scholarly journals Mindfulness Meditation Effects on Poststroke Spasticity: A Feasibility Study

2019 ◽  
Vol 24 ◽  
pp. 2515690X1985594 ◽  
Author(s):  
Melanie Wathugala ◽  
David Saldana ◽  
Julia M. Juliano ◽  
Jennifer Chan ◽  
Sook-Lei Liew
Keyword(s):  
Quality Of Life ◽  
Feasibility Study ◽  
Repeated Measures ◽  
Mindfulness Meditation ◽  
Chronic Stroke ◽  
Future Research ◽  
Control Group ◽  
Stroke Survivors ◽  
Repeated Measures Design

This study examined the feasibility of an adapted 2-week mindfulness meditation protocol for chronic stroke survivors. In addition, preliminary effects of this adapted intervention on spasticity and quality of life in individuals after stroke were explored. Ten chronic stroke survivors with spasticity listened to 2 weeks of short mindfulness meditation recordings, adapted from Jon Kabat-Zinn’s Mindfulness-Based Stress Reduction course, in a pre/post repeated measures design. Measures of spasticity, quality of life, mindfulness, and anxiety, along with qualitative data from participants’ daily journals, were assessed. On average, participants reported meditating 12.5 days of the full 15 days (mean 12.5 days, SD 0.94, range 8-15 days). Seven of the 10 participants wrote comments in their journals. In addition, there were no adverse effects due to the intervention. Exploratory preliminary analyses also showed statistically significant improvements in spasticity in both the elbow ( P = .032) and wrist ( P = .023) after 2 weeks of meditation, along with improvements in quality of life measures for Energy ( P = .013), Personality ( P = .026), and Work/Productivity ( P = .032). This feasibility study suggests that individuals with spasticity following stroke are able to adhere to a 2-week home-based mindfulness meditation program. In addition, preliminary results also suggest that this adapted, short mindfulness meditation program might be a promising approach for individuals with spasticity following stroke. Future research should expand on these preliminary findings with a larger sample size and control group.

scholarly journals C-38 Telehealth Dementia Management in a Memory Care Unit: Survey Response Rates and Quality of Life

2019 ◽  
Vol 34 (6) ◽  
pp. 1067-1067
Author(s):  
J Pizer ◽  
A LaRoche ◽  
R Sawyer ◽  
B Arredondo ◽  
B Mizuki ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Feasibility Study ◽  
Repeated Measures ◽  
Care Facility ◽  
Response Rates ◽  
Survey Response ◽  
Term Care ◽  
Repeated Measures Design ◽  
Individualized Care

Abstract This feasibility study assessed changes in patient, staff, and family member ratings over time in a program using technology in patient care on an inpatient dementia unit in a nursing home. Method Dementia patients [N = 17; 50% Female; Age M (SD) = 84.56 (7.12); CDR M (SD) = 2.24 (5.17); MoCA M (SD) = 6.67 (.75)], caregivers (N = 17), and staff (N = 27) at a locked memory unit of a long-term care facility in the southern U.S. consented and enrolled in an individualized care program that implemented telehealth visits between a neuropsychologist and residents with staff. The start and end dates of the group varied due to new admissions and deaths. A feasibility study using a repeated measures design was conducted with monthly data collected from questionnaires (Quality of Life (QoL), Professional Care Team Burden (PCTB) Scale, and Zarit Caregiver Burden Inventory). Results QoL in residents as rated by staff was stable over a five-month interval [Baseline M (SD) = 37.94 (7.28); Month-5 M (SD) = 37.13(5.96), p = 0.98]. PCTB and Zarit responses were adequate at baseline (96.3% and 94.4%); however, due to poor response rates at Month 5 (14.3% and 27.2%), comparisons weren’t possible. Conclusion Changes in patient quality of life were not found over a five-month period. However, due to the severity and progression of dementia, a neutral finding may be positive. Anecdotally, perceptions of the program were positive. However, due to low survey response rates, we cannot accurately translate the benefits to the staff and family. Future studies should assess improving response rate or alternate forms of data collection. Generalizability is limited by size and setting.

scholarly journals Mindfulness in Motion for People with Multiple Sclerosis: A Feasibility Study

