Effect of combined acupuncture and Chinese herbal formula on the motor function and activities of daily living in post-stroke patients

Background. Contralaterally controlled neuromuscular electrical stimulation (CCNMES) is a novel electrical stimulation treatment for stroke; however, reports on the efficacy of CCNMES on lower extremity function after stroke are scarce. Objective. To compare the effects of CCNMES versus NMES on lower extremity function and activities of daily living (ADL) in subacute stroke patients. Methods. Forty-four patients with a history of subacute stroke were randomly assigned to a CCNMES group and a NMES group ( n = 22 per group). Twenty-one patients in each group completed the study per protocol, with one subject lost in follow-up in each group. The CCNMES group received CCNMES to the tibialis anterior (TA) and the peroneus longus and brevis muscles to induce ankle dorsiflexion motion, whereas the NMES group received NMES. The stimulus current was a biphasic waveform with a pulse duration of 200 μs and a frequency of 60 Hz. Patients in both groups underwent five 15 min sessions of electrical stimulation per week for three weeks. Indicators of motor function and ADL were measured pre- and posttreatment, including the Fugl–Meyer assessment of the lower extremity (FMA-LE) and modified Barthel index (MBI). Surface electromyography (sEMG) assessments included average electromyography (aEMG), integrated electromyography (iEMG), and root mean square (RMS) of the paretic TA muscle. Results. Values for the FMA-LE, MBI, aEMG, iEMG, and RMS of the affected TA muscle were significantly increased in both groups after treatment ( p < 0.01 ). Patients in the CCNMES group showed significant improvements in all the measurements compared with the NMES group after treatment. Within-group differences in all post- and pretreatment indicators were significantly greater in the CCNMES group than in the NMES group ( p < 0.05 ). Conclusion. CCNMES improved motor function and ADL ability to a greater extent than the conventional NMES in subacute stroke patients.

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Sarcopenic Obesity and Activities of Daily Living in Stroke Rehabilitation Patients: A Cross-Sectional Study

Healthcare ◽

10.3390/healthcare8030255 ◽

2020 ◽

Vol 8 (3) ◽

pp. 255

Author(s):

Tatsuya Matsushita ◽

Shinta Nishioka ◽

Shiori Taguchi ◽

Anna Yamanouchi ◽

Ryusei Nakashima ◽

...

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Older Patients ◽

Functional Independence ◽

The Body ◽

Sarcopenic Obesity ◽

Fat Percentage ◽

Stroke Patients ◽

Post Stroke ◽

Simple Obesity

Reports investigating the relationship between sarcopenic obesity and activities of daily living in older patients with stroke were limited. This study aimed to examine the prevalence of sarcopenic obesity and its association with activities of daily living in older post-stroke patients in convalescent rehabilitation wards. This study was performed in older post-stroke patients admitted to convalescent rehabilitation wards between January 2017 and March 2019. Sarcopenia was diagnosed based on the skeletal muscle mass index and hand grip strength according to the criteria of the 2019 Asian Working Group for Sarcopenia. Obesity was diagnosed according to the body fat percentage; ≥27% in men, ≥38% in women. The primary outcome was the Functional Independence Measure (FIM) score upon admission, which was analyzed using multiple linear regression. In total, 376 participants (women 44%; mean age 77.5 years) were analyzed and classified as normal (22%), simple obesity (17%), sarcopenia without obesity (32%), and sarcopenic obesity (28%). The presence of sarcopenic obesity was independently associated with the FIM score (95% CI, −16.157 to −5.353), whereas simple obesity and sarcopenia without obesity were not. In conclusion, sarcopenic obesity was independently associated with lower activities of daily living capability in older patients with stroke.

