scholarly journals Monitoring Dysfunction after Stroke Sequelae in Patients undergoing Hydro-/ Thermo-/ Kinesio-Therapy

2020 ◽  
Vol 26 (2) ◽  
pp. 70-75
Author(s):  
Albadi Irina ◽  
Ciobotaru Camelia ◽  
Ionescu Elena Valentina ◽  
Oprea Doinita ◽  
Geanta Cristina Ioana ◽  
...  
Keyword(s):  
Functional Independence Measure ◽  
Functional Independence ◽  
Daily Basis ◽  
Functional Deficit ◽  
Physical Kinetic ◽  
Important Health ◽  
Recovery Treatment ◽  
Self Service ◽  
Group 2

Abstract Stroke is an important health problem generating a set of musculoskeletal and cognitive consequences that significantly affect the patient’s clinical-functional status and quality of life, as well as the effectiveness of the recovery treatment. Hydro-/ thermo-/ kinesio-therapy with water from Lake Techirghiol, known for its special properties, is also used for patients with neurological disorders and consists in immersing the patient in the therapeutic pool with specific exercises under the strict supervision of specialized medical staff. The aim of this study is to analyze the effects of Lake Techirghiol water on the functional deficit in patients with post-stroke sequelae. In this sense, 200 patients who were hospitalized in the Balneal Rehabilitation Sanatorium of Techirghiol, Constanta County, Romania during 2018-2020 were included in the study and they were divided into two groups: patients from group 1 performed on a daily basis, for 12 days, hydro-/ thermo-/ kinesiotherapy and other physical-kinetic procedures, and the patients from group 2 performed on a daily basis, for 12 days, only physical-kinetic procedures, without hydro-/ thermo-/ kinesio-therapy. Patients’ assessment was made based on the Functional Independence Measure scale and a better evolution was observed in the patients who performed hydro-/ thermo-/ kinesio-therapy as compared to those who did not perform this procedure, in the sense of a diminution of the functional deficit by making self-service activities easier and by improving gait disorders and transfers. We consider appropriate that we extend the period of patients’ treatment and follow-up in our next research so as to highlight, if relevant, any notable changes in terms of increasing functional independence also in the case of patients undergoing land-based kinesiotherapy.

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 Evaluation of Functional Recovery by Motor Functional Independence Measure Test of Elderly After Hip Fracture in Serbia

2014 ◽  
Vol 27 (1) ◽  
pp. 88 ◽  
Author(s):  
Natasa Radosavljevic ◽  
Dejan Nikolic ◽  
Milica Lazovic ◽  
Zoran Radosavljevic ◽  
Aleksandar Jeremic
Keyword(s):  
Hip Fracture ◽  
Functional Recovery ◽  
Age Groups ◽  
Functional Independence Measure ◽  
Severity Index ◽  
Functional Independence ◽  
Post Discharge ◽  
Third Age ◽  
Period 2 ◽  
Group 2

<p class="p0" style="margin-bottom: 0pt; margin-top: 0pt; text-align: justify; line-height: 200%;"><span style="mso-spacerun: 'yes'; font-size: 12.0000pt; font-family: 'Times New Roman'; background: #ffffff; mso-shading: #ffffff;"><strong>Introduction:</strong> The aim of the study was to evaluate motor functional status measured by motor Functional Independence Measure (mFIM) test in population above 65 years of age after the hip fracture.<br /><strong>Material and Methods:</strong> We evaluated 203 patients after hip fracture by mFIM test on 3 occasions: at admission (Period-1), at discharge (Period-2) and 3 months after discharge (Period-3); 3 age groups: Group65-74, Group75-84 and Group85-up and 2 groups concerning Severity Index (SI): group 0-1.99 (SI1) and group ≥ 2 (SI2).<br /><strong>Results:</strong> In same SI group there is significant increase in mFIM values for Period-2 and Period-3 for both genders and in first two age groups, while for those above 85 years of age with higher SI we found non-significant change in mFIM values between discharge and 3 months post discharge period.<br /><strong>Discussion: </strong>The most significant improvement is obtained for women in first and third age groups and with higher SI.<br /><strong>Conclusion:</strong> Gender is not significant predictor for motor functional recovery measured by mFIM test in patients with hip fracture, although the admittance mFIM is a good indicator for mFIM capacity recovery in women of certain age groups (first and third age groups).</span></p>

scholarly journals Utilização de escalas psicométricas na avaliação dos possíveis efeitos terapêuticos do Reiki

2012 ◽  
Vol 7 ◽  
pp. 79
Author(s):  
Ricardo Monezi ◽  
Pedro Mourão Roxo da Motta ◽  
Nelson Filice de Barros
Keyword(s):  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
World Health ◽  
Stress Scale ◽  
Face Scale ◽  
Health Organization

