Factors Influencing Toileting Task Performance among Patients with Subacute Stroke: A Cross-sectional Study

Abstract

Background: In individuals recovering from subacute strokes, toileting task performance is a critical aspect of daily living affected by various physical and cognitive factors. Understanding the predictors influencing toileting abilities is vital for optimizing rehabilitation strategies and improving the quality of life for stroke survivors. Aim: This study aims to comprehensively assess the clinical, and functional characteristics of stroke survivors and to identify key predictors impacting their ability to perform toileting tasks. Method: A quantitative cross-sectional study design was employed among 81 stroke survivors undergoing rehabilitation in Dhaka, Bangladesh, through structured survey questionnaires and standardized assessments. Descriptive statistical analysis was then conducted using SPSS version 20 to explore the relationships between toileting task performance and various physical and functional domains and to identify predictors of toileting task performance among stroke survivors. Result: The study identified moderate significant correlation was found with different variables between toileting task performance and upper extremity motor function (p<0.001), lower extremity motor function (p<0.001), overall motor function (p < 0.001), sensory function (p<0.001), and cognitive function (p < 0.01). There is a strong positive correlation between toileting task performance and balance (p<0.001). Regression analysis highlighted balance (β= 0.550, p <0.001) suggesting a notable impact on toileting task performance and cognition (β = 0.268, p= 0.001) as strong predictors of toileting task Abstract performance, underscoring their importance in rehabilitation interventions for subacute stroke patients. Conclusion: Addressing balance and cognitive impairments is crucial for enhancing toileting task performance and overall functional independence in subacute stroke patients. Individualized treatment approach should be undertaken according to severity of impairment. Keywords: Subacute stroke, toileting task performance, rehabilitation, upper extremity motor function, lower extremity motor function, balance, sensory function, cognitive function, predictors