.
14. Li SC, MD; Schoenberg BS, MD; Wang CC, MD; Cheng XM, MD; Bolis CL, MD; Wang KJ, MD. Cerebrovascular disease in the people ̒s republic of china. Neurology 1985; 35:1708- 1713
15. Sajobi TT, Menon BK, Wang M;Early trajectory of stroke severity predicts long-term functional outcome in ischemic stroke subjects. Stroke 2017;48: 105-110
16. Langhammer B, Sunnerhagen KS, Lundgren-Nilsson A, Sailstrom S, Becker F, Stanghelle JK. Factors enhancing activities of daily living after stroke in specialized rehabilitation: an observational multicenter study within the sunnaas international network. Eur J Phys Rehabil Med 2017 Oct 53 (5): 725-734
17. Weimar C, Kurth T, Kraywinkel K, Wagner M, Busse O, Haberl RL, Diener HC. Assessment of functioning and disability after ischemic stroke. Stroke: 2002 Aug;33(8): 2053-9
18. Jorgensen HS, MD, Nakayama H, Raaschou HO, Vive-Larsen J, Stovier M, Oslen TS, MD. Outcome and time source of recovery in stroke. Part-2: time course of recovery. The Copenhagen stroke study. Arch Phys Med Rehab 1995; 76: 406-122
19. Hsieh CL, Sheu CF, Hsueh IP, Wang CH. Trunk control as an early predictor of comprehensive activities of daily living function in stroke patients. Stroke 2002;33:2626-30.

Dr Keshav Dev

D-1, Doctor Quarter, Gangwal Park, S M S Medical College Campus,

J L N Marg, Jaipur, Rajasthan, Pin 302004, India

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., 9828141092