Introdução: O Reiki figura atualmente como uma das técnicas integrativas e complementares de maior uso e interesse no mundo. Sua utilização crescente vem chamando a atenção da ciência, que busca investigar seus possíveis efeitos a fim de verificar e disponibilizar aos seus usuários informações a respeito de sua eficácia e segurança. Entre os recursos utilizados nestas avaliações estão cada vez mais presentes as escalas psicométricas, que buscam mensurar aspectos subjetivos da natureza do ser humano, como níveis de ansiedade, depressão, stress e qualidade de vida. Objetivo: Descrever as principais escalas psicométricas utilizadas em ensaios clínicos que investigaram os possíveis efeitos do Reiki, analisando seu papel diagnóstico nestes estudos. Método: A partir dos descritores “Reiki” e “Scales”, foi realizada revisão e análise de artigos publicados, nos últimos 10 anos, nas bases de dados PubMed, Scielo e Bireme, que utilizaram-se de escalas psicométricas na avaliação dos possíveis efeitos do Reiki. Resultados: 18 estudos utilizaram-se de escalas psicométricas, como o Functional Independence Measure, aplicado a pacientes em reabilitação de AVE, o Wong-Baker Smiley Face Scale, utilizado para mensurar níveis de bem estar e dor, o Geriatric Depression Scale Short Form, para mensuração de depressão em idosos, além de instrumentos de avaliação de ansiedade, depressão, stress, desesperança, qualidade de vida e de sono, como Hospital Anxiety and Stress Scale, StateTrait Anxiety Inventory, Perceived Stress Scale, Beck Depression Inventory, World Health Organization for Quality of life, Beck Hopelessness Scale, Illness Symptoms Questionnaire, Visual Analog Scale e o Pittsburgh Quality of Sleep Index. Conclusões: Não existe um consenso na literatura a respeito da escala psicométrica que seja mais apropriada a cada variável, devido às suas respectivas especificidades e níveis de sensibilidade. Atualmente, onde se discute o estabelecimento de um padrão ouro para pesquisas que abordem as práticas integrativas também são polêmicas as discussões a respeito do emprego correto destas ferramentas.

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.

Effects of bioDensity Training and Power Plate Whole-Body Vibration on Strength, Balance, and Functional Independence in Older Adults

2016 ◽  
Vol 24 (1) ◽  
pp. 139-148 ◽  
Author(s):  
Derek T. Smith ◽  
Stacey Judge ◽  
Ashley Malone ◽  
Rebecca C. Moynes ◽  
Jason Conviser ◽  
...  
Keyword(s):  
Whole Body Vibration ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Whole Body ◽  
Body Vibration ◽  
Leg Strength ◽  
Clinical Benefits ◽  
Muscle Groups ◽  
Care Costs

Reduced strength, balance, and functional independence diminish quality of life and increase health care costs. Sixty adults (82.2 ± 4.9 years) were randomized to a control or three 12-week intervention groups: bioDensity (bD); Power Plate (PP) whole-body vibration (WBV); or bD+PP. bD involved one weekly 5-s maximal contraction of four muscle groups. PP involved two 5-min WBV sessions. Primary outcomes were strength, balance, and Functional Independence Measure (FIM). No groups differed initially. Strength significantly increased 22–51% for three muscle groups in bD and bD+PP (P < .001), with no changes in control and PP. Balance significantly improved in PP and bD+PP but not in control or bD. bD, PP, and bD+PP differentially improved FIM self-care and mobility. Strength improvements from weekly 5-min sessions of bD may impart health/clinical benefits. Balance and leg strength improvements suggest WBV beneficially impacts fall risk and incidence. Improved FIM scores are encouraging and justify larger controlled trials on bD and bD+PP efficacy.

scholarly journals Combined Effects of Telehealth and Modified Constraint-Induced Movement Therapy for Individuals with Chronic Hemiparesis

2020 ◽  
Vol 12 (1) ◽  
pp. 51-62
Author(s):  
Mary Ann Smith ◽  
Machiko R. Tomita
Keyword(s):  
Upper Extremity ◽  
Functional Ability ◽  
Functional Independence Measure ◽  
Cost Savings ◽  
Movement Therapy ◽  
Functional Independence ◽  
Potential Cost ◽  
Wolf Motor Function Test ◽  
Group 2 ◽  
Group 1

Telehealth use allows improved access to services and results in potential cost savings. The purpose of this study was to examine the effectiveness of a combined modified Constrained Induced Movement Therapy (mCIMT) program using telehealth and in-person sessions, for participants with higher (Group 1) and lower (Group 2) functional ability of the hemiparetic upper extremity. Using a pre-experimental design with a 6-week intervention, 28 participants were assessed twice on use of upper extremity via subjective and objective measures. For the Motor Activity Log, the amount of use and quality of use were significant for Groups 1 and 2.  Significant improvements were shown on the Wolf Motor Function Test (WMFT), the Fugl-Meyer UE, and the Functional Independence Measure (FIM) for both groups except for the strength subtest on the WMFT and the timed portion for Group 1. Percentages of attendance for telehealth and in-person sessions were also compared. Telehealth sessions had a higher attendance rate (84.5%) than in-person sessions (75.3%) (p=.004). The combined mCIMT program of telerehabilitation and in-person group sessions was effective in improving functional ability after a stroke.    

scholarly journals IMPROVEMENT OF FINE MOTOR SKILLS IN CEREBRAL PARETIC PATIENTS

2017 ◽  
Vol 3 (1) ◽  
pp. 79-85
Author(s):  
Réka Tóth
Keyword(s):  
Young Adults ◽  
Motor Skills ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Fine Motor ◽  
Fine Motor Skills ◽  
Hand Functions ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Children And Young Adults

   The aim of this review is to give an overview of the ADL functions in children and young adults with cerebral palsy and our planned studies. For measuring the ADL functions, the Functional Independence Measure (FIM) and the Functional Independence Measure for Children (WeeFIM) will be used. The hand functions will be analyzed by the Quality of Upper Extremity Skills Test (QUEST). The fine motor skills of the hand will be revealed by using the selected subtests of the Bruininks-Oseretsky Test of Motor Proficiency (BOT-2). Based on the outcomes of the measures, a complex therapeutic protocol will be implemented including the elements of the ergo and manual therapy, proprioceptive neuromuscular facilitation (PNF), and piano therapy. It is anticipated that the complex therapy adapted to individual needs will result in significant improvement in the ADL functions in disabled children and young adults.

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 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.

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