Impact of Motor, Cognitive, and Perceptual Disorders on Ability to Perform Activities of Daily Living After Stroke

Mercier, Louisette; Audet, Thérèse; Hébert, Réjean; Rochette, Annie; Dubois, Marie‐France

doi:10.1161/hs1101.098154

Cited by 267 publications

(147 citation statements)

References 32 publications

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“…This restriction is still present three and six months after the return home. This is in agreement with studies showing that visuoperceptuual deficits have a negative impact on functional autonomy (Mercier et al, 2001a;Edmans & Lincoln, 1990;Smith, Akhtar & Garraway, 1983). Participation and severity of stroke, estimated by the use of a walking aid, are both related.…”

Section: Discussionsupporting

confidence: 91%

Visuoperceptual deficits and participation in older adults after stroke

Beaudoin

Fournier

Julien-Caron

et al. 2013

Aus Occup Therapy J

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This is the peer reviewed version of the following article: Beaudoin, A. J., Fournier, B., JulienCaron, L., Moleski, L., Simard, J., Mercier, L., & Desrosiers, J. (2013). Visuoperceptual deficits and participation in older adults after stroke. Australian Occupational Therapy Journal, 60, 260-266 which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/1440-1630.12046/abstract. This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving. 2 AbstractIntroduction: Visuoperceptual deficits frequently occur after a stroke but little is known about how they evolve over time. These deficits may have an impact on participation in daily activities and social roles. Objectives: The aims were to 1) track changes over six months in the visual perception of older adults with persistent visuoperceptual deficits after a stroke; 2) examine if these changes differed between participants who had and had not received rehabilitation services; and 3) verify if participation differed between participants with and without visuoperceptual deficits. Methods: Visual perception as well as participation of 189 older adults who had had a stroke were evaluated in the first month (T1) after being discharged home from an acute care hospital (NO REHAB group) or rehabilitation unit (REHAB group). For visual perception, only participants presenting deficits at T1 were re-evaluated at 3 months (T2; n=93), and those with deficits at T2 were re-evaluated at 6 months (T3; n=61). Results: A total of 57 people (30.2%) had visuoperceptual deficits six months after discharge home. Despite persistent deficits, approximately 45% of the participants in the two groups improved while 50% of the NO REHAB group and 24.3% of the REHAB group deteriorated. Changes in the mean scores on the MVPT-V were similar in the two groups. Participation, and especially participation in social roles, was more restricted in participants with visuoperceptual deficits (p<0.001), whatever the severity of the stroke. Conclusion: Visuoperceptual deficits are common post-stroke. However, they evolve differently in different people and are associated with a reduction in participation.3

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Section: Discussionsupporting

confidence: 91%

Visuoperceptual deficits and participation in older adults after stroke

Beaudoin

Fournier

Julien-Caron

et al. 2013

Aus Occup Therapy J

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“…Secondly, the close relationship between the outcomes may contribute to a synergistic effect of treatment, which has previously been observed for cognitive impairment and depression. 23 Limb recovery is an important contributor to improved ability, 24 and our results suggested significant improvements in the IMR group for MBI and FMA at the same time point (week 20). When a patient with stroke gains improved use of their limbs they may intuitively feel less depressed.…”

Section: Safety Resultsmentioning

confidence: 63%

Retraction: Effect of Acupuncture and Chinese Herbal Medicine on Subacute Stroke Outcomes: A Single Center Randomized Controlled Trial

et al. 2018

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“…Previous studies have reported that balance function is associated with the level of independence in overall ADLs [13][14][15] . The Berg Balance Scale (BBS), which is a balance assessment, has been found to be associated with differences in toileting ability between an independent group and a supervision group 16 ) ; however, BBS is not associated with strong differences in toileting 16) .…”

mentioning

confidence: 94%

Cognitive and physical functions related to the level of supervision and dependence in the toileting of stroke patients

Sato¹,

Okuda²,

Fujita

et al. 2016

Phys Ther Res

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ABSTRACT. Purpose: This study aimed to clarify which cognitive and physical factors are associated with the need for toileting assistance in stroke patients and to calculate cut-off values for discriminating between independent supervision and dependent toileting ability. Method: This cross-sectional study included 163 first-stroke patients in nine convalescent rehabilitation wards. Based on their FIM instrument score for toileting, the patients were divided into an independent-supervision group and a dependent group. Multiple logistic regression analysis and receiver operating characteristic analysis were performed to identify factors related to toileting performance. The Minimental State Examination (MMSE); the Stroke Impairment Assessment Set (SIAS) score for the affected lower limb, speech, and visuospatial functions; and the Functional Assessment for Control of Trunk (FACT) were analyzed as independent variables. Result: The multiple logistic regression analysis showed that the FIM instrument score for toileting was associated with the SIAS score for the affected lower limb function, MMSE, and FACT. On receiver operating characteristic analysis, the SIAS score for the affected lower limb function cut-off value was 8/7 points, the MMSE cut-off value was 25/24 points, and the FACT cut-off value was 14/13 points. Conclusion: Affected lower limb function, cognitive function, and trunk function were related with the need for toileting assistance. These cut-off values may be useful for judging whether toileting assistance is needed in stroke patients. Key words: toileting assistance, cognitive function, Physical function, FIM instrument (Phys Ther Res 19: 32-38, 2016)C ognitive and physical dysfunctions in stroke patients cause reduction in the activities of daily living (ADLs) 1,2 ) and quality of life (QOL) [3][4][5] . Loss of independence in ADLs of stroke patients leads to emotional distress 6) . Furthermore, family caregivers of elderly persons with stroke have inadequate respite and time to participate in personal activities and social interactions 7) , and they often suffer from somatic symptoms such as hypertension and lower back pain 8 ) . In particular, dependence in toileting leads to somatic and mental stress for both patients and caregivers [8][9][10][11] . In addition, toileting is an important ADL in stroke patients when they return home from hospital 12) . Therefore, it is important for rehabilitation therapists to address and improve toileting performance as soon as possible.The clarification of factors that are related to and that influence independence in toileting is useful when planning effective rehabilitation programs. Previous studies have reported that balance function is associated with the level of independence in overall ADLs [13][14][15] . The Berg Balance Scale (BBS), which is a balance assessment, has been found to be associated with differences in toileting ability between an independent group and a supervision group 16 ) ; however, BBS is not associated with strong differences in ...

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Impact of Motor, Cognitive, and Perceptual Disorders on Ability to Perform Activities of Daily Living After Stroke

Cited by 267 publications

References 32 publications

Visuoperceptual deficits and participation in older adults after stroke

Visuoperceptual deficits and participation in older adults after stroke

Retraction: Effect of Acupuncture and Chinese Herbal Medicine on Subacute Stroke Outcomes: A Single Center Randomized Controlled Trial

Cognitive and physical functions related to the level of supervision and dependence in the toileting of stroke patients

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