{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:19:47Z","timestamp":1783948787557,"version":"3.55.0"},"reference-count":58,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Stroke survivors often face challenges with basic activities of daily living (ADLs), which can compromise their health by making it difficult to perform everyday tasks independently. These limitations frequently lead to sedentariness, increased morbidity, and mortality. Although the prevalence of post\u2010stroke limitations in basic ADLs varies significantly among studies, there is a general lack of data, particularly from Ethiopia. This lack of research hinders a comprehensive understanding of the extent of ADL limitations among stroke survivors in the region and their associated health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To assess the extent of post\u2010stroke limitation in basic ADL and identify associated factors among stroke survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      An institution\u2010based cross\u2010sectional study was conducted from April 1 to June 30, 2022. We selected 400 participants using systematic random sampling. The Barthel Index was used to assess limitations on ADL post\u2010stroke participants. We checked for multicollinearity and model fitness. Variables with a\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value below 0.25 in bivariable regression were included in a multivariable logistic regression analysis, considering a\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value below 0.05 as statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The overall prevalence of post\u2010stroke limitations in basic ADL was 58.25%. Significant associations were found with symptoms of depression (odds ratio [OR]\u2009=\u20091.69, 95% confidence interval [CI]\u2009=\u20090.88\u20132.49;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), right hemisphere stroke (OR\u2009=\u20091.79, 95% CI\u2009=\u20093.58\u20135.01;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), absence of early physiotherapy (OR\u2009=\u20091.88, 95% CI\u2009=\u20090.19\u20131.58;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), and use of mobility aids (OR\u2009=\u20091.81, 95% CI\u2009=\u20090.17\u20131.44;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study highlights the high prevalence of limitations in basic ADL following a stroke, with significant associations found with factors such as stroke in the right hemisphere, lack of early physiotherapy, use of mobility aids, and depressive symptoms. These findings emphasize the need for early rehabilitation interventions, particularly physiotherapy, and addressing mental health to improve recovery outcomes. Healthcare providers should focus on individualized care plans that include physical and psychological support to better manage post\u2010stroke limitations and enhance the quality of life for stroke survivors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.71884","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T05:22:43Z","timestamp":1771478563000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Post\u2010Stroke Limitations on Activities of Daily Living and Associated Factors in Public Tertiary Hospitals in Amhara Regional State, Ethiopia: A Multicenter Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6563-6972","authenticated-orcid":false,"given":"Melese","family":"Gobezie","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, School of Medicine University of Gondar Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Getachew Azeze","family":"Eriku","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, School of Medicine University of Gondar Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tesfa","family":"Kassa","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, School of Medicine University of Gondar Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Destaw Marie","family":"Merawie","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, School of Medicine University of Gondar Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samual Mersha","family":"Birru","sequence":"additional","affiliation":[{"name":"Department of Nurse, School of Nursing, College of Medicine and Health Sciences University of Gondar Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Setegn","family":"Fentahun","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine, College of Medicine and Health Sciences University of Gondar Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6799-1900","authenticated-orcid":false,"given":"Gerum","family":"Nakie","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine, College of Medicine and Health Sciences University of Gondar Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jemal","family":"Suliuman","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, School of Medicine University of Gondar Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3146-1715","authenticated-orcid":false,"given":"Mulualem","family":"Kelebie","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine, College of Medicine and Health Sciences University of Gondar Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alemu Kassaw","family":"Kibret","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, School of Medicine University of Gondar Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,18]]},"reference":[{"issue":"1","key":"e_1_2_13_2_1","first-page":"113","article-title":"Cerebrovascular Disease in the Community: Results of a WHO Collaborative Study","volume":"58","author":"Aho K.","year":"1980","journal-title":"Bulletin of the World Health Organization"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1747493018772747"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.116.308413"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)66702-5"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0b013e3181e7512b"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns2012.09.27.1.35.c9269"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.5830\/CVJA-2015-038"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41582-021-00542-4"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0259244"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/7202657"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S442507"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(94)90294-1"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/096382899297684"},{"issue":"7","key":"e_1_2_13_15_1","first-page":"525","article-title":"US Cost Burden of Ischemic Stroke: A Systematic Literature Review","volume":"16","author":"Demaerschalk B. 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