Value of activities and participation of patients with circulation diseases

The aim of our study was to evaluate the disturbances of activities and participation of inpatients after stroke and myocardium infarction. Activities and participation disorders were evaluated by international classification of functioning, disability and health. Our study material consisted of inpatients after stroke (I group) and inpatients after myocardium infarction (II group). The age average was 70.4+/-7.4 years in the first group and 65.7+/-11.7 years in the second group. Activities and participation were respected by the following scale: 0--no difficulty, 1--mild difficulty, 2--moderate difficulty, 3--severe difficulty, 4--complete difficulty. We determined, that changing and maintaining body position, learning to write, moving around activities were the most confused (3-4); thinking and copying were confused moderately (2) in the first group. Changing and maintaining body position, focusing attention, calculating and handling stress activities were confused moderately (2) in the second group. International classification of functioning, disability and health allows evaluating activity limitations and participation restrictions in blood circulation disorders. We noticed, that basic learning, applying knowledge, general tasks and demands, communication, maintaining a body position, and self-care were more confused in patients after stroke. Moving around, focusing attention, and handling stress were more confused in patients after myocardium infarction. It is important to evaluate activity limitation and participation restrictions for determining the extent of rehabilitation.