Impact of stroke on quality of life and functional independence

Parikh, Shweta; Parekh, Sanket; Vaghela, Nirav

doi:10.5455/njppp.2018.8.0723807092018

Cited by 11 publications

(12 citation statements)

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“…The quality of life of the stroke patient who survives the acute episode is an important goal of modern medicine [ 1 ]. Thus, we aimed to draw attention to the impacts on different aspects of daily life, by increasing a patient’s mobility capacity following a stroke via the application of a specific focal therapy to combat spasticity [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

Can Incobotulinumtoxin-A Treatment Improve Quality of Life Better Than Conventional Therapy in Spastic Muscle Post-Stroke Patients? Results from a Pilot Study from a Single Center

2021

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Post-stroke spasticity frequently occurs in patients with stroke, and there is a need for more quality-of-life assessments for different therapies. We evaluated for the first time in Romania the quality of life among patients with post-stroke spasticity, comparing two therapies over a 6-month period: botulinum toxin type A (BOT) with conventional therapy (CON). We also assessed the reduction of spasticity and functionality secondary to the increase in the mobility in upper limbs. This study was based on a prospective, randomized design, including subjects with post-stroke spasticity (N = 34; 34–80 years of age): in the CON arm, patients received therapy against muscle spasticity and physiotherapy, and, in the BOT arm, patients received incobotulinumtoxin-A and additionally conventional treatment, if required. Among 34 treated subjects in the two arms, the quality of life was significantly higher after BOT therapy (p < 0.001), represented by improvement in movement (p < 0.001), usual activities (p = 0.018), and distress (p < 0.001). Improvements in muscle tone (Ashworth Scale) over 6 months of treatment period were greater in the BOT arm (100%) than in the CON arm (11.8%). These preliminary results suggested that incobotulinumtoxin-A increased quality of life by improving movement, daily activities, mental health, and muscle tone more effectively than conventional therapy and could form a basis for future comparator studies.

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Section: Introductionmentioning

confidence: 99%

Can Incobotulinumtoxin-A Treatment Improve Quality of Life Better Than Conventional Therapy in Spastic Muscle Post-Stroke Patients? Results from a Pilot Study from a Single Center

2021

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“…In this regard, conventional physical therapies have the main goal of maximizing functional ability [8,9]. In contrast, stroke patients also develop extreme levels of negative emotions [10] along with high level of functional dependency [11,12]. They have poor knowledge and understanding about the reality of stroke life [13], lack skill in selfcare to overcome the challenges caused by stroke [14], and have poor adjustment to the sense of new life [15], with high caregiving burden in acute phase of disease and until 3-6 months post stroke [16].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, poorly managed stroke in acute stage lead to higher possibility of living with unresolved physical problems and uncertainty that deeply changes the client's life in long term [17]. The abovementioned situations impacted negatively in motivation and meaningful participation in rehabilitation intervention and in gaining independence in physical function in terms of activities of daily living, which results in long-term dependency on family members [12]. Many stroke patients felt boredom, disempowerment, frustration, and fatigue while doing conventional physical therapies [8], which may overwhelm the ambition of active independent participation in rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Exploring the Caring Incorporating Yoga Program in Promoting Physical Recovery of Stroke Patients in Acute Phase

Aryal¹,

Hatthakit²,

Boonyoung³

2020

Preprint

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Background: Currently, caring science integrating cultural practices has become an important health resource to get positive health outcomes for hospitalized acutely ill patients. Yoga, a cultural practice, has the power to bring multiple physical improvements among chronic stroke patients. The purpose of the study is to analyze the experiences of participants focusing on their roles and perceptions of the power of caring incorporating yoga to promote physical recovery among stroke patients during the acute phase. Methods: The study is a part of action research entitled "Development of a Caring Model Incorporating Yoga for Promoting Physical Recovery and Wisdom of People Living with Stroke". Purposeful sample was used to select the participants of 16 nurses, 16 stroke patients and their family caregivers. Data was collected using semi-structured interviews guideline and continues until data saturation in a neurology unit of a university hospital, Nepal. An inductive content analysis approach was used for data analysis. Results: Three main themes and 9 sub-themes were emerged from the qualitative data in terms of experiences of the participants on the program. The three main theme included "caring as a tool to develop trusting relationship"; "yoga as a practical and powerful tool for physical recovery of stroke patients during acute phase"; and "perceived physical recovery as a result of the caring incorporating yoga intervention". Conclusions: The finding of the study shown that that nurses can successfully facilitate early physical recovery of stroke patients using caring incorporating yoga during their acute phase. As yoga is well accepted by Hindu stroke patients due to it being culturally congruent with their sociocultural background, it may be effective for physical recovery and healing of the whole person.

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“…In this regard, conventional physical therapies have the main goal of maximizing functional ability [8,9]. In contrast, stroke patients also develop extreme levels of negative emotions [10] along with high levels of functional dependency [11,12]. They have poor knowledge and understanding about the reality of stroke life [13], lack skill in self-care to overcome the challenges caused by stroke [14], and have poor adjustment to the sense of new life [15], with high caregiving burden in acute phase of the disease and until 3-6 months post stroke [16].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, poorly managed stroke in acute stage leads to higher possibility of living with unresolved physical problems and uncertainty that deeply change the client's life in the long term [17]. The abovementioned situations impact negatively in motivation and meaningful participation in rehabilitation intervention and in gaining independence in physical function in terms of activities of daily living, which results in long-term dependency on family members [12]. Many stroke patients experience boredom, disempowerment, frustration, and fatigue while doing conventional physical therapies [8], which may overwhelm the ambition of active independent participation in rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Exploring the Caring Incorporating Yoga Program in Promoting Physical Recovery of Stroke Patients in Acute Phase

Aryal¹,

Hatthakit

Boonyoung

2020

Preprint

View full text Add to dashboard Cite

Background: Caring science integrating cultural practices has become an important health resource to get positive health outcomes for hospitalized acutely ill patients. Yoga, a cultural practice, has the power to bring multiple physical improvements among chronic stroke patients. The purpose of the study is to analyze the experiences of participants by focusing on their roles and perceptions of the power of caring incorporating yoga to promote physical recovery among stroke patients during the acute phase. Methods: The study is part of an action research entitled "Development of a Caring Model Incorporating Yoga for Promoting Physical Recovery and Wisdom of People Living with Stroke" conducted in a neurology unit of a university hospital in Nepal. Purposeful sample was used to select participants consisting of 16 nurses, 16 stroke patients and their family caregivers. Data was collected using semi-structured interview guidelines and was continued until data saturation. An inductive content analysis approach was used for data analysis.Results: Three main themes and nine sub-themes emerged from the qualitative data in terms of experiences of the participants of the program. The three main themes were "caring as a tool to establish trusting relationship in acute phase"; "yoga as a practical and powerful tool for physical recovery from stroke during acute phase"; and "perceived physical recovery as a result of the caring incorporating yoga program". Conclusions: The findings of the study showed that nurses can successfully facilitate early physical recovery of stroke patients using caring incorporating yoga during acute phase. As yoga is well accepted by Hindu stroke patients due to it being culturally congruent with their sociocultural background, it may be effective for physical recovery and healing of the whole person.

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Impact of stroke on quality of life and functional independence

Cited by 11 publications

References 0 publications

Can Incobotulinumtoxin-A Treatment Improve Quality of Life Better Than Conventional Therapy in Spastic Muscle Post-Stroke Patients? Results from a Pilot Study from a Single Center

Can Incobotulinumtoxin-A Treatment Improve Quality of Life Better Than Conventional Therapy in Spastic Muscle Post-Stroke Patients? Results from a Pilot Study from a Single Center

Exploring the Caring Incorporating Yoga Program in Promoting Physical Recovery of Stroke Patients in Acute Phase

Exploring the Caring Incorporating Yoga Program in Promoting Physical Recovery of Stroke Patients in Acute Phase

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