2017 ◽  
Vol 19 (5) ◽  
pp. 225-231 ◽  
Author(s):  
Rachel M. Gilbertson ◽  
Maryanna D. Klatt
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Multiple Sclerosis ◽  
Mindfulness Meditation ◽  
Short Form ◽  
Physical Symptoms ◽  
Future Research ◽  
Five Facet Mindfulness Questionnaire ◽  
Anxiety Depression

Background: Mindfulness in Motion is an 8-week mindfulness-based intervention that uses yoga movement, mindfulness meditation, and relaxing music. This study examined the feasibility of using Mindfulness in Motion in people with multiple sclerosis (MS) and the effect of this program on stress, anxiety, depression, fatigue, and quality of life in people with MS. Methods: Twenty-two people with MS completed the 8-week mindfulness program as well as assessments 1 week before and after the intervention. Results: Pre/post comparison of four self-reported questionnaires—the Mental Health Inventory, 36-item Short Form Health Status Survey, Modified Fatigue Impact Scale, and Five Facet Mindfulness Questionnaire—showed significant improvement in physical functioning, vitality, and mental health. Specifically, improvements were seen in anxiety, depression, and positive affect; cognitive, psychosocial, and overall functioning regarding fatigue; and mindfulness in the areas of observing, acting with awareness, nonjudgment, and nonreactivity. Conclusions: Due to the uncertainty in disease progression associated with MS, and the multiplicity of mental and physical symptoms associated with it, programming that addresses anxiety, depression, and fatigue is a key area of future research in MS disease management. Mindfulness in Motion proved to be a feasible program yielding positive results, supporting the need for research to determine the extent to which the program can improve quality-of-life outcomes for people with MS.

scholarly journals Randomised controlled trial of the effects of a self-management patient education program on overall quality of life and knee pain of older people with mild to moderate knee(s) osteoarthritis

2017 ◽  
Vol 4 (2) ◽  
pp. 80
Author(s):  
Alhadi M. Jahan
Keyword(s):  
Quality Of Life ◽  
Patient Education ◽  
Education Program ◽  
Repeated Measures ◽  
Controlled Trial ◽  
Self Management ◽  
Controlled Study ◽  
Control Group ◽  
Human Beings

<p class="abstract"><strong>Background:</strong> Knee osteoarthritis (OA) is the most important chronic rheumatic disease affecting human beings. It is more common among the older population. The objective of OA treatment is to control the symptoms, such as pain, mobility problems and consequently, to improve overall quality of life. Although, self-management patient education programs, such as educational workshops and other learning activities are effective approaches in some chronic diseases, the evidence for arthritis is still inconclusive. The aim of this trial is to compare the effectiveness of an OA of the knee self-management education program with a control group, as determined by improvements in pain and quality of life<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> In this study, we will perform a two-group, randomized (1:1 ratio), controlled study with repeated-measures to examine the differences between the two groups over time. The research sample will be selected from the patients who are referred to a physiotherapy department with a diagnosed mild to moderate knee(s) OA, aging from 45 to 65 years<span lang="EN-IN">.</span></p><p class="abstract"><strong>Conclusions:</strong> Positive findings of this trial will pave the road for new methods of cooperation between patients and healthcare providers. Also, patient education ensures that patients are well-informed about their own health and they could avoid any deterioration and disability due to bad practices. Finally, an increased understanding helps patients to make informed decisions about their healthcare avenues.</p>

scholarly journals An Experimental Pilot Study of Global Postural Reeducation Concerning the Cognitive Approach of Patients With Alzheimer’s Disease

2019 ◽  
Vol 35 ◽  
pp. 153331751986782 ◽  
Author(s):  
Jasemin Todri ◽  
Orges Lena ◽  
José Luis Martínez Gil
Keyword(s):  
Quality Of Life ◽  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Repeated Measures ◽  
Therapeutic Option ◽  
Depression Scale ◽  
Control Group ◽  
Cognitive Approach ◽  
Positive Effects

