Cerebro-vascular disease patients treated with an interdisciplinary rehabilitation process. Description of disability and occupational reintegration process

Authors

  • Olga Lucía Surmay-Angulo Universidad de La Sabana
  • María Leonor Rengifo Universidad de La Sabana
  • Catalina Gómez Universidad de la Sabana
  • Carlos E. Granados Universidad de La Sabana.

Keywords:

Cerebral vascular disease, neurologic rehabilitation, discapacity, occupational reinstatement, free time activity, functional independence measureTM.

Abstract

Cerebro-vascular disease (CVD) is the third leading cause of death and the first cause of discapacity in adults, resulting in deficiencies and limitations that disrupt the personal, familiar, social and professional roles. At the Clínica Universidad de La Sabana an interdisciplinary rehabilitation process (PIR ®) has been developed, this process aims to improve functionality and quality of life of patients and their families, to facilitate the return to a functional and productive life for the patient.

Objetive:
To describe the sociodemographic, clinical, rehabilitation and occupational characteristics, and the return to work process in patients with CVD, who assisted to PIR®at the Clínica Universidad de La Sabana, between January 2007 and june of 2011.


Methods:
Descriptive study, a clinical case series, 160 patients listed at the evaluation Board, 71 were excluded, 89 met inclusion and exclusion criteria in the clinical history review, 14 did not answer phone call, and 6 died.

Results: 69 patients were included, 70.9% under 70 years old, 50.7% were men, 53.6% had a superior educational level, 68.1% had ischemic CVD, 63.8% had compromise of medial cerebral artery. The 40.5% returned to the same company, 37.6% to the same laboral rol, 8.7% needed final job relocation, 1.4% labor reconversion. The most frecuent free time activities were family, leisure and home.

Conclusion:
More than one third of the patients returned to the same company and job after the event, none required temporary job relocation, a low percentage needed final redeployment and labor reconversion. More studies are needed on CVD and occupational reintegration.

Author Biographies

Olga Lucía Surmay-Angulo, Universidad de La Sabana

Especialista en Medicina del Trabajo. Medicina Física y
Rehabilitación.

María Leonor Rengifo, Universidad de La Sabana

Médico fisiatra. Coordinadora académica del Departamento de Rehabilitación.

Catalina Gómez, Universidad de la Sabana

Médico fisiatra de la Clínica Universidad de La Sabana. Coordinadora de la maestría Medicina Física y Rehabilitación.

Carlos E. Granados, Universidad de La Sabana.

Médico internista, epidemiólogo. Docente.

References

1. Silva FA, Zarruk JG, Quintero C, Arenas W, Rueda - Clausen CF, Silva SY. Enfermedad cerebrovascular en Colombia. Rev. Col. Cardiol. (Bogotá). 2006; 13

2. Orozco JL. Enfermedad cerebro vascular. Sección de Neurología Fundación Clínica Valle del Lili. Guías para manejo de urgencias. Ministerio de protección social. 2008; 1219 -1224

3. Saeki S, Toyonaga T. Determinants of early return to work after first stroke in Japan. J Rehabil Med. 2010; 42: 254–258

4. Ministerio de la Protección Social. Manual Guía Sobre Procedimientos para la rehabilitación y Reincorporación Ocupacional de los trabajadores, en el Sistema General de Riesgos Profesionales. Imprenta Nacional de Colombia. 2004.

5. Ministerio de la Protección Social. Dirección general de riesgos profesionales. Manual de Procedimientos para la rehabilitación y Reincorporación Ocupacional de los trabajadores, en el Sistema General de Riesgos Profesionales. Tercera edición. 2010.

6. Bruce H, Dobkin M. Rehabilitation after Stroke. The new england Journal of medicine. 2005;352:1677-84

7. Wolf T, Baum C, Tabor L. Changing Face of Stroke: Implications for Occupational Therapy Practice, Am J Occup Ther. 2009 ; 63(5): 621–625.

8. Petruševičienė D, Kriščiūnas A. Evaluation of activity and effectiveness of occupational therapy in stroke patients at the early stage of rehabilitation. Medicina (Kaunas) 2008; 44(3)

9. Roth EJ, Lovell L. Community Skill Performance and Its Association with the Ability to Perform Everyday Tasks by Stroke Survivors One Year Following Rehabilitation Discharge, Topics in stroke rehabilitation. 2007

10. Williams LS, Weinberger M, Harris LE, Clark DO, Biller J. Development of a Stroke-Specific Quality of Life Scale. Stroke: Journal of the American Heart Association. 1999;30;1362-1369

11. Martínez P, Fernández G, Frades B, Rojo F, Petidier R, Rodríguez V. Validación de la Escala de Independencia Funcional. Gac Sanit.2009;23(1):49–54

12. Hannerz H, Holbæk B, Poulsen OM, Humle F, Andersen LL. Study protocol to a nationwide prospective cohort study on return to gainful occupation after stroke in Denmark 1996 – 2006. BMC Public Health 2010, 10:623 http://www.biomedcentral.com/1471-2458/10/623

13. McLean R. Employment Status Six Months after Discharge from Inpatient Rehabilitation for a Mild-to- oderate Physical Disability. Ann Acad Med (Singapore).
2007;36:18-21

14. Saeki S, Ogata H, Okubo T, Takahashi K, Hoshuyama T. Return to Work After Stroke A Follow-up Study. University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan. 1994

15. Varona JF. Long-Term Prognosis of Ischemic Stroke in Young Adults. Stroke Research and Treatment Volume 2011, Article ID 879817

16. Lindström B, Röding J, Sundelin G. Positive attitudes and preserved high level of motor performance are important factors for return to work in younger persons after stroke: a national survey. J Rehabil Med (Sweden). 2009; 41: 714–718

17. Kotila M, Waltimo O, Niemi ML, Laaksonen R. The profile of recovery from stroke and factors influencing Outcome. Stroke. 1984; 15:1039-1044

18. Ostir GV, Berges I, Ottenbacher M, Graham JE, Ottenbacher KJ. Positive emotion following a Stroke. J Rehabil Med. 2008; 40: 477–481

19. Gilwortha G, Phila M, Certa AD, Sansamb KAJ. Personal experiences of returning to Work following stroke: An exploratory study. Work 34 (2009) 95–103
20. Hackett ML, Glozier N, Jan S, Lindley R. Psychosocial Outcomes in Stroke: the POISE observational Stroke study protocol. BMC Neurology 2009, 9:24

21. Daniel K, MA; Wolfe CDA, Busch MA, McKevitt C. What Are the Social Consequences of Stroke for Working-Aged Adults? A Systematic Review. Stroke. 009;40:e431-e440

How to Cite

1.
Surmay-Angulo OL, Rengifo ML, Gómez C, Granados CE. Cerebro-vascular disease patients treated with an interdisciplinary rehabilitation process. Description of disability and occupational reintegration process. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2013 Dec. 15 [cited 2024 May 18];23(2). Available from: https://revistacmfr.org/index.php/rcmfr/article/view/67

Downloads

Download data is not yet available.

Published

2013-12-15

Issue

Section

Original articles
QR Code

Some similar items: