Abstract WP138: Effect of Duration Between Stroke Onset and Admission to Inpatient Rehabilitation Facilities on Improvement in Activities of Daily Living During Hospitalization

Stroke ◽  
2018 ◽  
Vol 49 (Suppl_1) ◽  
Author(s):  
Shiraishi Nariaki ◽  
Daisuke Matsumoto ◽  
Yusuke Suzuki ◽  
Seungwon Jeong ◽  
Motoya Sugiyama ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Inpatient Rehabilitation ◽  
Stroke Onset ◽  
Rehabilitation Facilities

scholarly journals Factors Influencing the Improvement of Activities of Daily Living During Inpatient Rehabilitation in Newly Diagnosed Patients with Glioblastoma

2021 ◽  
Author(s):  
Keisuke Natsume ◽  
Harutoshi Sakakima ◽  
Kentaro Kawamura ◽  
Akira Yoshida ◽  
Shintaro Akihiro ◽  
...  
Keyword(s):  
Overall Survival ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Karnofsky Performance Status ◽  
Performance Status ◽  
Tumor Resection ◽  
Inpatient Rehabilitation ◽  
Newly Diagnosed ◽  
Good Recovery ◽  
Factors Influencing

Abstract Purpose To identify pre-, intra-, and postoperative factors influencing the improvement of the activities of daily living (ADL) in newly diagnosed patients with glioblastoma (GBM), we investigated the characteristics and variable factors and overall survival. Methods A total of 105 patients with GBM were retrospectively analyzed and categorized into three groups according to the quartile of change of Barthel index score from admission to discharge: deterioration (n = 25), no remarkable change (n = 55), and good recovery (n = 25). We compared with the characteristics, variable factors, and overall survival of patients with deterioration and good recovery after tumor resection. Results There was statistically different in the pre-, intra-, and post-operative factors between the groups. Multiple regression analysis identified four significant predictor variables that may influence the improvement of ADL after surgery: the improvement of motor paralysis after surgery, mild fatigue during chemoradiotherapy, poor Karnofsky performance status at admission, and length up to early walking training onset. The median overall survival was significantly different between the patients with deterioration (10.6 months, 95% CIs, 5.19–16.00) and good recovery (18.9 months, 95% CIs, 8.61–29.18) (p = 0.025). Conclusion This study identified four factors influencing the improvement of ADL after surgery. In addition, a structured inpatient rehabilitation programs can be performed safely and improve functional outcomes, which may contribute to the survival prognosis.

Effect of inpatient rehabilitation on activities of daily living in pediatric cancer patients in Japan

2018 ◽  
Vol 41 (2) ◽  
pp. 146-151
Author(s):  
Kazue Taguchi ◽  
Tomoyuki Ueno ◽  
Yukiyo Shimizu ◽  
Ryu Ishimoto ◽  
Yasushi Hada
Keyword(s):  
Activities Of Daily Living ◽  
Cancer Patients ◽  
Pediatric Cancer ◽  
Daily Living ◽  
Inpatient Rehabilitation ◽  
Pediatric Cancer Patients

scholarly journals Functional Assessment of Region-Specific Neglect: Are There Differential Behavioural Consequences of Peripersonal versus Extrapersonal Neglect?

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
T. C. W. Nijboer ◽  
A. F. ten Brink ◽  
M. Kouwenhoven ◽  
J. M. A. Visser-Meily
Keyword(s):  
Activities Of Daily Living ◽  
Functional Assessment ◽  
Daily Living ◽  
Inpatient Rehabilitation ◽  
Rehabilitation Program ◽  
Body Parts ◽  
Rehabilitation Center ◽  
Stroke Patients ◽  
Instrumental Activities ◽  
Processing Information

Background.Region-specific types of neglect (peripersonal and extrapersonal) have been dissociated, yet, differential behavioural consequences are unknown.Objective.The aim of the current study was to investigate behavioural consequences at the level of basic activities of daily living of region-specific neglect, using the Catherine Bergego Scale (CBS).Methods.118 stroke patients were screened within the first two weeks after admission to the rehabilitation center for inpatient rehabilitation.Results.Patients with peripersonal neglect and patients with neglect for both regions had significantly higher total score on the CBS compared to nonneglect patients. Total scores for patients with extrapersonal neglect were comparable to non-neglect patients. ADL impairments were found across activities (e.g., looking towards one side, forgetting body parts, colliding) for both patients with peripersonal neglect and patients with neglect for both regions. Patients with extrapersonal neglect were only impaired on the item on way finding.Conclusions.When diagnosing neglect, it is relevant to distinguish the type of region-specific neglect and, where needed, to adjust the rehabilitation program accordingly. As the CBS isnotdeveloped to typically measure ADL in extrapersonal neglect, it would be of importance to add other (instrumental) activities that heavily rely on processing information in farther space.

