Brain Impairment


Activity Participation Differences Between Younger and Older Individuals with Stroke

Timothy J. Wolfa1 c1, Joseph K. Breya1, Carolyn Bauma1 and Lisa Tabor Connora1

a1 The Cognitive Rehabilitation Research Group, Washington University School of Medicine, St. Louis, Missouri, USA


The purpose of this study was to describe differences in activity participation between younger and older individuals with stroke to inform transition after stroke. This was a cross-sectional study with individuals six-months poststroke (n = 177). All individuals completed an outcomes assessment battery that included the Stroke Impact Scale, the Reintegration to Normal Living Index and the Activity Card Sort. The sample was divided into two groups: (1) Young — those under the age of 65 (n = 89); and (2) Old — those 65 or older (n = 88). Analysis was completed to examine differences between the groups on the primary outcome measures of the study and to look at differences between the groups on individual questions/items on the specific measures. The results of this study demonstrate: (1) significant differences in both the quantity and nature of activity participation prior to and after stroke between younger and older stroke survivors and (2) total scores and measures of central tendency do not necessarily provide therapists with the information they need to guide treatment. Rehabilitation professionals should focus on providing clients with the tools they will need to be successful in transitioning back to home and community environments once rehabilitation has ended.


  • stroke;
  • rehabilitation;
  • occupational therapy;
  • participation


c1 Address for correspondence: Timothy J. Wolf, Program in Occupational Therapy, Washington University School of Medicine, Campus Box 8505, 4444 Forest Park, St. Louis, MO 63108 USA. E-mail: