scholarly journals Effects of Constraint-Induced Therapy Versus Bilateral Arm Training on Motor Performance, Daily Functions, and Quality of Life in Stroke Survivors

2008 ◽  
Vol 23 (5) ◽  
pp. 441-448 ◽  
Author(s):  
Keh-chung Lin ◽  
Ya-fen Chang ◽  
Ching-yi Wu ◽  
Yi-an Chen
Keyword(s):  
Quality Of Life ◽  
Motor Performance ◽  
Functional Independence Measure ◽  
Proximal Part ◽  
Functional Independence ◽  
Control Group ◽  
Intensive Training ◽  
Hemiparetic Stroke ◽  
Bilateral Arm Training

Background and Objective. This study investigated the relative effects of distributed constraint-induced therapy (CIT) and bilateral arm training (BAT) on motor performance, daily function, functional use of the affected arm, and quality of life in patients with hemiparetic stroke. Methods. A total of 60 patients were randomized to distributed CIT, BAT, or a control intervention of less specific but active therapy. Each group received intensive training for 2 hours/day, 5 days/week, for 3 weeks. Pretreatment and posttreatment measures included the Fugl—Meyer Assessment (FMA), Functional Independence Measure (FIM), Motor Activity Log (MAL), and Stroke Impact Scale (SIS). The proximal and distal scores of FMA were used to examine separate upper limb (UL) elements of movement. Results . The distributed CIT and BAT groups showed better performance in the overall and the distal part score of the FMA than the control group. The BAT group exhibited greater gains in the proximal part score of the FMA than the distributed CIT and control groups. Enhanced performance was found for the distributed CIT group in the MAL, the subtest of locomotion in the FIM, and certain domains of the SIS (eg, ADL/IADL). Conclusion. BAT may uniquely improve proximal UL motor impairment. In contrast, distributed CIT may produce greater functional gains for the affected UL in subjects with mild to moderate chronic hemiparesis.

Dance, functioning and quality of life in children with Down syndrome and autism spectrum disorder dance, functioning and quality of life in Down syndrome and autism spectrum disorder

2021 ◽  
pp. 135910452110617
Author(s):  
Evanilza T. Adorno ◽  
Daiany C de J. Dos Santos ◽  
Beatriz M. DeJesus ◽  
Adrielle A. Passos ◽  
Lavínia Teixeira-Machado
Keyword(s):  
Quality Of Life ◽  
Autism Spectrum Disorder ◽  
Down Syndrome ◽  
Rating Scale ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Children With Down Syndrome

This study investigated dance practice in psychosocial and functional aspects, and quality of life in children with Down syndrome and autism spectrum disorder. Children with DS and ASD, between 3 and 12 years old, attended a dance program during 16 sessions/lessons, lasting 60 min, twice a week, in suitable place. Functional Independence Measure (FIM), Childhood Autism Rating Scale SF-36 quality of life survey, and Knowledge, Attitude and Practice Inquiry (KAP Inquiry) were applied before and after dance classes. Eleven participants concluded the study. Functional independence changes were observed in relation to self-care, sphincter control, locomotion, and communication domains. Children’ “quality of life” reported by parents showed changes in functional capacity, vitality, mental health, physical and social aspects, and general state of health domains. These findings suggest that regular dance practice can underlie psychosocial adjustments in children with DS and ASD.

scholarly journals The effect on subjective quality of life of occupational therapy based on adjusting the challenge–skill balance: a randomized controlled trial

2019 ◽  
Vol 33 (11) ◽  
pp. 1732-1746
Author(s):  
Ippei Yoshida ◽  
Kazuki Hirao ◽  
Ryuji Kobayashi
Keyword(s):  
Quality Of Life ◽  
Occupational Therapy ◽  
Controlled Trial ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Subjective Quality ◽  
Subjective Quality Of Life ◽  
Rehabilitation Process ◽  
And Control

Objective: To verify the effect of adjusting the challenge–skill balance with respect to rehabilitation process. Design: A single-blind, two-arm, parallel-group, randomized controlled trial. Setting: Recovery rehabilitation unit of Harue Hospital, Japan. Subjects: The trial included 72 clients (mean (SD): age, 74.64 (9.51) years; Functional Independence Measure score, 98.26 (15.27)) with cerebral or spinal disease or musculoskeletal disease. Interventions: Clients were randomly divided into two groups: the experimental group, who received occupational therapy with adjustment of the challenge–skill balance, and the control group who received conventional occupational therapy. Time from admission to discharge was considered the implementation period; the final evaluation was conducted at three months after discharge. Main measures: The primary outcome was subjective quality of life (Ikigai-9). Secondary outcomes were the health-related quality of life (EuroQol–5 Dimensions, Five Levels (EQ-5D-5L)), the Flow State Scale for Occupational Tasks, and the Functional Independence Measure. A cost-effectiveness analysis was conducted using total cost and quality-adjusted life-year based on the EQ-5D-5L. Results: Significant differences were observed between the experimental and control groups with respect to the Ikigai-9 score ( P = 0.008) and EQ-5D-5L ( P = 0.038), and the effect sizes were 0.76 (95% confidence interval [CI]: 0.27–1.24) and 0.62 (95% CI: 0.14–1.10), respectively. No significant between-group differences in other outcomes were observed, for example, the Functional Independence Measure score improved in both experimental and control groups (119.80 (5.50) and 118.84 (6.97), respectively. The incremental cost-effectiveness ratio was US$5518.38. Conclusions: Adjusting the challenge–skill balance may be a useful approach to improve the participant’s subjective quality of life in the rehabilitation process.

scholarly journals THE EFFECT OF CAREGIVER EDUCATION PROGRAM ON FUNCTIONAL INDEPENDENCE AND MORTALITY IN FIRST-EVER STROKE

2018 ◽  
Vol 2 (2) ◽  
pp. 57-67
Author(s):  
S.Airiza Ahmad ◽  
Iman Supandiman ◽  
Soemarmo Markam ◽  
Riwanti Estiasari ◽  
Graeme Hankey
Keyword(s):  
Quality Of Life ◽  
Education Program ◽  
Stroke Unit ◽  
Controlled Trial ◽  
Stroke Survivor ◽  
Functional Independence ◽  
Control Group ◽  
Invasive Treatment ◽  
Caregiver Education

Background: At present, the management of stroke focuses not only on the acute stage of saving the penumbra but also on the secondary prevention of managing the potential sequel following stroke, preventing the occurrence of another attack, and improving the quality of life. Continuous role of caregivers in supporting stroke survivor after passing the acute phase is therefore invaluable. Caregiver education program (CEP) was routinely used as a part of discharge plan on acute stroke patients in stroke unit in Indonesia. This study aims to evaluate the effect of CEP as one of stroke rehabilitation modalities using a historical data that still correlated to the practice in stroke unit nowadays. Methods: A single-blinded randomized controlled trial was performed on 172 subjects of first-ever stroke with no other comorbidities and not having invasive treatment on the recruitment time. The subjects were randomly allocated into two groups: a group receiving CEP (n=88) as the experiment group and a control group (n=84). A four-session CEP, held since the second week of admission by interactive discussion using overhead projector and poster, was performed by a neurologist to the caregiver member of experiment group stroke survivor. The outcome of functional independence and mortality on the third month post-onset was assessed using Barthel activity daily living (ADL) index and the mortality report, respectively. Results: No statistical difference was found on the baseline of the two groups. CEP significantly increased the functional independence (RR=1.30, 95% CI 1.03-1.63) of stroke survivor. Despite the insignificant effect on three-month survival, the group receiving CEP had less mortality rate over time. Conclusion: Caregiver education program had a positive outcome on the patient’s functional independence. Thus, it improves the quality of life.

Abstract NS13: Road to Recovery after Stroke: Understanding Predictors of Discharge Destination, Functional Independence, and Quality of Life after Hospital Discharge

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Laurie Paletz ◽  
Pamela Roberts ◽  
Harriet Aronow ◽  
Sonia Guerra ◽  
Tingjian Yan
Keyword(s):  
Quality Of Life ◽  
Comparative Effectiveness ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Stroke Severity ◽  
Stroke Patients ◽  
Functional Scores ◽  
Brain Involvement

Introduction: Stroke is the leading cause of long-term disability and affects 795,000 people in the U.S. each year. This study was conducted to enhance knowledge of outcomes during recovery and the options for participating in rehabilitation and preventive care during patients’ transitions to the community. Comprehensive Stroke Certification charges hospitals with the task of expanding knowledge of functional and quality of life outcomes for all stroke patients through the continuum examining effects of stroke severity, functional impairment, and patient characteristics on discharge destinations, functional independence, and quality of life after discharge. Methods: Retrospective analysis of an acute stroke quality improvement database which includes measures collected by MedTel Outcomes LLC on all stroke patients one month after discharge. Included, is the Functional Independence Measure and standardized quality of life and participation measures. In the database are standardized measures from the medical record such stroke type, Modified Rankin score, and acute functional independence measure score for 719 patients with a 30-day follow-up phone assessment for functional and quality of life measures from January 1, 2011 to December 31, 2012. Preliminary Findings: Over 75% of patients had hemiparesis, & over 90% survived 30-days post discharge and were living in the community. At follow-up, mostwere independent in self-care, and half were independent in mobility excluding stairs. Those with right brain involvement had a complicated, slower recovery. Those with left brain involvement,had lower functional scores and a higher percentage of them were not living in the community, rather, living in institutions. Conclusions: All patients experiencing a stroke should have evidence-based information on their options & what to expect during their recovery during their transitions into the community. The data base is useful as a source of outcome data for comparative effectiveness and to build a regional collaborative outcomes database for Comparative Effectiveness Research and quality benchmarking. Findings can be used to understand the functional trajectory of recovery based on severity of stroke and other factors.

scholarly journals Constraint-Induced Therapy Versus Dose-Matched Control Intervention to Improve Motor Ability, Basic/Extended Daily Functions, and Quality of Life in Stroke

2008 ◽  
Vol 23 (2) ◽  
pp. 160-165 ◽  
Author(s):  
Keh-chung Lin ◽  
Ching-yi Wu ◽  
Jung-sen Liu ◽  
Yueh-tsen Chen ◽  
Chen-jung Hsu
Keyword(s):  
Quality Of Life ◽  
Motor Function ◽  
Matched Control ◽  
Functional Independence ◽  
Control Group ◽  
Health Related Quality ◽  
Control Intervention ◽  
Related Quality ◽  
Health Related

Background. Trials of constraint-induced movement therapy (CIT) to improve upper extremity function after stroke have usually not included an actively treated control group. Objective. This study compared a modified CIT intervention with a dose-matched control intervention that included restraint of the less affected hand and assessed for differences in motor and functional performance and health-related quality of life. Methods. This 2-group randomized controlled trial, using pretreatment and posttreatment measures, enrolled 32 patients within 6 to 40 months after onset of a first stroke (mean age, 55.7 years). They received either CIT (restraint of the less affected limb combined with intensive training of the affected limb for 2 hours daily 5 days per week for 3 weeks and restraint of the less affected hand for 5 hours outside of the rehabilitation training) or a conventional intervention with hand restraint for the same duration. Outcome measures were the Fugl-Meyer Assessment, Functional Independence Measure, Motor Activity Log, Nottingham Extended Activities of Daily Living Scale, and Stroke Impact Scale. Results. Compared with the control group, the CIT group exhibited significantly better performance in motor function, level of functional independence, mobility of extended activities during daily life, and health-related quality of life after treatment. Conclusions. The robust effects of this form of CIT were demonstrated in various aspects of outcome, including motor function, basic and extended functional ability, and quality of life.

scholarly journals Η επίδραση ενός προγράμματος αποκατάστασης στη μυϊκή λειτουργικότητα του βαρέως πάσχοντος μετά την έξοδο από τη Μονάδα Εντατικής Θεραπείας

2017 ◽  
Author(s):  
Ειρήνη Πατσάκη
Keyword(s):  
Quality Of Life ◽  
Medical Research ◽  
Research Council ◽  
Medical Research Council ◽  
Nottingham Health Profile ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Health Profile

Εισαγωγή: Οι ασθενείς που εξέρχονται από τη Μονάδα Εντατικής Θεραπείας (ΜΕΘ) παρουσιάζουν σημαντικά ελλείμματα που επηρεάζουν τη λειτουργικότητα και την ποιότητα ζωής τους. Σκοπός: Σκοπός αυτής της τυχαιοποιημένης τυφλής μελέτης ήταν η αξιολόγηση της επίδρασης του Ηλεκτρονευρομυϊκού Ερεθισμού (ΗΝΜΕ) και ενός προγράμματος άσκησης στη μυϊκή ισχύ των βαρέως πασχόντων κατά την έξοδο από το Νοσοκομείο. Μεθοδολογία: 128 ασθενείς (83♂/45♀) που εξήλθαν από τη ΜΕΘ οι οποίοι είχαν παραμείνει υπό μηχανικό αερισμό για > 72 ώρες και μπορούσαν να εκτελέσουν απλές εντολές, τυχαιοποιήθηκαν κατά επίπεδα (ηλικία & MRC) στην ομάδα ΗΝΜΕ ή στην ομάδα ελέγχου. Στην ομάδα ΗΝΜΕ έγινε καθημερινή εφαρμογή ΗΝΜΕ και προγράμματος ασκήσεων ενώ στην ομάδα ελέγχου έγινε εφαρμογή εικονικού ΗΝΜΕ και δέχτηκαν τη συνήθη θεραπευτική παρέμβαση. Η κλίμακα μυϊκής ισχύος Medical Research Council (MRC) και η δυναμομέτρηση χειρός χρησιμοποιήθηκαν για την αξιολόγηση της μυϊκής ισχύος. Η λειτουργικότητα αξιολογήθηκε με την κλίμακα Functional Independence Measure (FIM) και η ποιότητα ζωής με τα ερωτηματολόγια Euro-Qol 5D (Euro- Quality of Life) και Nottingham Health Profile. Αποτελέσματα: Η MRC μυϊκής ισχύος κατά την έξοδο από τη ΜΕΘ και το νοσοκομείο δεν διέφερε μεταξύ των δυο ομάδων. Η ΔMRC% έτεινε να είναι υψηλότερη στην ομάδα ΗΝΜΕ κατά την 1η και 2η εβδομάδα παραμονής στο Νοσοκομείο. Στους ασθενείς με MRC<48/60 κατά την έξοδο από τη ΜΕΘ, η ΔMRC% ήταν σημαντικά υψηλότερη στην ομάδα ΗΝΜΕ σε σχέση με την ομάδα ελέγχου κατά την 1η και 2η εβδομάδα παραμονής στο Νοσοκομείο (33%±31% vs 18%±15%, p=0.07, 59%±54% vs 30%±20%, p=0.05, αντίστοιχα). Η δυναμομέτρηση χειρός και η κλίμακα λειτουργικότητα δεν έδειξαν διαφοροποίηση μεταξύ των δύο ομάδων. Επίσης δεν υπήρξε διαφορά και στην ποιότητα ζωής. Συμπέρασμα: Η εφαρμογή του ΗΝΜΕ συμπληρωματικά με ένα πρόγραμμα αποκατάστασης μπορεί να συμβάλλει στη βελτίωση της μυϊκής ισχύς κυρίως ασθενών με σοβαρή μυϊκή αδυναμία .Ο ΗΝΜΕ φαίνεται να είναι ιδιαίτερα αποτελεσματικός στη βραχεία περίοδο εξόδου από τη ΜΕΘ επιτυγχάνοντας τη φυσική διαδικασία ίασης.

Abstract WP154: Early Functional Independence Measure Scores Are Associated With 3-Month Quality of Life

Stroke ◽  
2018 ◽  
Vol 49 (Suppl_1) ◽  
Author(s):  
Chen Lin ◽  
Mansi Katkar ◽  
Jungwha Lee ◽  
Richard L Harvey ◽  
Elliot Roth ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Functional Independence Measure ◽  
Functional Independence

scholarly journals Implications of HAM/TSP functional incapacity in the quality of life

2011 ◽  
Vol 69 (2a) ◽  
pp. 208-211 ◽  
Author(s):  
Marcia Shublaq ◽  
Marco Orsini ◽  
Marzia Puccioni-Sohler
Keyword(s):  
Quality Of Life ◽  
Social Issues ◽  
Short Form ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Disability Score ◽  
Motor Disability ◽  
Sf 36 ◽  
Disability Status

OBJECTIVE: To identify the functional status and quality of life of HAM/TSP patients. METHOD: We evaluated prospectively 30 HAM/TSP patients (20 females) seen in the Neuroinfection Clinic of the HUGG. The functional capacity was analyzed by the functional independence measure (FIM), the expanded disability status (EDSS) scale and the Osame's motor disability score (OMDS). The quality of life was assed by the Short-Form Health Survey 36 (SF-36)TM. RESULTS: All patients need assistance device. The FIM, OMDS and EDSS scores classified 70%, 67% and 67% of the patients as dependent, respectively. The lowest scores of the SF-36 survey were found in the domains related to the physical health (D1, D2), role-emotional functioning (D7) and social functioning (D6). CONCLUSION: Our data suggest that the HAM/TSP physical impairment has an impact in the emotional and social issues, considering the limitation in the daily activities.

scholarly journals Effects of exergames training on postural balance in patients who had a chronic stroke: study protocol for a randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e038593
Author(s):  
Nathalia Priscilla Oliveira Silva Bessa ◽  
Bartolomeu Fagundes de Lima Filho ◽  
Candice Simões Pimenta de Medeiros ◽  
Tatiana Souza Ribeiro ◽  
Tânia Fernandes Campos ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Postural Balance ◽  
Controlled Trial ◽  
Functional Independence ◽  
Chronic Stroke ◽  
Cortical Activation ◽  
Control Group ◽  
Quality Of Life Scale ◽  
Functional Reach Test

IntroductionExergames training, as an additional therapy to standard care, has been widely used for motor recovery after patients who had a stroke, and it is a valuable and positive tool in the rehabilitation of this population. This study describes a single-blind randomised clinical trial that will aim to investigate the effects of exergames training on postural balance in patients with chronic stroke.Methods and analysisForty-two individuals with chronic stroke (>6 months), aged 20–75 years, will be randomised into two groups: the experimental group, which will be subjected to an exergames protocol, and control group, which will undergo a kinesiotherapy protocol. Both protocols are based on postural balance. The intervention will consist of 40-minute sessions two times per week for 10 consecutive weeks. The volunteers will be evaluated before the treatment, at the end of the interventions and 8 weeks thereafter. The primary outcome will be postural balance (Berg Balance Scale, Functional Reach Test, Timed Up and Go test and Centre of Pressure variables) and secondary outcomes will include gait (6 m timed walk and Kinovea Software), cortical activation patterns (electroencephalography Emotiv EPOC), functional independence (Functional Independence Measure), quality of life (Stroke-Specific Quality of Life Scale) and motivation (Intrinsic Motivation Inventory).Ethics and disseminationThis protocol was approved by the Ethics Committee of the Federal University of Rio Grande do Norte (number 3.434.350). The results of the study will be disseminated to participants through social networks and will be submitted to a peer-reviewed journal and scientific meetings.Trial registration numberBrazilian Registry of Clinical Trials (RBR-78v9hx).

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