Volume 9, Issue 1 (Continuously Updated- In press 2026)
Func Disabil J 2026, 9(1): 0-0 |
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Ogunlana M O, Govender P, Oyewole O O, Nwosu I B. Adult Stroke Survivors’ Reintegration to Normal Living: A Scoping Review. Func Disabil J 2026; 9 (1)
URL: http://fdj.iums.ac.ir/article-1-348-en.html
URL: http://fdj.iums.ac.ir/article-1-348-en.html
1- Division of Occupational Therapy, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa. , opeoluwamic@yahoo.com
2- Division of Occupational Therapy, School of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
3- Division of Occupational Therapy, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa. & Division of Occupational Therapy, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
4- Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, Nnamdi Azikiwe University, Awka, Nigeria.
2- Division of Occupational Therapy, School of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
3- Division of Occupational Therapy, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa. & Division of Occupational Therapy, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
4- Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, Nnamdi Azikiwe University, Awka, Nigeria.
Abstract: (47 Views)
Background and Objectives: Stroke is a leading cause of long-term disability globally. Successful recovery depends on reintegration to normal living (RNL); a synthesis of the drivers of RNL across global contexts remains incomplete. This study aimed to systematically map and synthesise evidence on the determinants, interventions, and outcome measures associated with adult stroke survivors’ RNL.
Methods: Guided by the Arksey and O’Malley framework and PRISMA-ScR guidelines, a systematic search of five databases (PubMed, CINAHL, Health Source, Web of Science, and Scopus) was conducted for studies published between January 1995 and December 2024. Inclusion criteria focused on peer-reviewed primary research involving adult stroke survivors (≥18 years) exploring RNL determinants or interventions.
Results: Fifty-five studies met the inclusion criteria (44 quantitative, 10 qualitative, and 1 mixed-method). Quantitative synthesis revealed that motor function and mobility were the most frequently identified significant predictors in 36% of quantitative studies. Psychosocial factors, including depression (14%) and social support (18%), were consistently linked to RNL outcomes. The RNL Index (RNLI) was the predominant measure, utilized by 57% of the included studies. Qualitative synthesis highlighted environmental barriers and the fear of falling as primary inhibitors of social participation. Effective interventions included occupational coaching, family-centred programs, and Telehealth-based self-management.
Conclusion: Return to normal living is governed by a complex interplay of physical and environmental factors. While mobility is a primary driver, emotional health and social support are equally critical. Clinical implications: Rehabilitation should shift from impairment-based models to environment-specific strategies. Providers must prioritize gait threshold attainment, address post-stroke depression, and facilitate caregiver involvement to ensure sustainable community reintegration.
Methods: Guided by the Arksey and O’Malley framework and PRISMA-ScR guidelines, a systematic search of five databases (PubMed, CINAHL, Health Source, Web of Science, and Scopus) was conducted for studies published between January 1995 and December 2024. Inclusion criteria focused on peer-reviewed primary research involving adult stroke survivors (≥18 years) exploring RNL determinants or interventions.
Results: Fifty-five studies met the inclusion criteria (44 quantitative, 10 qualitative, and 1 mixed-method). Quantitative synthesis revealed that motor function and mobility were the most frequently identified significant predictors in 36% of quantitative studies. Psychosocial factors, including depression (14%) and social support (18%), were consistently linked to RNL outcomes. The RNL Index (RNLI) was the predominant measure, utilized by 57% of the included studies. Qualitative synthesis highlighted environmental barriers and the fear of falling as primary inhibitors of social participation. Effective interventions included occupational coaching, family-centred programs, and Telehealth-based self-management.
Conclusion: Return to normal living is governed by a complex interplay of physical and environmental factors. While mobility is a primary driver, emotional health and social support are equally critical. Clinical implications: Rehabilitation should shift from impairment-based models to environment-specific strategies. Providers must prioritize gait threshold attainment, address post-stroke depression, and facilitate caregiver involvement to ensure sustainable community reintegration.
Keywords: Stroke, Community reintegration, Reintegration to normal living (RNL), Rehabilitation, Stroke survivors, Determinants, Interventions
Type of Study: Review Article |
Subject:
Rehabilitation management
Received: 2026/01/7 | Accepted: 2026/02/18 | Published: 2026/03/10
Received: 2026/01/7 | Accepted: 2026/02/18 | Published: 2026/03/10
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