Stroke Community Rehabilitation Centre (SCORE): A community transformation program

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Beh Wen Fen
Lydia Abdul Latif


Stroke is the second most prevalent disease in Malaysia, so promoting awareness of stroke is essential as it is preventable and treatable if action is prompt. Long-term rehabilitation at the community level is also crucial to reducing congestion in acute care hospitals. Hence, establishing an evidence-based community rehabilitation centre would help educate the community and support the welfare of stroke survivors.

This article discusses a community-engagement initiative launched by experts from University Malaya Rehabilitation Medicine in partnership with Pusat Pemulihan Kesihatan (PERKIM), a religious and social welfare organisation in Malaysia, to transform an existing non-functional community centre run by PERKIM into the Stroke Community Rehabilitation Centre (SCORE). This was achieved through the provision of expert input into how to improve service provision, knowledge transfer to the community, and implementation of more thematic and creative components to the model of care currently offered. Importantly, under this new model, stroke survivors and the wider community would be considered learners and active participants in their own care, not mere passive recipients of charity.

Since its inception in 2016, the number of patients has almost doubled, increasing to over 100. Thus, the Stroke Community Rehabilitation Centre benefits the stroke community by providing resources and education to facilitate recovery at a reduced cost to hospital-based care. With its adherence to the recommended features of the community-based rehabilitation model, as outlined by WHO, the success of SCORE is an exemplary model for future stroke community rehabilitation centres in Malaysia.

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1. Tan KS & Venketasubramanian N. Stroke burden in Malaysia. Cerebrovasc Dis Extra. 2022 Mar 24; 12(2): 58–62.
2. GBD 2015 Disease and Injury Incidence and Prevalence Collaborators (2016). Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet (London, England), 388(10053), 1545–1602.
3. Clarke, D. J., & Forster, A. (2015). Improving post-stroke recovery: the role of the multidisciplinary health care team. Journal of multidisciplinary healthcare, 8, 433–442.
4. Akhavan Hejazi SM, Mazlan M, Abdullah SJ & Engkasan JP. Cost of post-stroke outpatient care in Malaysia. Singapore Med J. 2015 Feb; 56(2):116-119.
5. Rutkowski, N. A., Sabri, E., & Yang, C. (2021). Post-stroke fatigue: A factor associated with inability to return to work in patients <60 years-A 1-year follow-up. PloS one, 16(8), e0255538.
6. Mohd Zulkifly MF, Ghazali SE, Che Din N & Subramaniam P. The influence of demographic, clinical, psychological and functional determinants on post-stroke cognitive impairment at day care stroke center, Malaysia. Malays J Med Sci. 2016 Mar; 23(2):53-64.
7. Jee, RC & Abdul Latif L. Return to work after stroke. 2nd JKWPKL& Putrajaya Research Day & 1st Hospital Rehabilitasi Cheras Research Day 2017; 2017 Jul 5.
8. Department of Statistics Malaysia. Available from: (accessed June 15, 2022)
9. Rehabilitation 2030 Initiative. (n.d.), World Health Organisation.
10. Yasin, S., Chan, C. K., Reidpath, D. D., & Allotey, P. (2012). Contextualizing chronicity: a perspective from Malaysia. Globalization and health, 8, 4.
11. Abdul Aziz, A.F., Mohd Nordin, N.A., Abd Aziz, N. et al. Care for post-stroke patients at Malaysian public health centres: self-reported practices of family medicine specialists. BMC Fam Pract 15, 40 (2014).
12. Hwong WY, Ang SH, Bots ML, Sivasampu S, Selvarajah S, Law WC, et al.. Trends of Stroke Incidence and 28-Day All-Cause Mortality after a Stroke in Malaysia: A Linkage of National Data Sources. Global Heart. 2021;16(1):39. DOI: