Stroke Rehabilitation Outcomes in Pakistan: A Quantitative Analysis of Functional Recovery and Quality of Life

Abstract

Stroke remains a leading cause of disability worldwide, with substantial functional and quality-of-life implications. In Pakistan, limited data exist on rehabilitation outcomes, adherence to physiotherapy protocols, and long-term recovery trajectories. This study aimed to assess functional recovery, mobility, and health-related quality of life among stroke survivors undergoing structured rehabilitation programs in urban and semi-urban Pakistani hospitals. A quantitative, longitudinal design was employed, tracking 250 patients over 12 months. Functional independence was measured using the Modified Rankin Scale (mRS) and Barthel Index (BI), while quality of life was assessed via the Stroke-Specific Quality of Life Scale (SS-QOL). Results indicate significant improvements in mobility and self-care scores over time, though disparities were observed based on gender, age, and comorbidity burden. Rehabilitation adherence positively correlated with outcomes, underscoring the need for tailored physiotherapy interventions. The findings emphasize the importance of structured stroke rehabilitation programs in Pakistan and provide policy-relevant insights for enhancing patient-centered recovery strategies.