Evaluation of activity and effectiveness of occupational therapy in stroke patients at the early stage of rehabilitation

Petruševičienė, Daiva; Kriščiūnas, Aleksandras

doi:10.3390/medicina44030028

Cited by 20 publications

(20 citation statements)

References 6 publications

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“…One year decreases internal motivation average score by 0.2 points. The literature indicates that individuals after stroke usually have difficulties in the following activities: the ability to independently use the toilet, bathing, climbing stairs, and the ability to walk or use a wheelchair and to dress lower part of the body [ 8 ]. After having evaluated the individuals' daily activities at the beginning of rehabilitation we found that most problems caused following activities: bathing (2.2±0.2), lower body dressing (2.3±0.2), and climbing the stairs (1.7±0.3).…”

Section: Discussionmentioning

confidence: 99%

Stroke Patients Motivation Influence on the Effectiveness of Occupational Therapy

Rapolienė

Endzelytė

Jasevičienė

et al. 2018

Rehabilitation Research and Practice

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Introduction Individuals who have experienced stroke are often described as apathetic, having lost of interest, and unmotivated. This might be a problem in achieving treatment results. It is still unclear what impact age and gender have on the motivation. The Aim of Research To evaluate motivation influence on the effectiveness of occupational therapy in patients with stroke. Methods Study included 30 patients who experienced acute stroke. Multidimensional Health Locus of Control (MHLC) scale has been used for motivation assessment. Internal persons' motivation was evaluated to determine how much a person believes that his recovery depends on his own behaviour and external persons' motivation—how a person relates his state of health to the impact of the surrounding people. Performance of daily activities was assessed using Functional Independency Measure (FIM). Results At the beginning of rehabilitation of the patients with stroke, external motivation was greater than the internal one. At the end of rehabilitation internal motivation has increased by 1.8±0.4 points, while the external motivation decreased by 2.4±0.6 points (p<0.05). At the beginning of rehabilitation patients independence in activities of daily living assessed with FIM was 70.0±2.9 points. At the end of rehabilitation their ability to perform daily activities improved by 26.9±1.9 points and reached 96.9±2.7 points (p<0.05). We found statistically significant (p<0.05) moderate correlation (r=0.72) between patients internal motivation at the beginning of the rehabilitation and increase of independence after rehabilitation. Conclusion Older patients had lower internal motivation than younger ones, and independence in daily activities improvement was influenced by younger age and by brain damage depth.

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Section: Discussionmentioning

confidence: 99%

Stroke Patients Motivation Influence on the Effectiveness of Occupational Therapy

Rapolienė

Endzelytė

Jasevičienė

et al. 2018

Rehabilitation Research and Practice

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“…For gender, it was reported that occupational therapy had more effect on male patients with stroke than female patients as far as BI and FIM were concerned 4) , and that gender difference is relevant for some risk factors of stroke which may adversely affect ADL 23) . There is also a study 24) on elderly persons at home, which reports that the gender difference was found to be irrelevant for BI but relevant for FAI.…”

Section: Discussionmentioning

confidence: 99%

“…So far, age 2,3) , gender 4) , and depression 5) have been reported as factors influencing Activities of Daily Living (ADL).…”

Section: Introductionmentioning

confidence: 99%

Moderator and Mediator Effects of Personal Factors in Patients with Stroke

2009

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Abstract.[Purpose] The purpose of this study was to examine the influences of personal factors in the social Activities and Participation of patients with stroke in view of moderation and mediation models.[Subjects and Methods] The participants were 85 patients with stroke (30 currently admitted to a hospital, 33 to an institute facility, and 22 at home). Their data were examined through multiple regression analysis with interaction factor (for moderation models) and through path analysis (for mediation models) in order to reveal how personal factors are working in connection with Activities and Participation to body function, and between Activities and Participation. The hypothesized moderators were Self-Rating Depression Scale (SDS), Apathy Scale and General Self-Efficacy Scale (GSES) for Age, Gender and Educational level, and as the mediators, SDS, Apathy Scale and GSES were supposed.[Results] All the examined personal factors were found to function as moderators, but no personal factors were found to act as mediators.[Conclusion] We showed that personal factors influence to Activities and Participation not only by themselves but also in interrelation with other factors.

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“…In the literature there are no recommendations for task-specific training for patients with hemorrhagic stroke. Functional task training involves a task oriented approach in many ADL domains, such as: training of independent eating, bathing or dressing, training of transfer and locomotion [19]. Adaptive equipment (e.g., built-up utensils, walkers, tub benches, grab bars and rails) are useful also in ICH patients to improve safety and functionality at home.…”

Section: Physical Therapy In Ichmentioning

confidence: 99%

Importance of specific rehabilitation methods for patients with intracerebral hemorrage

Stănescu¹,

Cluj-Napoca²,

Dogaru³

et al. 2018

Balneo

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Intracerebral hemorrhage (ICH) is a severe type of stroke which causes bleeding in the brain parenchyma, accounting for 10-15% of all strokes. Prognosis of patients with ICH remains very poor despite new advances in management strategies, and has not improved in the last decades. Disability remains important in ICH survivors, only a small proportion of patients live an independent life after ICH. Development of new strategies in rehabilitation care is expected to improve survival and outcome after intracerebral hemorrhage. The main neurological sequellae after ICH are similar to those seen after ischemic stroke. Given the clinical and pathological differences between the two types of stroke, clinical recovery is expected to be different. Comparisons between rehabilitation results in hemorrhagic versus ischemic stroke have offered mixed results, but all of them agreed that rehabilitation is highly effective after hemorrhagic strokes. There are no standard recommendations regarding the specific procedures used in the rehabilitation program of ICH patients. In the absence of clinical data to guide specific practice, the rehabilitation of ICH patients is largely based on general principles learned from ischemic stroke recovery. Physical therapy, task-specific training, sensory stimulation, use of assistive devices for upper limb or gait functions, speech and language therapy, physiotherapy and balnear therapy are methods used in rehabilitation of patients with hemorrhagic stroke, with improvement in patients functional outcome. There is a need for further development of specific rehabilitation techniques to enhance recovery in ICH patients.

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Evaluation of activity and effectiveness of occupational therapy in stroke patients at the early stage of rehabilitation

Cited by 20 publications

References 6 publications

Stroke Patients Motivation Influence on the Effectiveness of Occupational Therapy

Stroke Patients Motivation Influence on the Effectiveness of Occupational Therapy

Moderator and Mediator Effects of Personal Factors in Patients with Stroke

Importance of specific rehabilitation methods for patients with intracerebral hemorrage

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