scholarly journals A precision neurorehabilitation using SSEP for early detection of sensory deficit and restoration of the motor recovery in balance, gait and activities of daily living in acute stroke

2021 ◽  
Vol 29 ◽  
pp. 377-383
Author(s):  
Hyunsik Yoon ◽  
Chanhee Park ◽  
Ilbong Park ◽  
Kyoungtae Kim ◽  
Youngjoo Cha
Keyword(s):  
Activities Of Daily Living ◽  
Acute Stroke ◽  
Daily Living ◽  
Dynamic Balance ◽  
Inpatient Rehabilitation ◽  
Motor Recovery ◽  
Normal Group ◽  
Stroke Survivors ◽  
Significant Difference ◽  
Hemiparetic Stroke

BACKGROUND: Impaired sensory in acute stroke patients results in dynamic balance, gait and activities of daily living (ADL) impairment. OBJECTIVE: The aim of present study was to examine the correlation between somatosensory-evoked potential (SSEP) parameters and motor recovery in balance, gait and ADL performance in hemiparetic stroke survivors. METHODS: One hundred and one participants with hemiparetic stroke (43 males, 58 females; mean age, 6538 ± 1222 years; post-stroke duration, 199 ± 0.74 month) participated in this study. The Electro Synergy system (Viasys Healthcare; San Diego, CA, USA) was applied to measure SSEP measurement. The 101 stroke survivors were divided into three groups consistent with their SSEP results: sensory normal group; sensory impaired group; sensory absent group. All the subject participated the inpatient rehabilitation intervention for 4 weeks. Analyses of variance (ANOVA) were used to verify the group difference among the three groups after the treatment. RESULTS: ANOVA revealed the significant difference (p< 0.01). The Scheffe test demonstrated that the sensory normal group showed greater increasement in Modified Barthel Index (MBI), Fugl-Myer Assessment (FMA), Trunk Impairment Scale (TIS), Berg Balance Scale (BBS) and Functional Ambulation Category (FAC) scores than the sensory impaired and absent group (p< 0.05). CONCLUSIONS: Our research provides therapeutic evidence that correlation of somatosensory functions on motor recovery, balance, gait, and ADL in patients with hemiplegic stroke.

scholarly journals Impaired Performance on a Cognitively-Based Instrumental Activities of Daily Living Task, the 10-Item Weekly Calendar Planning Activity, in Individuals With Stroke Undergoing Acute Inpatient Rehabilitation

2021 ◽  
Vol 12 ◽  
Author(s):  
Abhishek Jaywant ◽  
Catherine Arora ◽  
Alexis Lussier ◽  
Joan Toglia
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Cognitive Strategies ◽  
Inpatient Rehabilitation ◽  
Screening Tools ◽  
Weekly Schedule ◽  
Stroke Patients ◽  
Planning Activity ◽  
Instrumental Activities ◽  
Healthy Control

Performance-based, functionally relevant, and standardized measures of cognitive-instrumental activities of daily living (C-IADL) can complement neuropsychological tests of cognitive impairment and provide valuable clinical information to inform rehabilitation planning. Existing measures have been validated in the outpatient setting. Here, we sought to evaluate a 10-item, short-form of a C-IADL measure, Weekly Calendar Planning Activity (WCPA-10), in inpatients with stroke undergoing acute rehabilitation. The specific goal was to determine if the WCPA-10 could differentiate between stroke patients undergoing acute inpatient rehabilitation and healthy control individuals. We also explored whether the WCPA-10 would identify C-IADL limitations in stroke patients screened as having intact cognition. Seventy-seven stroke inpatients undergoing rehabilitation and 77 healthy control participants completed the WCPA-10, which involves entering a list of simulated, fictional appointments into a weekly schedule while keeping track of and adhering to multiple task rules and ignoring built-in obstacles and distractions. Compared to the control group, stroke patients had significantly worse accuracy, made more errors, used fewer cognitive strategies, followed fewer rules, took more time to complete the task, and were less efficient. 83% of stroke patients were less accurate than predicted by their age, and 64% used less strategies than their age prediction. Among 28 participants who screened as having “normal” cognitive function on the Montreal Cognitive Assessment, the majority had deficits on the WCPA-10. Our results provide initial support for use of a brief C-IADL assessment, WCPA-10, for individuals with stroke undergoing inpatient rehabilitation. They indicate that stroke patients have deficits in C-IADL accuracy, efficiency, and strategy use at this stage of stroke recovery. Results highlight the need to use performance based, functional cognitive assessments, even for those who perform well on cognitive screening tools.

scholarly journals Trunk Impairment as a Predictor of Activities of Daily Living in Acute Stroke

2021 ◽  
Vol 12 ◽  
Author(s):  
Masahiro Ishiwatari ◽  
Kaoru Honaga ◽  
Akira Tanuma ◽  
Tomokazu Takakura ◽  
Kozo Hatori ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Acute Stroke ◽  
Daily Living ◽  
Control Function ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Stroke Onset ◽  
Trunk Control ◽  
Upper And Lower Extremities ◽  
Input Variables

Background and purpose: Trunk function plays a key role in performing activities of daily living (ADL) including locomotion and sitting. Sitting and ADL should be performed as early as possible especially during the acute phase of stroke rehabilitation. Therefore, this study aimed to assess trunk function among patients with acute stroke using the Trunk Impairment Scale (TIS) and to predict its functional outcomes.Methods: Overall, 67 patients with acute stroke (i.e., within 2 days of occurrence of the stroke) were included. The following clinical assessment items were obtained within 48 h after stroke onset and on the day before discharge from the hospital. Trunk function was examined using TIS and Trunk Control Test (TCT). The motor function of the upper and lower extremities was assessed using the stroke impairment assessment set motor (SIAS-M) score, and ADL was assessed using functional independence measure motor (FIM-M) items.Results: Multiple regression analysis was performed using the stepwise regression method, using the total FIM-M score following discharge as the dependent variable and age, TIS, TCT, SIAS-M, and FIM-M within 48 h after stroke onset as the independent variables. Age, TIS, and FIM-M within 48 h after stroke onset were selected as the input variables and showed a high-adjusted determination coefficient (R2 = 0.79; P &lt; 0.001).Conclusion: TIS is a reliable method for evaluating trunk control function and is an early predictor of ADL among patients with acute stroke.

Neurological complications in COVID-19: a single case study of rehabilitation treatment

2021 ◽  
Vol 28 (8) ◽  
pp. 1-12
Author(s):  
Lorenzo Casertano ◽  
Rae Nathanson ◽  
Clare C Bassile ◽  
Lori Quinn
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Activities Of Daily Living ◽  
Upper Extremity ◽  
Daily Living ◽  
Single Case ◽  
Inpatient Rehabilitation ◽  
Sensory Loss ◽  
Rehabilitation Unit

Background/aims: COVID-19 is a global pandemic, which has seen over 198 million cases as of August 2021. This case study highlights the rehabilitation of a young patient with respiratory and neurologic sequalae of COVID-19 across the continuum of care, from the intensive care unit to the inpatient rehabilitation unit. Case description: A 45-year-old woman, with past medical history of fibromyalgia and morbid obesity, presented with complaints of shortness of breath. She tested positive for SARS-CoV-2, was transferred to the intensive care unit, and was intubated for 17 days. The day after extubation, she experienced worsened mental status; computed tomography and magnetic resonance imaging scans revealed bilateral strokes. On hospital day 21, she was transferred to the stroke step-down unit. On hospital day 24, she recovered some cognitive ability and movement of her lower extremities. On hospital day 30, she was admitted to the inpatient rehabilitation unit. Examination by occupational and physiotherapists found motor and sensory impairments of multiple peripheral nerves, including musculocutaneous, axillary and radial nerves. Interventions included passive range of motion, sitting balance, transfer training, rigid taping, upper extremity strengthening and functional training (gait, stair, activities of daily living). Her activities of daily living performance was limited by upper extremity weakness, sensory loss and pain. Conclusions This case highlights the medical, neurological and functional implications of COVID-19 on patients after prolonged hospitalisation. The plan of care was informed by collaboration between rehabilitation disciplines. Causes of her injuries are unclear but could include positioning, brachial plexus injuries, or post-critical illness syndrome. Further research on the evaluation and care of patients with COVID-19 that result in profound neurological impairments is warranted.

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