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Effects of a Group Exercise Program for the Upper Extremities on Sensory and Motor Function and Activities of Daily Living in Chronic Stroke Patients: A Case Series

Physical Therapy Korea ◽

10.12674/ptk.2015.22.2.059 ◽

2015 ◽

Vol 22 (2) ◽

pp. 59-69

Author(s):

Myung-sook Ko ◽

◽

Yong-jin Jeon

Keyword(s):

Activities Of Daily Living ◽

Motor Function ◽

Daily Living ◽

Case Series ◽

Exercise Program ◽

Chronic Stroke ◽

Upper Extremities ◽

Group Exercise ◽

Stroke Patients

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Cognitive Factors Associated with Activities of Daily Living in Post-stroke Patients

Journal of Physical Therapy Science ◽

10.1589/jpts.24.779 ◽

2012 ◽

Vol 24 (8) ◽

pp. 779-782 ◽

Cited By ~ 7

Author(s):

Kihun Cho ◽

Wanhee Lee

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Cognitive Factors ◽

Stroke Patients ◽

Factors Associated ◽

Post Stroke

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The Mediating Effect of Depression on the Relationship between Cognitive Function and the Activities of Daily Living in Post-stroke Patient

Journal of Korean Academy of Psychiatric and Mental Health Nursing ◽

10.12934/jkpmhn.2021.30.4.309 ◽

2021 ◽

Vol 30 (4) ◽

pp. 309-317

Author(s):

Ji Eun Kim ◽

Hwee Wee

Keyword(s):

Cognitive Function ◽

Activities Of Daily Living ◽

Daily Living ◽

Cross Sectional Study ◽

Mediating Effect ◽

Stroke Patients ◽

Cross Sectional ◽

Post Stroke ◽

Demographic Covariates ◽

The Relationship

Purpose: This study aimed to identify the relationship between cognitive function and activities of daily living (ADL) in addition to the mediating effect exerted by depression on this relationship in post-stroke patients.Methods: A cross-sectional study was performed. A total of 182 patients were recruited from two general and three geriatric hospitals in South Korea between July 2017 and June 2018. Cognitive function, depression, and ADL measures were assessed after informed consent was obtained. Data obtained were analyzed using multiple regression and a simple mediation model that applies the PROCESS macro with a 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling).Results: The covariates were sex, age, educational level, types of paralysis, and type of hospital. After controlling for the demographic covariates, cognitive function significantly accounted for the variance of ADL. It was also demonstrated that depression partially mediated the relationship between cognitive function and ADL in post-stroke patients.Conclusion: Cognitive function directly influences the ADL in post-stroke patients and indirectly influences it through depression. This suggests that strategies for improving depression in post-stroke patients should be considered while managing cognitive functioning for improving the ADL.

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Abstract WP195: Patients Beginning Community Based Outpatient Stroke Rehabilitation Program More Than 6 Months Post Stroke Achieve Equally Excellent Outcomes as Sub-Acute Patients

Stroke ◽

10.1161/str.47.suppl_1.wp195 ◽

2016 ◽

Vol 47 (suppl_1) ◽

Author(s):