Background: Several recent studies have examined the positive effects of physical exercise and equilibrium on individuals with neurodegenerative diseases. Objectives: In this sense, this study based on an experimental design, tested whether global postural reeducation (GPR) can affect equilibrium and cognition, life quality, and psychological symptoms of patients with Alzheimer’s disease (AD). Methods: One hundred thirty-five participants with mild and moderate AD diagnosis were assigned to 2 groups: experimental group (EG, n = 90) and control group (CG, n = 45). The GPR therapy was implemented in the EG for 6 months, while both groups underwent neuropsychological assessments prior and after the 6-month period. Results: According to the repeated measures of analysis of variance, significant differences between groups were found at the 6-month follow-up period, in benefit of the EG such as Mini-Mental State Examination ( P = .000), Geriatric Depression Scale ( P = .000), Neuropsychiatric Inventory ( P = .000), quality of life in AD/patient ( P = .000), quality of life in AD/caregivers ( P = .000), Barthel index ( P = .000), and Tinetti Scale ( P = .000), while the CG showed a low performance in the neuropsychological tests. Conclusions: We suggest that GPR is a therapeutic option, which can improve the psychological, physical, and cognitive aspects of patients with AD.

scholarly journals Effect of a tailored multidimensional intervention on the care burden among family caregivers of stroke survivors: study protocol for a randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e041637
Author(s):  
Mahmoud Ahmed Elsheikh ◽  
Michiko Moriyama ◽  
Md Moshiur Rahman ◽  
Mayumi Kako ◽  
Ahmed Hashem El-Monshed ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Family Caregivers ◽  
Peer Support ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Stroke Survivors ◽  
Family Needs ◽  
Care Burden ◽  
Perceived Needs

IntroductionCaring for stroke survivors creates high levels of care burden among family caregivers. Previous initiatives at alleviating the care burden have been unsuccessful. The proposed study aims to evaluate the effect of a tailored multidimensional intervention on the care burden among family caregivers of stroke survivors. Based on the perceived needs of family caregivers, this intervention takes into account scientific recommendations to combine three different approaches: skill-building, psychoeducation and peer support.Methods and analysisUsing a prospective, randomised, open-label, parallel-group design, 110 family caregivers will be enrolled from Dakahlia Governorate, Egypt between December 2019 and May 2020, and randomly assigned to either the intervention group or the control group. The tailored multidimensional intervention will be administered for 6 months, including three home visits, six home-based telephone calls and one peer support session. The primary outcome is the care burden as measured using the Zarit Burden Interview. Secondary outcomes include changes in the family caregivers’ perceived needs (Family Needs Questionnaire-Revised), coping strategies (Brief-Coping Orientation to Problems Experienced) and quality of life (WHO Quality of Life-BREF). Outcomes evaluation will be conducted at baseline (T0), month 3 (T1) and month 6 (T2). Independent t-test will be performed to compare the mean values of study variables between the two groups at both T1 and T2. After adjusting for confounding variables, analysis of covariance will be used to assess the effect of the intervention. In addition, repeated measures analysis of variance will be conducted to assess changes in effect over time.Ethics and disseminationThis study was approved by the Research Ethics Committee of the Faculty of Nursing, Mansoura University, Mansoura, Egypt (P.0195). The results will be published in a scientific peer-reviewed journal, and findings will be disseminated at the local and international levels.Trial registration numberNCT04211662.

scholarly journals Quality of life in stroke survivors

Medicina ◽  
2007 ◽  
Vol 43 (9) ◽  
pp. 736 ◽  
Author(s):  
Daina Krančiukaitė ◽  
Daiva Rastenytė ◽  
Kristina Jurėnienė ◽  
Diana Šopagienė
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Health ◽  
Control Group ◽  
Case Group ◽  
Stroke Survivors ◽  
Healthy Controls ◽  
Physical And Mental Health ◽  
Mental Work

The aim of the study was to compare the quality of life among stroke survivors and healthy controls and to evaluate the influence of age, sex, and social and demographic factors on the quality of life. Contingent and methods. The case group consisted of 508 inhabitants of Kaunas city who were 25–84 years of age and had experienced their first stroke. The control group consisted of age- and sex-stratified randomly selected 508 stroke-free inhabitants of Kaunas city. The quality of life was evaluated using the SF- 12 questionnaire. The study compared the quality of life between stroke survivors and controls in eight domains of quality of life and compared the evaluation of quality of life considering social and demographic features. Results. In the domain of physical and mental health, stroke survivors presented poorer evaluation of their quality of life compared to controls except for the evaluations of mental health in the age groups of 25–34 and 35–44 years. As compared to healthy controls, stroke survivors presented poorer evaluation of their quality of life in all domains except for pain. Only in the control group, females presented poorer evaluation of physical health, whereas no differences in the evaluation of mental health between sexes were found. The evaluation of physical health in both groups worsened with age. Both stroke survivors and controls presented better evaluation of their physical health if they were living not alone, were better educated, and were employed compared to those who were living alone, had poorer education level, and were unemployed. In addition, controls who were currently or previously engaged in mental work evaluated their physical health better. Conclusions. Stroke survivors presented poorer evaluations of their quality of life in both physical and mental health domains compared to controls. Only in the control group, females evaluated their physical health worse than males did. In both groups studied, poorer evaluation of physical health was associated with older age and lower social and demographic status. Relationship between mental health and subjects’ social and demographic status was not statistically significant in either of the studied groups.

