Activity, participation, and quality of life 6 months poststroke

Mayo, Nancy E.; Wood-Dauphinée, Sharon; Côté, Robert; Durcan, Liam; Carlton, J.

doi:10.1053/apmr.2002.33984

Cited by 701 publications

(529 citation statements)

References 22 publications

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“…After stroke onset, participation improves in the first three to six months, followed by a stable phase [8][9][10][11]. Several factors have been found to contribute to participation restrictions after stroke, including cognitive deficits [12,13], emotional deficits [14,15], psychological factors [16,17], functional dependency [18], comorbidities [19] and increasing age [14,19,20].…”

Section: Introductionmentioning

confidence: 99%

Long-term restrictions in participation in stroke survivors under and over 70 years of age

Graaf

Mierlo

Post

et al. 2017

Disability and Rehabilitation

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Purpose: This study aims to (1) assess differences in participation restrictions between stroke survivors aged under and over 70 years and (2) identify predictors associated with favorable and unfavorable longterm participation in both age groups. Methods: Prospective cohort study in which 326 patients were assessed at stroke onset, two months and one year after stroke. The Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation) was used to measure participation restrictions one year after stroke. Bivariate and multivariate logistic regression analyses were performed including demographic factors, stroke-related factors, emotional functioning and comorbidity as possible predictors. Results: Stroke survivors aged over 70 years perceived more participation restrictions in comparison to stroke survivors aged under 70 years one year after stroke. Independently significant predictors for unfavorable participation outcomes were advancing age, more severe stroke and anxiety symptoms in patients aged over 70 years, and female gender, more severe stroke, impaired cognition and depression symptoms in patients aged under 70 years. Lower age was the only independent predictor associated with favorable participation after one year in stroke survivors aged over 70 years. Conclusions: This study emphasizes the need to pay more attention to participation restrictions in elderly stroke survivors. ä IMPLICATIONS FOR REHABILITATIONMore attention in the rehabilitation process should be paid to restrictions in participation of stroke survivors aged older than 70 years, taking into account the different participation needs and predictors of older stroke survivors. Early screening on the presence of anxiety symptoms could potentially prevent long-term restrictions in participation in stroke survivors aged over 70-year old. Stroke survivors experience considerable restrictions in physical activity and mobility after one year, highlighting the need for the development of community-based exercise programs for stroke survivors.ARTICLE HISTORY

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Section: Introductionmentioning

confidence: 99%

Long-term restrictions in participation in stroke survivors under and over 70 years of age

Graaf

Mierlo

Post

et al. 2017

Disability and Rehabilitation

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“…Anxiety and depression are frequently observed in people with stroke (McGinnes, 2009), and depression has been found to be strongly associated with poor functional outcomes (Fure, Wyller, Engedal, & Thommessen, 2006;Hackett, Yapa, Parag, & Anderson, 2005;Pohjasvaara, Vataja, Leppävuori, Kaste, & Erkinjuntti, 2001;Schmid, Kroenke, et al, 2011). Activity and participation levels have also been found to be decreased after stroke (Hartman-Maeir, Soroker, Ring, Avni, & Katz, 2007;Mayo, Wood-Dauphinee, Côté, Durcan, & Carlton, 2002).…”

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confidence: 99%

Fear of Falling in People With Chronic Stroke

Schmid

Arnold

Jones

et al. 2015

The American Journal of Occupational Therapy

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OBJECTIVE. We assessed the prevalence of fear of falling (FoF) in a sample of people with chronic stroke and compared multiple variables (balance, anxiety, depression, activity and participation, and stroke severity) in people with and without FoF. METHOD. This study was a secondary analysis of data collected from a cross-sectional study of mobility after stroke in 77 participants with chronic stroke (>6 mo poststroke). RESULTS. Of the 77 participants, 51 (66%) reported experiencing FoF. People with FoF had significantly decreased balance (p < .001) and activity and participation (p = .006) and significantly increased anxiety (p = .007). People with FoF also had significantly worse stroke severity (p = .001). CONCLUSION. FoF is a prevalent concern in the chronic stroke population. The presence of FoF was associated with a variety of negative consequences. Occupational therapy practitioners should address FoF to help clients manage FoF and possibly improve recovery.

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“…O f the estimated 795,000 people in the United States who have a stroke each year, approximately 50% will continue to experience limitations in functional activities, activities of daily living (ADLs), and community reintegration for as many as 6 mo after the stroke, thus highlighting the need for continued innovation in effective stroke rehabilitation approaches (Go et al, 2014;Mayo, Wood-Dauphinee, Côté, Durcan, & Carlton, 2002). Although aerobic exercise has been shown to improve cardiovascular fitness in people with stroke (Stoller, de Bruin, Knols, & Hunt, 2012), its potential role in enhancing neuroplasticity and motor recovery after stroke has not been examined.…”

mentioning

confidence: 99%

Forced Aerobic Exercise Enhances Motor Recovery After Stroke: A Case Report

Linder

Rosenfeldt

Rasanow

et al. 2015

The American Journal of Occupational Therapy

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OBJECTIVE. Previously, we demonstrated that forced aerobic exercise (FE) increases the pattern of neural activation in Parkinson's disease. We sought to evaluate whether FE, when coupled with repetitive task practice, could promote motor recovery poststroke. METHOD.A 46-yr-old man with ischemic stroke exhibited chronic residual upper-extremity deficits, scoring 35/66 on the Fugl-Meyer Assessment (FMA) at baseline. He completed 24 training sessions comprising 45 min of FE on a motorized stationary bicycle followed by 45 min of upper-extremity repetitive task practice. RESULTS.From baseline to end of treatment, the FMA score improved by 20 points, perceived level of recovery on the Stroke Impact Scale increased by 20 percentage points, and cardiovascular function measured by peak oxygen uptake improved 30%. These improvements persisted 4 wk after the intervention ceased.

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Activity, participation, and quality of life 6 months poststroke

Cited by 701 publications

References 22 publications

Long-term restrictions in participation in stroke survivors under and over 70 years of age

Long-term restrictions in participation in stroke survivors under and over 70 years of age

Fear of Falling in People With Chronic Stroke

Forced Aerobic Exercise Enhances Motor Recovery After Stroke: A Case Report

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