Joan Breen ◽

Jeanne Andrusin ◽

Tom Ferlito

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Rehabilitation Program ◽

Chronic Stroke ◽

Outpatient Rehabilitation ◽

Stroke Severity ◽

Stroke Patients ◽

Community Based ◽

Post Stroke ◽

Rehabilitation Programs

Background: Despite the availability of community based outpatient rehabilitation programs in the U.S., few use standardized measure sets and assessments, and outcomes studies are sparse. There is especially a knowledge gap regarding outcomes of participating chronic stroke patients (rehabilitation begins more than 6 months post stroke). Methods: Prospective observational study of stroke patients treated between 12/2011-1/2015 in an interdisciplinary outpatient rehabilitation program that addresses health literacy, risk factors, physical, psychosocial, cognitive, communicative and vocational issues. Patients were classified as chronic if admitted to the program >6 months and sub-acute if admitted <6 months post stroke. Results: Among 96 consecutive patients, 71 were sub-acute (72% ischemic, 28% hemorrhages) and 25 chronic (68% ischemic, 32% hemorrhages) who were admitted to the program an average 18.5 months post stroke (range 6-121 months). Chronic vs subacute stroke patients were 64% vs 59% male, with no difference in age (mean 66, range 27-90 years vs 65, range 18-90 years), but with greater stroke severity (chronic mean NIHSS score 8.32, range 2-15 vs subacute NIHSS of 5.2, range 0-16). On admission, chronic vs subacute patients were 44% vs 34% aphasic and 96% vs 86% needed assistance with activities of daily living (chronic with modified Rankin Scale [mRS] of 3=28% and 4=68% vs subacute mRS of 3=65% and 4=21%). The percent change in outcomes from baseline to program discharge for subacute and chronic stroke patients is presented in the Table. Conclusions: Although age, sex and stroke types were similar in both groups, chronic patients were more severely impaired than subacute patients but achieved greater improvement in activities of daily living, recovery, walking speed, balance, and risk factor knowledge. These findings demonstrate that outpatient rehabilitation programs can aid in stroke recovery independent of time since stroke onset.

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A Test Battery to Measure the Recovery of Voluntary Movement Control following Stroke

British Journal of Occupational Therapy ◽

10.1177/030802268805100106 ◽

1988 ◽

Vol 51 (1) ◽

pp. 11-14 ◽

Cited By ~ 3

Author(s):

Ailie J Turton ◽

Carole M Fraser

Keyword(s):

Activities Of Daily Living ◽

Upper Limb ◽

Daily Living ◽

Voluntary Movement ◽

Movement Control ◽

Stroke Patients ◽

Post Stroke ◽

Assessment Tests ◽

Upper Limb Function ◽

Selection Of

Tests of upper limb function and an activities of daily living (ADL) index were selected to measure recovery following stroke. Thirty stroke patients were assessed at intervals for up to 6 months to 1 year post-stroke using the battery. The results showed that the ADL index is insensitive to upper limb recovery. All the tests measured recovery in some of the patients after 24 weeks post-stroke. Since the presentation and recovery of patients was variable, it is argued that it is necessary to offer a selection of assessment tests to measure recovery and to aid treatment planning.

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Effects of short-term upper limb robot-assisted therapy on the rehabilitation of sub-acute stroke patients

Technology and Health Care ◽

10.3233/thc-202127 ◽

2020 ◽

pp. 1-9

Author(s):

Shangrong Jiang ◽

Hong You ◽

Weijing Zhao ◽

Min Zhang

Keyword(s):

Activities Of Daily Living ◽

Acute Stroke ◽

Motor Function ◽

Upper Limb ◽

Daily Living ◽

Muscle Tone ◽

Stroke Patients ◽

Robot Assisted ◽

Short Term ◽

Significant Difference

BACKGROUND: Robot-assisted therapy (RT) has become a promising stroke rehabilitation intervention. OBJECTIVE: To examine the effects of short-term upper limb RT on the rehabilitation of sub-acute stroke patients. METHODS: Subjects were randomly assigned to the RT group (n= 23) or conventional rehabilitation (CR) group (n= 22). All subjects received conventional rehabilitation therapy for 30 minutes twice a day, for 2 weeks. In addition, the RT group received RT for 30 minutes twice a day, for 2 weeks. The outcomes before treatment (T0) and at 2 weeks (T1) and 1 month follow-up (T2) were evaluated in the patients using the upper limb motor function test of the Fugl-Meyer assessment (FMA) the Motricity Index (MI), the Modified Ashworth Scale (MAS), the Functional Independence Measure (FIM), and the Barthel Index (BI). RESULTS: There were significant improvements in motor function scales (P< 0.001 for FMA and MI) and activities of daily living (P< 0.001 for FIM and BI) but without muscle tone (MAS, P> 0.05) in the RT and CR groups. Compared to the CR group, the RT group showed improvements in motor function and activities of daily living (P< 0.05 for FMA, MI, FIM, BI) at T1 and T2. There was no significant difference between the two groups in muscle tone (MAS, P> 0.05). CONCLUSIONS: RT may be a useful tool for sub-acute stroke patients’ rehabilitation.

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