Effects of Moxibustion on the Recovery of Post-Stroke Urinary Symptoms

2007 ◽  
Vol 35 (06) ◽  
pp. 947-954 ◽  
Author(s):  
Sang Pil Yun ◽  
Woo Sang Jung ◽  
Sung Uk Park ◽  
Sang Kwan Moon ◽  
Jung Mi Park ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Moxibustion Therapy ◽  
Barthel Index ◽  
Daily Living ◽  
International Prostate Symptom Score ◽  
Final Analysis ◽  
Urinary Symptoms ◽  
Control Group ◽  
Stroke Patients ◽  
Post Stroke

This study was conducted to test the effectiveness of moxibustion therapy for patients with post-stroke urinary symptoms using International Prostate Symptom Score (IPSS). Stroke patients with urinary symptoms were enrolled and assigned into the moxibustion group (MO group) and the control group by stratified randomization. The MO group received moxibustion treatment on Zhong-Ji (CV-3), Guan-Yuan (CV-4) and Qi-Hai (CV-6) for 10 days, and the control group did not receive it. The effectiveness of urinary symptoms and activities of daily living were measured by IPSS and Barthel Index (BI), respectively. These scales were examined by an independent blinded neurologist before treatment, and 10 days after therapy. Thirty nine subjects (20 in the MO group and 19 in the control group) were included in the final analysis. The MO group showed more improvement on urinary symptoms than the control group. In conclusion, we suggest that moxibustion on Zhong-Ji (CV-3), Guan-Yuan (CV-4) and Qi-Hai (CV-6) is effective to post-stroke urinary symptoms.

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

Healthcare ◽  
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.

scholarly journals Determining the Effects of a Horticultural Therapy Program for Improving the Upper Limb Function and Balance Ability of Stroke Patients

HortScience ◽  
2018 ◽  
Vol 53 (1) ◽  
pp. 110-119 ◽  
Author(s):  
A-Young Lee ◽  
Sin-Ae Park ◽  
Hye-Gyeong Park ◽  
Ki-Cheol Son
Keyword(s):  
Activities Of Daily Living ◽  
Upper Limb ◽  
Daily Living ◽  
Control Group ◽  
Stroke Patients ◽  
Horticultural Therapy ◽  
Limb Function ◽  
Rehabilitation Hospital ◽  
Upper Limb Function ◽  
Task Oriented

The objective of this study was to assess the physical and psychological effects of an 18-session horticultural therapy (HT) program based on task-oriented training in stroke patients and investigate patient satisfaction. The HT program consisted of horticultural activities including the motions such as reaching–grasping, squatting, stepping, and stooping. A total of 31 stroke inpatients (16 males, 15 females) at B rehabilitation hospital in Seongnam, South Korea, participated in this study. Fourteen stroke patients participated in a thrice weekly HT program (6 weeks, ≈60 minutes per session) between Aug. and Sept. 2016, whereas another 17 stoke patients comprised the control group. At the completion of the 18-session HT program, upper limb function [manual function test (MFT)], grip strength (hydraulic hand dynamometer), pinch force (hydraulic pinch gauge), fine motor skills (9-hole pegboard), balance [Berg Balance Scale (BBS)], and activities of daily living (Modified Barthel Index) were evaluated in both groups. In addition, depression [The Korean version of the short form of Geriatric Depression Scales (SGDS-K)], rehabilitation stress (Rehabilitation Stress Scales), rehabilitation motivation (Rehabilitation Motivation Scales), and fall efficacy (The Korean version of the Falls Efficacy Scale) were evaluated. Stroke patients in the HT group showed significantly improved upper limb function, hand force, balance, fall efficacy, activities of daily living, and decreased depression (P < 0.05). By contrast, no significant change was noted in the control group. In addition, 85.7% of the stroke patients in the HT group reported being very satisfied or satisfied with the HT program. In conclusion, the HT program based on task-oriented training improved the patients’ physical and psychological function after stroke rehabilitation. These study results suggest that implementing an HT program in a rehabilitation hospital will effectively contribute to functional recovery after stroke.

scholarly journals PENGARUH AKUPRESUR TERHADAP PENINGKATAN KEKUATAN OTOT DAN ACTIVITIES OF DAILY LIVING (ADL) PADA PASIEN STROKE NON HEMORAGIK DI UNIT STROKE RSUD A. WAHAB SJAHRANIE SAMARINDA

2019 ◽  
Vol 1 (1) ◽  
pp. 32-42
Author(s):  
Theresia Tutik Ismiati
Keyword(s):  
Muscle Strength ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Intervention Group ◽  
Complementary Therapy ◽  
World Health ◽  
Control Group ◽  
Stroke Patients ◽  
Range Of Movement ◽  
Permanent Disability

