scholarly journals Relationship between upper limb motor function and activities of daily living after removing the influence of lower limb motor function in subacute patients with stroke: A cross-sectional study

2020 ◽  
pp. 156918612092660
Author(s):  
Haruka Yamamoto ◽  
Kazuya Takeda ◽  
Soichiro Koyama ◽  
Keisuke Morishima ◽  
Yuichi Hirakawa ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Motor Function ◽  
Upper Limb ◽  
Lower Limb ◽  
Daily Living ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Motor Score ◽  
Cross Sectional ◽  
The Relationship

Background Previous studies have reported a relationship between upper limb motor function and activities of daily living. However, their relationship after removing the influence of lower limb motor function has not been clarified. Objective This study aimed to investigate the relationship between Fugl-Meyer assessment upper limb and total Functional Independence Measure motor score and between Fugl-Meyer assessment upper limb and each item contained in Functional Independence Measure motor score after eliminating the influence of the motor function of the affected lower limb. Methods This retrospective cross-sectional study included 58 subacute stroke patients. To investigate the relationship between the Fugl-Meyer assessment upper limb and total Functional Independence Measure motor score before and after removing the influence of Fugl-Meyer assessment lower limb, Spearman’s rank correlation coefficient and partial correlation analysis were used. Additionally, the relationship between Fugl-Meyer assessment upper limb and each item of Functional Independence Measure motor score after removing the influence was assessed. Results Before removing the influence of Fugl-Meyer assessment lower limb, Fugl-Meyer assessment upper limb was strongly correlated with total Functional Independence Measure motor score (r = 0.74, p < 0.001). However, it became weak after removing the influence (r = 0.27, p = 0.04). Regarding each item of Functional Independence Measure motor score, Fugl-Meyer assessment upper limb was correlated with grooming (r = 0.27, p = 0.04), bathing (r = 0.28, p = 0.03), dressing upper body (r = 0.33, p = 0.01), dressing lower body (r = 0.31, p = 0.02), and stair-climbing (r = 0.31, p = 0.02) after removing the influence. Conclusion These findings suggest that the relationship between the upper limb motor function and activities of daily living is strongly influenced by lower limb motor function.

The relationship between upper limb function and activities of daily living without the effects of lower limb function: A cross-sectional study

2021 ◽  
pp. 030802262110300
Author(s):  
Haruka Yamamoto ◽  
Kazuya Takeda ◽  
Soichiro Koyama ◽  
Keisuke Morishima ◽  
Yuichi Hirakawa ◽  
...  
Keyword(s):  
Motor Function ◽  
Upper Limb ◽  
Lower Limb ◽  
Daily Living ◽  
Partial Correlation ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Partial Correlation Analysis ◽  
Cross Sectional ◽  
The Relationship

Introduction Upper limb motor function and activities of daily living (ADL) are related in chronic stroke patients. This study investigated this relationship after removal of the influence of motor function of the affected lower limb, which until now has remained unclear. Methods This retrospective cross-sectional study included 53 patients with chronic stroke. Upper and lower limb motor function and ADL were assessed using the Fugl-Meyer assessment of the upper (FMA-UL) and lower limbs (FMA-LL) and functional independence measure motor score (FIM-M). To clarify the relationship between FMA-UL and total FIM-M before and after removal of the influence of FMA-LL, Spearman’s rank correlation coefficient and partial correlation analysis were used. The relationship between FMA-UL and each item of FIM-M after removal of the influence of FMA-LL was assessed using partial correlation analysis. Results Before the influence of FMA-LL was removed, FMA-UL was moderately to well correlated with total FIM-M. This became weak after the influence was removed. Regarding each item of FIM-M, FMA-UL was correlated with dressing (upper body), toileting, and walking or wheelchair after removal of the influence. Conclusion The relationship between upper limb motor function and ADL is strongly influenced by lower limb motor function.

scholarly journals The Relationship Between Upper Limb Function and Participation and Independence in Daily Activities of Life in People With Stroke

2021 ◽  
Vol 22 (1) ◽  
pp. 86-101
Author(s):  
Nazila Akbarfahimi ◽  
◽  
Mohammad Hassan Mazidi ◽  
Seyed Ali Hosseini ◽  
Mohsen Vahedi ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Upper Limb ◽  
Daily Living ◽  
Functional Independence ◽  
Limb Function ◽  
Cross Sectional ◽  
Daily Living Activities ◽  
Upper Limb Function ◽  
History Of ◽  
The Relationship

