A path analysis model for grooming performance in stroke patients

Fujita, Takaaki; Sato, Atsushi; Iokawa, Kazuaki; Yamane, Kazuhiro; Yamamoto, Yuichi; Tsuchiya, Kenji J.; Ohira, Yoko; Otsuki, Koji

doi:10.1080/09638288.2018.1483431

Cited by 8 publications

(6 citation statements)

References 31 publications

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“…These results remained even after adjusting for the weekly total therapy time. Furthermore, the additional PT + OT group showed greater improvement than the other groups in terms of self‐care tasks, such as grooming, bathing, and dressing, which may reflect the need for both PT and OT interventions to address impairments in balance and upper limb function 36‐38 . These results suggest that the combination of additional PT and OT is important rather than simply adding more therapy.…”

Section: Discussionmentioning

confidence: 90%

“…Furthermore, the additional PT + OT group showed greater improvement than the other groups in terms of self-care tasks, such as grooming, bathing, and dressing, which may reflect the need for both PT and OT interventions to address impairments in balance and upper limb function. [36][37][38] These results suggest that the combination of additional PT and OT is important rather than simply adding more therapy. Thus, increasing the amount of both PT and OT in addition to conventional rehabilitation therapy may be useful for promoting functional recovery in patients with subacute stroke.…”

Section: Discussionmentioning

confidence: 91%

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Effects of different rehabilitation provision systems on functional recovery in patients with subacute stroke

Kimura

Suzuki

Ichikawa

et al. 2021

PM&R

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Background The extent of rehabilitation is a key element in promoting functional recovery in patients with stroke. However, the type of rehabilitation therapy that should be provided to improve functional outcomes remains unclear. Objective To compare the effects of three different rehabilitation provision systems, namely conventional rehabilitation therapy, conventional rehabilitation therapy plus physical therapy (PT) on weekends, and conventional rehabilitation therapy plus PT and occupational therapy (OT) on weekends, on functional recovery in patients with subacute stroke. Design Retrospective observational cohort study. Setting Convalescence rehabilitation hospital. Patients Three hundred one patients with subacute stroke (mean age, 69.7 ± 12.8 years). Interventions Patients were classified into three groups according to rehabilitation therapy they received: a conventional group (only weekdays PT and OT; n = 70), an additional PT group (additional PT on weekends; n = 119), and an additional PT + OT group (additional PT and OT on weekends; n = 112). Main Outcome Measure Functional Independence Measure (FIM) effectiveness was calculated as (discharge FIM ‐ admission FIM/maximum FIM − admission FIM) × 100. A multivariate general linear model was used to assess the difference in FIM effectiveness among the groups. Results The mean FIM effectiveness in the conventional, additional PT, and additional PT + OT groups were 39.3 ± 30.1, 43.4 ± 33.2, and 54.3 ± 29.1, respectively. The multivariate analysis revealed a significant difference in FIM effectiveness among the three groups (p = .036), and the ηp2 was 0.02, indicating a small effect. The additional PT + OT group showed significantly greater improvements in FIM effectiveness than the conventional group (mean difference = 8.78, SE = 3.58, 95% confidence interval: 0.17–17.39). Conclusions This study showed that the additional PT + OT group had better functional recovery than did the conventional group. This indicates that increasing the amount of both PT and OT can promote poststroke functional recovery.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 91%

Effects of different rehabilitation provision systems on functional recovery in patients with subacute stroke

Kimura

Suzuki

Ichikawa

et al. 2021

PM&R

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“…The relationship between independence in ADLs and balance at 1, 2, and 3 months after stroke onset was examined. We collected and analyzed the scores of toilet, dressing, grooming, and stairs items in the FIM ® instrument 15) , which have been reportedly strongly associated with balance [7][8][9][10][11][12] . As for dressing, the lower score on FIM ® instrument for dressing the upper and lower body was adopted in this study.…”

Section: Methodsmentioning

confidence: 99%

“…Impaired balance is a well-characterized sequela associated with stroke 1) , and there are several investigations showing a strong association of the impaired balance of these patients with their independence and ability to perform activities of daily living (ADLs) [1][2][3][4][5][6] . The analysis of individual ADLs has also demonstrated an association between balance and the ability to use the toilet 7) , get dressed 8,9) , groom 10,11) , and climb/descend stairs 12) , and the cutoff JAHS 12(1): 24-30, 2021 25 values of balance required for independence in these ADLs have been reported 7,9,10,12) . The cutoff values of balance related to independence in ADLs can be used as a target value for rehabilitation.…”

