To study evolution of quality of life and activities limitations of hemiplegics patients the first three months after the onset of their disease.

Prospective, longitudinal study aimed to be descriptive and analytical type. It consisted in evaluation quality of life (using EuroQOL and SF 36 scale), activities limitations (using Barthel and MRS scores) and superiors functions (with MMSE) of 38 hemiplegics patients, once a month for three months, from August 2015 to January 2016. They were without impairment of comprehension, in acute phase, residing in Cotonou or its surroundings and having consented to participate to the study. Evolution of their parameters was evaluated for each month by comparing changes in scores of parameters for the evaluation period with the mean of recovery score of patients.

Disorders of superior functions were observed 89.5%. It was about hemineglect, apraxia, asomatognosia, anosognosia and expression aphasia. Already in the first month, whether activities limitations or quality of life, they have improved. As for disorders of superior functions, they were generally stable in the first month (85.3%) or the second one (64.8%). Evolution of patients quality of life was significantly associated with their activities limitations.

This study allowed to consider early the prognostic factors of the functional recovery and to set rehabilitation objective in order to optimize management of hemiplegics patients.