Stroke is a disease caused by the interruption of blood supply to the brain. WHO (World Health Organization) stated 15 million people world wide suffer a stroke each year. As many as 5 million people are death sand 5 million people have permanent disability. Stroke Foundation of Indonesia (Yastroki) noted that Indonesia ranks  first in Asia with the majority of stroke patients and become leading causes of death in Indonesia. Stroke affects extremity dysfunction such decreased muscle strength which will contribute to the decline ability of Activities of daily living (ADL). There are several the rapies that have been done to over come muscle weakness and limitations of the ADL such as range of movement exercises, positioning, and acupressure is one form of therapy that can be done to restore extremity function. This study aims to determine the effect of acupressure intervention on limb muscle strength and Activities Of Daily Living (ADL) In Stroke Patients. Quantitative Study of quasi-experiment pre-post test design involved 113 respondents into two groups: the intervention group with 88 respondents and the control group with 25 respondents.The result showed male respondents (51.3%), aged 45-59 years (58.4%), and the first attack (85%). After the intervention of 7 day sine ach ofthe respondents, found significant differences increase muscle strength and ADL before the after intervention:  right limbmuscle strength(p =0.000); left limbstrength (p =0.000); and ADL (p =0.000). Respondent characteristics that influence muscle strength and ADL were age and frequency of stroke (P <0.05), where as no influence of gender (p> 0.05). The conclusions of this study that acupressureis an effective therapy on increase muscle strength and ADL of stroke patients. This research recommended acupressure as a complementary therapy to improve muscle strength andADLof stroke patients.

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

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.

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 ◽  
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.

scholarly journals Gambaran Activity Daily Living Pada Pasien Pasca Stroke Non Hemoragic Setelah Pemberian Propioceptive Neuromuscular Facilitation : Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1959-1967
Author(s):  
Rizqika Indah Yuli Yanti ◽  
Nurul Aktifah
Keyword(s):  
Literature Review ◽  
Barthel Index ◽  
Daily Living ◽  
Google Scholar ◽  
Stroke Patients ◽  
Daily Living Activities ◽  
Post Stroke ◽  
Before And After ◽  
Physical Limitations ◽  
The Brain

AbstractStroke occurs when a blood vessel that carries oxygen and nutrients to the brain bursts or is blocked by a clot so that the brain does not get the blood it needs. Stroke affects physical limitations and disabilities in carrying out daily living activities. One of the rehabilitation interventions to increase daily living activities among them is propioceptive neuromuscular facilitation. Thisstudy aimed to describe the activity daily living in non-hemorrhagic post-stroke patients after propioceptive neuromuscular facilitation intervention. The selection of articles in the study usesthe PICO mnemonic. Searcharticles through the Indonesian Scientific Respirator Research, PubMed, GARUDA, and Google scholar with predetermined inclusion and exlusion criteria. The results show that propioceptive neuromuscular facilitation was proven in increase activity daily living in non-hemorrhagic post-stroke patients. The activity daily living was assessed using Barthel Index checklist. The average of Barthel Index before and after intervention were 42,493 and 75,372 respectively. The propioceptive neuromuscular facilitation has been shown to improve activity daily living in non-hemorrhagic post-stroke patients. Propioceptive neuromuscular facilitation can be a modality treatment to increase activity daily living in non-hemorrhagic post-stroke patients.Keywords: Activity Daily Living, Non-Hemorrhagic Post-Stroke, Propioceptive Neuromuscular Facilitation AbstrakStroke terjadi ketika pembuluh darah yang mengangkut oksigen dan nutrisi menuju otak pecah atau terblokir oleh bekuan sehingga otak tidak mendapat darah yang dibutuhkan. Kejadian stroke memunculkan gangguan keterbatasan fisik dan kecacatan dalam melakukan activity daily living. Peran fisioterapi pada penderita stroke yaitu tindakan rehabilitasi yang dapat meningkatkan ADL salah satuya adalah propioceptive neuromuscular facilitation. Penelitian ini bertujuan untuk mengetahui gambaran activity daily living pada pasien pasca stroke non hemoragic dengan pemberian propioceptive neuromuscular facilitation. Pemilihan artikel pada penelitian ini menggunakan mnemonic PICO. Penelusuran artikel melalui Neliti Respiratori Ilmiah Indonesia, PubMed, Garuda-Garba rujukan digital dan Google scholar dengan kriteria inklusi dan ekslusi yang telah ditentukan. Hasil literature review kelima artikel menunjukkan bahwa PNF terbukti meningkatkan ADL pada pasien pasca stroke non hemoragic dengan hasil rata-rata peningkatan sebesar 32.879 dengan menggunakan alat ukur indeks barthel sebelum intervensi 42.493 dan sesudah intervensi 75.372. Hasil literature review kelima artikel ini menunjukkan bahwa propioceptive neuromuscular facilitation terbukti dapat meningkatkan activity daily living pada pasien pasca stroke non hemoragic. Penetitian ini dapat digunakan sebagai dasar pengembangan praktisi fisioterapi pada masalah peningkatan activity daily living pada pasien pasca stroke non hemoragic dengan menggunakan latihan propioceptive neuromuscular facilitation.Kata Kunci: Activity Daily Living, Propioceptive Neuromuscular Facilitation, Pasca Stroke

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

1988 ◽  
Vol 51 (1) ◽  
pp. 11-14 ◽  
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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