Self-body split: Issues of identity in physical recovery following a stroke

Authors: Ellis-Hill, C.S., Payne, S. and Ward, C.

Journal: Disability and Rehabilitation

Volume: 22

Issue: 16

Pages: 725-733

ISSN: 0963-8288

DOI: 10.1080/09638280050191990

Abstract:

Purpose: To explore the perceived life and identity changes described by individuals following a single stroke using a life narrative approach. Method: Individuals admitted to hospital with a stroke, no previous disability, returning home; took part in life narrative interviews in hospital, and six months and one year post-discharge. The Gross Motor subscale of the Rivermead Motor Assessment and Nottingham 10 point Activities of Daily Living Scale were completed. Results: Eight stroke respondents (five male, three female; mean age 67 years (range 56-82). The one year mean motor score was 9 (range 7-11) and self-care score was 9 (range 7-10). All respondents described a fundamental change in their lives and identity. The main issue was a split between themselves and their body. In hospital their body appeared to become separate, precarious and perplexing. By one year the majority still found their body unreliable, and their physical ability influenced by the social setting. Conclusion: The new experience of a split between self and body appears to be the focus of life for at least a year. This study suggests that rehabilitation professionals should consider longer-term (although not necessarily intensive) physical activity programmes that address these psychological as well as neuromuscular changes.

Source: Scopus

Self-body split: issues of identity in physical recovery following a stroke.

Authors: Ellis-Hill, C.S., Payne, S. and Ward, C.

Journal: Disabil Rehabil

Volume: 22

Issue: 16

Pages: 725-733

ISSN: 0963-8288

DOI: 10.1080/09638280050191990

Abstract:

PURPOSE: To explore the perceived life and identity changes described by individuals following a single stroke using a life narrative approach. METHOD: Individuals admitted to hospital with a stroke, no previous disability, returning home; took part in life narrative interviews in hospital, and six months and one year post-discharge. The Gross Motor subscale of the Rivermead Motor Assessment and Nottingham 10 point Activities of Daily Living Scale were completed. RESULTS: Eight stroke respondents (five male, three female; mean age 67 years (range 56-82). The one year mean motor score was 9 (range 7-11) and self-care score was 9 (range 7-10). All respondents described a fundamental change in their lives and identity. The main issue was a split between themselves and their body. In hospital their body appeared to become separate, precarious and perplexing. By one year the majority still found their body unreliable, and their physical ability influenced by the social setting. CONCLUSION: The new experience of a split between self and body appears to be the focus of life for at least a year. This study suggests that rehabilitation professionals should consider longer-term (although not necessarily intensive) physical activity programmes that address these psychological as well as neuromuscular changes.

Source: PubMed

Self-body split: issues of identity in physical recovery following a stroke

Authors: Ellis-Hill, C., Payne, S. and Ward, C.

Journal: Disability and Rehabilitation

Volume: 22

Pages: 725-733

ISSN: 0963-8288

DOI: 10.1080/09638280050191990

Abstract:

Purpose : To explore the perceived life and identity changes described by individuals following a single stroke using a life narrative approach.

Method: Individuals admitted to hospital with a stroke, no previous disability, returning home; took part in life narrative interviews in hospital, and six months and one year postdischarge.

The Gross Motor subscale of the Rivermead Motor Assessment and Nottingham 10 point Activities of Daily Living Scale were completed.

Results : Eight stroke respondents (® ve male, three female; mean age 67 years (range 56± 82). The one year mean motor score was 9 (range 7± 11) and self-care score was 9 (range 7± 10).

All respondents described a fundamental change in their lives and identity. The main issue was a split between themselves and their body. In hospital their body appeared to become separate, precarious and perplexing. By one year the majority still found their body unreliable, and their physical ability in¯ uenced by the social setting.

Conclusion : The new experience of a split between self and body appears to be the focus of life for at least a year. This study suggests that rehabilitation professionals should consider longer-term (although not necessarily intensive) physical activity programmes that address these psychological as well as neuromuscular changes.

Source: Manual

Preferred by: Caroline Ellis-Hill

Self-body split: issues of identity in physical recovery following a stroke.

Authors: Ellis-Hill, C.S., Payne, S. and Ward, C.

Journal: Disability and rehabilitation

Volume: 22

Issue: 16

Pages: 725-733

eISSN: 1464-5165

ISSN: 0963-8288

DOI: 10.1080/09638280050191990

Abstract:

Purpose

To explore the perceived life and identity changes described by individuals following a single stroke using a life narrative approach.

Method

Individuals admitted to hospital with a stroke, no previous disability, returning home; took part in life narrative interviews in hospital, and six months and one year post-discharge. The Gross Motor subscale of the Rivermead Motor Assessment and Nottingham 10 point Activities of Daily Living Scale were completed.

Results

Eight stroke respondents (five male, three female; mean age 67 years (range 56-82). The one year mean motor score was 9 (range 7-11) and self-care score was 9 (range 7-10). All respondents described a fundamental change in their lives and identity. The main issue was a split between themselves and their body. In hospital their body appeared to become separate, precarious and perplexing. By one year the majority still found their body unreliable, and their physical ability influenced by the social setting.

Conclusion

The new experience of a split between self and body appears to be the focus of life for at least a year. This study suggests that rehabilitation professionals should consider longer-term (although not necessarily intensive) physical activity programmes that address these psychological as well as neuromuscular changes.

Source: Europe PubMed Central