Temporal recovery of activities of daily living in the first year after ischemic stroke: A prospective study of patients admitted to a rehabilitation unit

Kong, Keng-He; Lee, Jeanette

doi:10.3233/nre-141110

Cited by 49 publications

(26 citation statements)

References 16 publications

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“…Another study using the modified Rankin Scale (mRS) did not compare functional recovery between age groups [ 16 ]. A third study found a negative effect of age on functional recovery in univariate analysis; however, it did not uncover a specific age for functional decline [ 17 ]. However, animal study results revealed age may be a barrier for plasticity [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Age on Long-Term Functional Recovery in Patients with Stroke

Yoo

Hong

et al. 2020

Medicina

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Background and objectives: Age might be a determinant that limits functional recovery in patients with stroke. Here, we investigated the effect of age on functional recovery within 30 months after stroke onset. Materials and Methods: This retrospective longitudinal study enrolled 111 patients with first-ever stroke. Functional recovery was assessed at 2 weeks and at 1, 6, and 30 months after stroke onset using the modified Barthel Index (MBI), modified Rankin Score (mRS), functional ambulation category (FAC), muscle strength, and Mini-Mental State Examination (MMSE). A generalized estimating equation analysis was performed. Results: With the MBI, function improved until 6 months after stroke onset in patients aged <70 years and until 1 month after stroke onset in patients ≥70 years. At 30 months after stroke, there was no significant change of MBI in patients aged <70 years, whereas there was a significant decline in older patients. With the mRS and FAC, function improved until 30 months after stroke onset in patients aged <70 years and until 1 month after stroke onset in older patients. Motor deficit, assessed using the Medical Research Council (MRC), improved significantly until 6 months after stroke onset in patients aged <70 years. There was a significant improvement in cognition (assessed using the MMSE) until 6 months after stroke onset in patients aged <70 years and until 1 month after stroke onset in older patients. Conclusions: Long-term functional recovery occurred for up to 30 months after stroke. Patients aged ≥70 years showed functional decline between 6 and 30 months after onset. These findings could be useful when measuring functional recovery after stroke.

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Section: Introductionmentioning

confidence: 99%

Effects of Age on Long-Term Functional Recovery in Patients with Stroke

Yoo

Hong

et al. 2020

Medicina

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“…In this study, the scores of the CPT and the CRT in the acute stage were independent predictors for δMBI at post-stroke 3 months along with other variables such as age, initial K-MBI and FMSA, while MMSE was not significantly related. It is generally accepted that recovery of most of the MBI score occurs by 3 months after stroke [ 30 ], hence, subjects in this study showed significantly higher K-MBI at 3 months after stroke, as compared to initial evaluation. The current study included 10 subjects whose K-MBI were assessed at post-stroke 6 months, but there was no significant increase in K-MBI at 6 months, as compared to that of post-stroke 3 months.…”

Section: Discussionmentioning

confidence: 81%

The Impact of Acute Phase Domain-Specific Cognitive Function on Post-stroke Functional Recovery

Park

Lee

et al. 2016

Ann Rehabil Med

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ObjectiveTo assess whether the cognitive function in the acute stage evaluated by domain-specific neuropsychological assessments would be an independent predictor of functional outcome after stroke.MethodsForty patients underwent 4 domain-specific neuropsychological examinations about 3 weeks after the onset of stroke. The tests included the Boston Naming Test (BNT), the construction recall test (CRT), the construction praxis test (CPT), and the verbal fluency test (VFT). The Korean version of Modified Barthel Index (K-MBI) at 3 months and the modified Rankin Scale (mRS) at 6 months were investigated as functional outcome after stroke. Functional improvement was assessed using the change in K-MBI during the first 3 months and subjects were dichotomized into 'good status' and 'poor status' according to mRS at 6 months. The domain-specific cognitive function along with other possible predictors for functional outcome was examined using regression analysis.ResultsThe z-score of CPT (p=0.044) and CRT (p<0.001) were independent predictors for functional improvement measured by the change in K-MBI during the first 3 months after stroke. The z-score of CPT (p=0.049) and CRT (p=0.048) were also independent predictors of functional status at post-stroke 6 months assessed by mRS.ConclusionImpairment in visuospatial construction and memory within one month after stroke can be an independent prognostic factor of functional outcome. Domain-specific neuropsychological assessments could be considered in patients with stroke in the acute phase to predict long-term functional outcome.

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“…This result supported by Tveiten et al, (2014), who reported that considerable improvement from acute stroke had taken place during these periods, particularly between the time of discharge and 1 month. This early improvement can be attributed to the spontaneous neurological processes Kong and Lee (2014). This occurs within 3 months after stroke Between 6 months and 2 years post-acute stroke, the Barthel Index score still improves but not considerably.…”

Section: Discussionmentioning

confidence: 93%

Effect of a Design Discharge Planning Program for Stroke Patients on Their Quality of Life and Activity of Daily Living

Taha¹,

Ibrahim²

2020

IJSN

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Background: Stroke is a debilitating neurological disorder, which causes multiple physical and psychosocial challenges to people surviving a stroke. Effective discharge planning program is an active process beginning in hospitalization care and has a goal of returning to the community and aims at assisting the patients to recapture their functional independence and to return to an active and productive lifestyle. Aim: was to evaluate effect of a design discharge planning program for stroke patients on their quality of life and activity of daily living. Research design: Quasi experimental design was utilized to fulfill the aim of this study. Setting: The study was conducted at the stroke department and stroke outpatient clinics affiliated to Benha University Hospital. Sample: A convenience sample of 50 patients admitted at the above mentioned setting and diagnosed with stroke. Tools: Three tools were used: I-Patients Interviewing questionnaire sheet; II-Stroke Specific Quality of Life Scale and III-Barthel Index for Activities of Daily Living. Results: the present study revealed that (a) the mean total and subtotal knowledge scores of stroke patients were increased immediately after implementing a design discharge planning program with statistical significant difference compared to pre implementation. (b) The mean total and subtotal quality of life scores were higher after implementing discharge planning program with a high statistical significant difference compared to pre implementation. (c) The mean total and subtotal activity of daily living scores were higher after implementing discharge planning program with a high statistical significant difference compared to pre implementation. (d) There were a positive correlation between patients' knowledge, quality of life and activity of daily living with a statistical significant difference. So, all research hypotheses of the study were supported. Conclusion: Applying a design discharge planning program had statistically significant improvement on knowledge, quality of life and activity of daily living for studied patients. Recommendations: replication of this study on a larger probability sample and evaluating its impact on health outcomes among stroke patients.Keywords: design discharge planning program, quality of life, activity of daily living, stroke http://journal.julypress.com/index.php/ijsn Vol. 5, No. 1; 2020 II-Part two: which consisted of (8) questions about patients activities of daily living. It is composed of http://journal.julypress.com/index.php/ijsn Vol. 5, No. 1; 2020 -Patients were informed about the time of the next session at the end of the session.

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Temporal recovery of activities of daily living in the first year after ischemic stroke: A prospective study of patients admitted to a rehabilitation unit

Cited by 49 publications

References 16 publications

Effects of Age on Long-Term Functional Recovery in Patients with Stroke

Effects of Age on Long-Term Functional Recovery in Patients with Stroke

The Impact of Acute Phase Domain-Specific Cognitive Function on Post-stroke Functional Recovery

Effect of a Design Discharge Planning Program for Stroke Patients on Their Quality of Life and Activity of Daily Living

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