Objective: Upperlimb function impairment is one of the most common consequences of stroke and a part of the motor functions, that has been considered as a necessary basis for the implementation of various of occupation and participation. The purpose of the present study is to investigate the relationship between upper extremity function and level of participation and independence in the activities of daily living in people with history of stroke in less than two years ago. Materials & Methods: This study is non-experimental and cross-sectional. Among those referring to University of Social Welfare and Rehabilitation Sciences with a history of stroke in less than two years ago, the patients were selected by easy accessible sampling method. Upper limb performance was measured by Fogel-Meier and independency in daily living activities by the Functional Independence Scale (FIM) and participation by the Iranian Participation Questionnaire (IPQ).Data analysis was performed in SPSS V. 23 softwarebyusing Spearman correlation test. Results: The results showed that the correlation between upper limb performance and participation was a moderate direct relation (P=0.003, r=0.315) and there was a strong direct (r=0.625, P=0.00)correlation between upper limb performance and independence in activities of daily living. Conclusion: The relationship between upper limb function and independence in daily living activities is strong, so with further improvement and efficiency of the upper limbleadtoincreasesindependence in patients' activities of daily life. The relationship between upper limb function and participation is moderate, so to increase and improve the participation of stroke patients, in addition to upper limb mobility, other factors must be considered.

scholarly journals Comparison between ability and performance: a study on the functionality of dependent elderly individuals

2013 ◽  
Vol 21 (6) ◽  
pp. 1321-1329 ◽  
Author(s):  
Flávia Nunes Machado ◽  
Adriana Nunes Machado ◽  
Sônia Maria Soares
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Objective Assessment ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Cross Sectional ◽  
Elderly Individuals ◽  
Healthcare Center ◽  
And Performance ◽  
Dependent Elderly

OBJECTIVE: to compare the ability and performance of Basic Activities of Daily Living of dependent elderly individuals cared for in a geriatric healthcare center. METHOD: cross-sectional, observational study with quantitative approach. The Functional Independence Measure (FIM) was applied in 109 elderly individuals cared for in a geriatric healthcare center. Of these, 60 individuals were classified as dependent in the case of basic activities of daily living described according to the International Classification of Functionality, Disability and Health (ICF). The process of triangulation reinforced reliability of data, which included information provided by patients and caregivers and that contained in medical files and objective assessment. RESULTS: the average age was 81.0±7.1 with a predominance of women. The difference between ability and performance was statistically significant (p<0.05) in most daily tasks. CONCLUSION: the contribution of this study in using ICF was semi-quantitatively interpreting its qualifiers, which enabled more objective comparisons and inferences, and revealed a clear distance between the performance and ability of these individuals in most of the assessed activities.

The Relationship between Knee Extension Strength and Activities of Daily Living in Patients with Dementia

2011 ◽  
pp. 244-256
Author(s):  
Makoto Suzuki ◽  
Hikari Kirimoto ◽  
Atsushi Inamura ◽  
Yoshitsugu Omori ◽  
Sumio Yamada
Keyword(s):  
Lower Extremity ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Functional Independence Measure ◽  
Knee Extensor ◽  
Functional Independence ◽  
Knee Extension ◽  
Daily Activities ◽  
Lower Body ◽  
Knee Extensor Strength

The purpose of this study was to examine the test-retest reliability of hand-held dynamometer measurements in patients with dementia and determine if predictions about a patient’s ability to perform daily activities can be made from knee extension strength measurements. This study was composed of two rounds of data collection. Sixty patients with dementia were enrolled in the first round to assess the reliability of hand-held dynamometer measurements, and 54 patients with dementia were enrolled in the second round for predicting their ability to perform daily activities. Knee extensor strength was measured twice, separated by a three minute interval, with hand-held dynamometer. The authors also assessed daily activities related to the patient’s lower extremities, including dressing the lower body, using the toile, transferring to the bed/toilet/shower, and walking. Lower extremity activities of the Functional Independence Measure were assessed by the nursing home caregiver that had the most regular contact with each subject. When the Functional Independence Measure score of each lower extremity function was =6 points, the subject was considered to be independent. The intraclass correlation coefficient was 0.97. Bland-Altman plots showed the 95% difference value to be within 2 SDs of the mean. The curves of negative and positive predictive values revealed the following threshold levels: 0.8 Nm/kg was the best predictor for dressing the lower body and using the toilet; 1.2 Nm/kg was the best predictor for transferring to the bed/toilet/shower; and 0.6 Nm/kg was the best predictor for gait performance. Strength measurements taken with a hand-held dynamometer were reliable in patients with dementia, and normalized knee extensor strength was found to be a predictor of the ability to perform activities of daily living.

scholarly journals Variation in Functional Independence among Stroke Survivors Having Fatigue and Depression

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Umaru Muhammad Badaru ◽  
Omoyemi Olubunmi Ogwumike ◽  
Ade Fatai Adeniyi ◽  
Olajide Olubanji Olowe
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Medical Center ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Functional Independence ◽  
Cross Sectional Survey ◽  
College Hospital ◽  
Cross Sectional ◽  
Significance Level

