Self-motivation, functional ability and participation among stroke survivors’ resident in Ibadan Metropolis, Nigeria

Abstract

Background: Stroke is a leading cause of death both globally, and in Africa. The attendant effect of the stroke is disability, loss of function and psychosocial issues. Studies have been carried out on different rehabilitation outcomes such as participation, self-motivation and functional ability related to stroke survivors. There is however a dearth of studies exploring the relationships among self-motivation, functional ability and participation of stroke survivors, particularly in our African community.
Objectives: Relationship among participation, self-motivation and functional ability of stroke survivors residing in Ibadan was investigated.
Methods: This was a cross-sectional survey which involved 44 consenting stroke survivors. Clinical and demographic information were documented. Self-motivation, functional ability and participation of the stroke survivors were assessed with the Self-Motivation Inventory, Fugl-Meyer Assessment of Motor Recovery after Stroke; and London Handicap Scale respectively. Data was analysed with descriptive statistics and inferential statistics of Spearman Rank Correlation at p= 0.05.
Results: There was a statistically significant positive correlation between the time since onset of stroke scores and participation (p= 0.02) and between the stroke survivors‘ functional ability and participation scores (p=0.001). Conversely there was no significant relationship between the participants‘ functional ability and time since onset of stroke scores (p= 0.62), between stroke survivors‘ self-motivation and time since onset of stroke scores (p= 0.41), between self-motivation and participation (p=0.80) and between self-motivation and functional ability scores (p= 0.80)
Conclusions: Whereas self-motivation appeared non-related to functional ability and participation, a more exploration of the subject matter is still necessary for a conclusive inference to be drawn, especially in view of the sample size involved in this present study.

French title: Auto-motivation, capacite fonctionnelle et participation chez les survivants d'avc residant dans la metropole d’Ibadan au Nigeria