scholarly journals Immediate Effects of Tibialis Anterior and Calf Muscle Taping on Center of Pressure Excursion in Chronic Stroke Patients: A Cross-Over Study

2020 ◽  
Vol 17 (11) ◽  
pp. 4109 ◽  
Author(s):  
Shin Jun Park ◽  
Tae-Hyun Kim ◽  
Seunghue Oh
Keyword(s):  
Repeated Measures ◽  
Tibialis Anterior ◽  
Center Of Pressure ◽  
Chronic Stroke ◽  
Stroke Survivors ◽  
Stroke Patients ◽  
Repeated Measures Design ◽  
Ankle Muscles ◽  
Kinesiology Tape ◽  
Forward Area

Stroke patients often have muscles spasticity, difficulty with posture control, and tend to fall. This study investigated the use of kinesiology tape for patients with spasticity of ankle muscles after stroke. This study had a randomized, repeated measures design, and evaluated the immediate effect of kinesiology tape on the center of pressure (COP) excursion when applied to the calf and tibialis anterior muscles in stroke survivors. We determined that the taping attachment direction affects the COP movement. Twenty subjects were randomly assigned to the tibialis anterior taping condition, calf taping condition, or nontaping condition. Condition excursion was assessed. The measured variables included the paretic side area, nonparetic side area, forward area, and backward area of COP. All evaluations were conducted immediately after taping. COP excursion for chronic stroke survivors improved after tibialis anterior and calf taping (p < 0.05). Calf taping conditions increased significantly in the forward area (p < 0.05), and tibialis anterior taping conditions increased significantly in the backward area (p < 0.05). Kinesiology tape immediately increased the forward and backward COP excursion for patients with stroke.

scholarly journals Mindfulness Meditation as Adjunctive Therapy to Improve the Glycemic Care and Quality of Life in Patients with Type 1 Diabetes

2021 ◽  
Vol 9 (2) ◽  
pp. 33
Author(s):  
Rishi Shukla ◽  
Manisha Gupta ◽  
Neha Agarwal ◽  
Anurag Bajpai
Keyword(s):  
Quality Of Life ◽  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Mindfulness Meditation ◽  
Intervention Group ◽  
Control Group ◽  
Positive Direction ◽  
Peace Of Mind

Background: Mindfulness Meditation (MM) is known to improve glycemic control and enhance the quality of life (QoL) in type 2 diabetes (T2D) patients. Unfortunately, the role of meditation in type 1 diabetes (T1D) has not been studied extensively. Therefore, we conducted this study to determine the effect of MM on the glycemic control and QoL in people living with T1D. Methodology: Thirty-two adults living with T1D were equally randomized into intervention (meditation) and control groups. The glycemic control and QoL were assessed at the baseline and after six months of intervention. Results: A total of thirty-two adults (15 males, 46.9%; mean age 23.8 ± 6.6 years) with type 1 diabetes (mean diabetes duration 12.7 ± 6.2 years) participated in the study. At the end of six months, a statistically significant improvement was seen in the mean blood glucose level in the control group (222.4 ± 77.8 versus 182.6 ± 52.0; p = 0.007) and the intervention group (215.3 ± 50.1 versus 193.2 ± 31.8; p = 0.008). Additionally, there was a significant reduction in the total diabetes distress score in the intervention group (1.6 ± 0.3 versus 1.3 ± 0.3; p = 0.003), while no change was observed in the control group (1.6 ± 0.7 versus 1.7 ± 0.4; p = 0.762). A statistically significant improvement was noticed in the health and functioning domain in the intervention group (p = 0.023). Conclusions: An improvement in the glycemic control and quality of life of the patients was observed in our study. MM certainly plays an important role in attaining peace of mind and helps patients to channel their energy in a positive direction.

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