Effects of physical therapy on mental function in patients with stroke

Abstract

Objective In this study, we aimed to determine the effects of physical therapy intervention on mental function in patients with stroke. Methods In this retrospective experimental study, we included 134 patients previously diagnosed with anxiety and depression who presented to our outdoor physical therapy clinic with hemiplegia owing to stroke during 2016 to 2018. The main interventions were neurodevelopmental techniques, strength training, stationary cycling, and shoulder wheel exercise. The treatment duration was 6 months, 5 days a week. Key outcome measurement tools included the Patient Health Questionnaire-9 (PHQ-9), Disability Rating Scale (DRS), and Functional Independent Measure (FIM). Baseline and post-interventional measurements were compared using a paired-sample t-test. Results Baseline scores on the PHQ-9, DRS, and FIM were 24.77±1.24, 19.67±1.25, and 20.77±1.74, respectively; post-intervention scores on these three scales were 9.08±0.49, 7.78±1.49, and 82.52±10.03 respectively. In the comparison, significant differences were observed between baseline and post-interventional scores. Conclusion We found that physiotherapy interventions improved motor function in patients with stroke as well as their mental function. Patients with stroke with impaired mental function can improve by participating in a physiotherapy treatment program.

Effects of Visual Art Therapy on Positive Symptoms, Negative Symptoms, and Emotions in Individuals with Schizophrenia: A Systematic Review and Meta-Analysis

“…The studies were published between 2005 and 2023, with sample sizes ranging from 22 to 140. Two studies were conducted in the United Kingdom [ 35 , 36 ], two in Taiwan [ 37 , 38 ], one each in Germany [ 39 ] and Turkey [ 40 ], and the remaining twenty-five in China [ 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 ]. A total of 3037 individuals with schizophrenia participated in these studies.…”

“…One study was conducted in a forensic mental health setting [ 52 ], and the remaining twenty-six studies were conducted in hospital settings. In terms of visual art therapy modalities, nineteen studies primarily employed painting [ 35 , 36 , 37 , 39 , 40 , 42 , 43 , 44 , 45 , 47 , 48 , 51 , 52 , 53 , 54 , 56 , 57 , 58 , 64 ], six studies utilized handcrafts [ 46 , 49 , 50 , 61 , 62 , 63 ], two studies solely focused on calligraphy [ 38 , 65 ], and four studies combined painting with calligraphy [ 41 , 58 , 59 , 60 ].…”

Patients’ and professionals’ perspectives on the consideration of patients’ convenient therapy periods as part of personalised rehabilitation: a focus group study with patients and therapists from inpatient neurological rehabilitation

“…For example, mental functions are commonly assessed to identify need for treatment or to evaluate the outcome of health care and rehabilitation interventions [ 57 – 59 ]. However, mental functions are assessed to determine impairment and therapy outcomes [ 59 , 60 ], but not as indicators for patients’ momentary ability to benefit from a therapy session.…”

Exploring the complex pathways between somatosensory impairment, physical ability and affective symptoms following stroke: mediation analyses

“…Thus, rehabilitation professionals especially pay attention to muscle strength, the flexibility of a joint, and patients' daily life functioning. Yuan et al, for example, found that improving muscle strength in patients with stroke can be beneficial for the management of patients with mental health disorders (14). Therefore, in the study, we assume that physical activity is negatively associated with affective symptoms.…”