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ISSN: 2329-9096

International Journal of Physical Medicine & Rehabilitation
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Review Article

Environment and the Daily Functioning of Jordanian Patients with Stroke: An Exploratory Study

Hawamdeh Z1, Hamed R2* and Al-Yaya E3,4

1Department of Special Surgery, Faculty of Medicine, University of Jordan, Amman, Jordan

2Department of Occupational Therapy, School of Health Professions, New York Institute of Technology NY, USA

3Department of Physical Therapy, Faculty of Rehabilitation Sciences, University of Jordan, Amman, Jordan

4Movement Science Group, Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK

*Corresponding Author:
Hamed R
Northern Boulevard
P.O.Box 8000, Old Westbury
NY, 11568, USA
Tel: 15166863863
Email: [email protected]

Received date: January 22, 2015 Accepted date: June 25, 2015 Published date: June 27, 2015

Citation:Hawamdeh Z, Hamed R, Al-Yaya E (2015) Environment and the Daily Functioning of Jordanian Patients with Stroke: An Exploratory Study. Int J Phys Med Rehabil 3: 288. doi:10.4172/2329-9096.1000288

Copyright: ©2015 Hawamdeh Z, 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.


Purpose: Environment as described in the ICF can significantly affect the daily functioning of patients with long-term disabilities such as stroke. The purpose of this study is to explore barriers in the environment surrounding Jordanian patients with stroke.

Methods: A sample of 116 patients with stroke was recruited. A questionnaire listing the environmental factors as described in the ICF was used to explore patients’ perception on the level of hinderness each factor imposes on their daily functioning. Patients were also asked to report the availability of necessary services they need in rehabilitation. Additionally, correlations were explored between patients’ demographic and illness-related characteristics.

Results: External environmental factors such as sidewalks, other drivers, and noise in public places were perceived by the patients as hindering to daily functioning. Psychological services were reported to be provided the least in rehabilitation. Moderate but significant correlations were found between patients’ perceived level of independence and patient’s level of participation(r=0.56, p<0.000), as well as use of assistive devices (r=0.51, p<0.000).

Conclusions: Exploring the effect of environmental factors on the daily functioning of patients with stroke is important when planning intervention. Special attention must be given to the effect of external environmental factors where patients have minimal control over the surroundings.


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