Objective. This study evaluated variation in functional independence in activities of daily living (ADL) and instrumental activities of daily living (IADL) among individuals with poststroke fatigue (PSF) and poststroke depression (PSD).Methods. A cross-sectional survey involved 65 consenting poststroke survivors who were purposively recruited from physiotherapy clinics of the University College Hospital, Ibadan, Adeoyo Maternity Teaching Hospital, Ibadan, and Federal Medical Center, Gusau. Participants were assessed for symptoms of PSD with short geriatric depression scale-15, PSF with fatigue severity scale, ADL with Barthel Index and IADL with Nottingham extended ADL scale. Data analysis was done using Chi-square and unpairedt-test with significance level being 0.05.Results. Participants’ age ranged from 58 to 80 years. PSD alone (P=0.002) and both PSF and PSD (P=0.02) were significantly associated with ADL, while PSF alone was not (P=0.233). PSD alone (P=0.001) and both PSF and PSD (P=0.001) significantly negatively affected IADL, while PSF alone had no significant effect (P=0.2).Conclusions. Participants with PSD alone and those with both PSF and PSD had lower functional independence in ADL and IADL.

scholarly journals Reinforced Feedback in Virtual Environment for Rehabilitation of Upper Extremity Dysfunction after Stroke: Preliminary Data from a Randomized Controlled Trial

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Paweł Kiper ◽  
Michela Agostini ◽  
Carlos Luque-Moreno ◽  
Paolo Tonin ◽  
Andrea Turolla
Keyword(s):  
Randomized Controlled Trial ◽  
Virtual Environment ◽  
Upper Extremity ◽  
Motor Function ◽  
Upper Limb ◽  
Controlled Trial ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Stroke Etiology ◽  
Randomized Controlled

Objectives. To study whether the reinforced feedback in virtual environment (RFVE) is more effective than traditional rehabilitation (TR) for the treatment of upper limb motor function after stroke, regardless of stroke etiology (i.e., ischemic, hemorrhagic).Design. Randomized controlled trial.Participants. Forty-four patients affected by stroke.Intervention. The patients were randomized into two groups: RFVE (N=23) and TR (N=21), and stratified according to stroke etiology. The RFVE treatment consisted of multidirectional exercises providing augmented feedback provided by virtual reality, while in the TR treatment the same exercises were provided without augmented feedbacks.Outcome Measures. Fugl-Meyer upper extremity scale (F-M UE), Functional Independence Measure scale (FIM), and kinematics parameters (speed, time, and peak).Results. The F-M UE (P=0.030), FIM (P=0.021), time (P=0.008), and peak (P=0.018), were significantly higher in the RFVE group after treatment, but not speed (P=0.140). The patients affected by hemorrhagic stroke significantly improved FIM (P=0.031), time (P=0.011), and peak (P=0.020) after treatment, whereas the patients affected by ischemic stroke improved significantly only speed (P=0.005) when treated by RFVE.Conclusion. These results indicated that some poststroke patients may benefit from RFVE program for the recovery of upper limb motor function. This trial is registered withNCT01955291.

The relationship between neuropsychological measures and the Timed Instrumental Activities of Daily Living task in multiple sclerosis

2007 ◽  
Vol 13 (5) ◽  
pp. 636-644 ◽  
Author(s):  
Y. Goverover ◽  
HM Genova ◽  
FG Hillary ◽  
J. DeLuca
Keyword(s):  
Multiple Sclerosis ◽  
Activities Of Daily Living ◽  
Processing Speed ◽  
Test Performance ◽  
Daily Living ◽  
Functional Independence ◽  
Everyday Functioning ◽  
Neuropsychological Measures ◽  
Instrumental Activities ◽  
The Relationship

Multiple sclerosis (MS) can result in cognitive deficits and a loss of functional independence. To date, little research has linked the observed cognitive and behavioral deficits in MS, especially those in the processing speed domain, to performance on tasks of everyday functioning. The present study examined the relationship between neuropsychological test performance and performance on the Timed Instrumental Activities of Daily Living task (TIADL) in individuals with MS, and in healthy controls (HCs). The TIADL is a functional measure, which assesses both accuracy and speed in one's performance of everyday activities. The MS group performed significantly worse on the TIADL relative to the HC group. Additionally, TIADL scores of individuals with MS were significantly correlated with neuropsychological measures of processing speed. TIADL scores were not, however, correlated with neuropsychological measures of verbal episodic memory or working memory. These results indicate that the impairments in processing speed may contribute to impairments in activities of everyday living in persons with MS. Multiple Sclerosis 2007; 13: 636-644. http://msj.sagepub.com

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