Section: Introductionmentioning

confidence: 98%

Relationship between post stroke duration and balance function necessary for performing activities of daily living independently in stroke patients on the convalescence

Fujita

Kisara²,

Iokawa

et al. 2021

Journal of allied health sciences

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Several previous studies have reported the balance cut-off value associated with activities of daily living independence in patients who suffered a stroke; however, the cut-off value may change over time post a stroke. If these cut-off values after the stroke are clarified according to the period, they will become more appropriate target values for rehabilitation. This retrospective observational study included 157 first-stroke patients. The area under the receiver operating characteristic curves were calculated using an independent/dependent group of activities of daily living items serving as dependent variables and the Berg balance scale scores serving as independent variables. Measurements were made at 1-, 2-, and 3-month after the stroke. Cutoff values were calculated if the receiver operating characteristic curves were >0.9. The Berg Balance Scale cutoff value for classifying the independence of toileting was 43 points at the 1-month, 42 points at the 2-month, and 39 points at the 3-month after stroke. The cutoff values for dressing was 44 points at the 1-month, 41 points at the 2-month, and 41 points at the 3-month after stroke. The cutoff values for stair-climbing ability were 53 points at the 2-month and 49 points at the 3-month after stroke. Our results indicated the cut-off values of balance associated with activities of daily living independence at each time point at 1, 2, and 3 months after the onset of stroke were clarified, and these are expected to help set the target value for rehabilitation considering the time post the onset of stroke in convalescence rehabilitation wards

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“…This is an extension to multiple regression allowing the examination of more complicated and realistic models (Streiner, 2005) and simultaneous estimation of statistical parameters (path-coefficients) for direct and indirect (i.e. mediation) effects (for examples see (Fujita et al, 2019;Gündner et al, 2019; S. R. ).…”

Section: Figure 2 Path-diagram Of Hypothesized Modelmentioning

confidence: 99%

Pre-trauma memory contextualization as predictor for PTSD-like behavior in male rats

Sep

Sarabdjitsingh

Geuze

et al. 2021

Preprint

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While many people experience potentially threatening events during their life, only a minority develops posttraumatic stress disorder (PTSD). The identification of individuals at risk among those exposed to trauma is crucial for PTSD prevention in the future. Since re-experiencing trauma elements outside of the original trauma-context is a core feature of PTSD, we investigate if the ability to bind memories to their original encoding context (i.e. memory contextualisation) predicts PTSD vulnerability. We hypothesize that pre-trauma neutral memory contextualization (under stress) negatively relates to PTSD-like behavior, in a prospective design using the cut-off behavioral criteria rat model for PTSD. 72 male Sprague Dawley rats were divided in two experimental groups to assess the predictive value of 1) memory contextualization without acute stress (NS-group) and 2) memory contextualization during the recovery phase of the acute stress-response (S-group) for susceptibility to PTSD-like behavior. A powerful extension to regression analysis -path analysis- was used to test this specific hypothesis, together with secondary research questions. Following traumatic predator scent stress, 19.4% of the rats displayed PTSD-like behavior. Results showed a negative relation between pre-trauma memory contextualization and PTSD-like behavior, but only in the NS-group. Pre-trauma memory contextualization was positively related to fear association in the trauma environment, again only in the NS group. If the predictive value of pre-trauma contextualization of neutral information under non-stressful conditions for PTSD susceptibility is replicated in prospective studies in humans, this factor would supplement already known vulnerability factors for PTSD and improve the identification of individuals at risk among the trauma exposed, especially those at high trauma risk such as soldiers deployed on a mission.

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A path analysis model for grooming performance in stroke patients

Cited by 8 publications

References 31 publications

Effects of different rehabilitation provision systems on functional recovery in patients with subacute stroke

Effects of different rehabilitation provision systems on functional recovery in patients with subacute stroke

Relationship between post stroke duration and balance function necessary for performing activities of daily living independently in stroke patients on the convalescence

Pre-trauma memory contextualization as predictor for PTSD-like behavior in male rats

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