Development and Validation of Prognostic Indices for Recovery of Physical Functioning Following Stroke: Part 2

Bates, Barbara; Xie, Dawei; Kwong, Pui L.; Kurichi, Jibby E.; Ripley, Diane Cowper; Davenport, Claire; Vogel, William; Stineman, Margaret G.

doi:10.1016/j.pmrj.2015.01.012

Cited by 12 publications

(13 citation statements)

References 45 publications

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“…The results of a study by Pettersson et al indicates that powered wheelchairs mostly have a positive impact on the quality of life of patients with stroke [16]. But the role of AT in recovery from stroke seems be still underscored and is hard to validate, although walking/wheelchair use is regarded as significant sign of functional independence in post-stroke patients [17,18,19,20].…”

Section: Resultsmentioning

confidence: 99%

Factors influencing use of assistive technology in post-stroke patients – preliminary findings

Mikołajewska

2016

MBS

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S u m m a r y B a c k g r o u n d .Assistive technology (AT) is regarded as one of the most important factors influencing functional recovery and independence in patients after stroke. There is still a need for research on predictors and early identification of AT requirements in order to shape and maximize its positive influence on the recovery process.O b j e c t i v e . To identify and evaluate relationship between selected factors (age, sex, time after cerebrovascular accident) and AT use. R e s u l t s . Among 140 patients involved in the study, the use of AT was as follows: the most common AT equipment were wheelchairs (used by 40.81% of patients), canes (15.71%) and husks (15%). Up to 5 % patients used more than one AT device. Sex, age, time after cerebrovascular accident, and post-stroke complications were important factors influencing AT use in stroke-survivors.C o n c l u s i o n s . Study outcomes confirm important clinical information extending existing studies, especially cooccurrence of AT devices use. S t r e s z c z e n i e W p r o w a d z e n i e . Technologia wspomagająca jest uważana za jeden z najważniejszych czynników wpływa-jących na funkcjonalny powrót do zdrowia i samodzielność pacjentów po udarze. Wciąż jednak potrzebne są badania w zakresie czynników predykcyjnych i wczesnej identyfikacji potrzeb w zakresie technologii wspomagającej, aby kształtować i maksymalizować pozytywny wpływ tej grupy rozwiązań technicznych na proces powrotu do zdrowia. C e l . Identyfikacja i ocena związków pomiędzy wybranymi czynnikami (wiekiem, płcią, czasem po udarze) a wykorzystaniem technologii wspomagającej. W y n i k i . Pośród 140 pacjentów biorących udział w badaniu najczęściej spotykanymi przedmiotem należącymi do technologii wspomagającej były wózki dla osób niepełnosprawnych (używane przez 40,81% badanych), laski (15,71%) i łuski (15%). Do 5% pacjentów wykorzystywało więcej niż jeden przedmiot należący do technologii wspomagających. Płeć, wiek, czas od udaru oraz zmiany wtórne po udarze stanowiły istotne czynniki wpływające na wykorzystanie technologii wspomagającej u pacjentów po udarze.W n i o s k i . Badanie potwierdza ważne klinicznie dane rozszerzając dotychczasowe badania, szczególnie w obszarze jednoczesnego wykorzystywania różnych przedmiotów należących do technologii wspomagającej.

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Section: Resultsmentioning

confidence: 99%

Factors influencing use of assistive technology in post-stroke patients – preliminary findings

Mikołajewska

2016

MBS

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“…The second new observation is that balance impairment is closely related to independent performance on component activities of toileting. Previous studies have shown a relationship between the degree of impairment in TB and psychosomatic impairments . Di Monaco et al reported that balance is one of the most significant predictors of functional independence after stroke .…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have shown a relationship between difficulty in toileting and psychosomatic impairments including, paralysis, balance impairments and cognitive impairments . Therefore, the presence or absence of these impairments was also determined.…”

Section: Methodsmentioning

confidence: 99%

“…Patients with a balance disorder have to use a handrail to avoid falling while carrying out toileting activities. The different component activities of the overall TB are associated with varying degrees of difficulty, which are also dependent on physical and cognitive disorders . However, difficulties associated with specific component activities of toileting and the predictors of physical and cognitive impairments related to independent toileting are unknown.…”

Section: Introductionmentioning

confidence: 99%

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Impairment in toileting behavior after a stroke

Kawanabe¹,

Tanaka

Sasaki

et al. 2018

Geriatrics Gerontology Int

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The component of toileting that was easiest to carry out was cutting the toilet paper, and the most difficult was wearing pants. Balance impairment was an independent predictor of independent toileting after stroke. This detailed toileting assessment enabled us to document the most difficult components of toileting, and to assess the motor and process skills required for independent toileting. Geriatr Gerontol Int 2018; 18: 1166-1172.

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“…According to many authors [5][6][7][8][9], only one in five patients completely recovers all movement of their upper limbs after a stroke. Poor recovery is often the result, not only of the sizes and localization of the poststroke foci, but of such diseases as diabetes mellitus, arterial hypertension, cardiovascular insufficiency, deep vein thrombosis of the legs, osteoporosis and epilepsy, and this considerably complicates the course of recovery and impairs the outcomes [10][11][12][13]. These factors present a difficult background that it is hard to modify in the acute and subsequent periods, however, there is also a second group of factors involved in limiting the effectiveness of rehabilitation and these can be partially corrected.…”

mentioning

confidence: 99%

Robotic and Mechanotherapeutic Technology to Restore the Functions of the Upper Limbs: Prospects for Development (Review)

Черникова¹,

Супонева²,

Klochkov³

et al. 2016

Sovrem Tehnol Med

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We have analyzed the advantages and disadvantages of the robotic and mechanotherapeutic technologies used for rehabilitation of the upper limbs. Robotic and mechanotherapeutic devices started as simple controllers and upper limb weight support systems in kinesitherapy, but have subsequently shown their potential as systems for providing task oriented movement training, by efforts to maximize the correspondence between the features of anatomical and biomechanical arms. Integration of functional neuromuscular electrostimulation with robotic and mechanotherapeutic technology considerably widens the possibilities of using robots for rehabilitation and for providing mechanical assistance, while the appearance of portable and fixed exoskeletons is leading to completely new devices based on both rehabilitation and assistive technologies. Currently prototypes of robotic assistive and rehabilitation devices controlled by brain-computer interfaces are being developed.

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Development and Validation of Prognostic Indices for Recovery of Physical Functioning Following Stroke: Part 2

Abstract: Functional recovery to physical grade VI can be predicted on the basis of patients' initial status after a stroke occurs and the type of rehabilitation services to be provided by using a simple scoring system.

Cited by 12 publications

References 45 publications

Factors influencing use of assistive technology in post-stroke patients – preliminary findings

Factors influencing use of assistive technology in post-stroke patients – preliminary findings

Impairment in toileting behavior after a stroke

Robotic and Mechanotherapeutic Technology to Restore the Functions of the Upper Limbs: Prospects for Development (Review)

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