scholarly journals Rehabilitation of the upper extremity and basic activities of daily living in the first month after ischemic stroke: an international cohort comparison study

2009 ◽  
Vol 1 (1) ◽  
pp. 5 ◽  
Author(s):  
Cesar Minelli ◽  
Francisco A.A. Gondim ◽  
Amilton Antunes Barreira ◽  
Alexander W. Dromerick
Keyword(s):  
Activities Of Daily Living ◽  
Ischaemic Stroke ◽  
Upper Extremity ◽  
Daily Living ◽  
Inpatient Rehabilitation ◽  
Developed Countries ◽  
Outpatient Rehabilitation ◽  
Comparison Study ◽  
Cohort Comparison ◽  
Efficiency And Effectiveness

Background: Inpatient rehabilitation has been traditionally employed in developed countries, while in developing countries, outpatient rehabilitation is the rule. The purpose of this study was to compare the patterns of recovery of upper extremity (UE) function, global impairment and independence in activities of daily living (ADL) during the first month after ischaemic stroke in inpatient (United States) and outpatient (Brazil) rehabilitation settings. Design and Methods: This is a prospective cohort comparison study. Twenty patients from each country were selected using identical inclusion criteria. The study measures employed were the UE portion of the Fugl-Meyer scale, the Action Research Arm test, the National Institutes of Health Stroke Scale and Barthel Index. Changes from baseline to the end of treatment, efficiency and effectiveness of each treatment were compared. Results: Both populations exhibited significant improvement between the first and second evaluations in the four outcome scales (P <0.0001). There were no differences between the two rehabilitation settings on any of the four dependent measures (P>0.05). Conclusions: Substantially different treatment approaches after ischaemic stroke led to similar results in UE function, global impairment and ADL. Further studies in larger populations should be performed in order to confirm the present results.

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.

Kinematic analysis and dexterity evaluation of upper extremity in activities of daily living

2010 ◽  
Vol 32 (4) ◽  
pp. 475-481 ◽  
Author(s):  
Wenbin Chen ◽  
Caihua Xiong ◽  
Xiaolin Huang ◽  
Ronglei Sun ◽  
Youlun Xiong
Keyword(s):  
Activities Of Daily Living ◽  
Upper Extremity ◽  
Kinematic Analysis ◽  
Daily Living

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

Activities of Daily Living Board for the Upper Extremity Amputee*

1962 ◽  
Vol 42 (8) ◽  
pp. 517-517
Author(s):  
Eugene C. Rembe ◽  
Corinne Terhune Ellingham
Keyword(s):  
Activities Of Daily Living ◽  
Upper Extremity ◽  
Daily Living

Shoulder Joint Replacement and Upper Extremity Activities of Daily Living

2017 ◽  
pp. 1-18
Author(s):  
Hendrik Bruttel ◽  
David M. Spranz ◽  
Jan M. Eckerle ◽  
Michael W. Maier
Keyword(s):  
Activities Of Daily Living ◽  
Upper Extremity ◽  
Joint Replacement ◽  
Shoulder Joint ◽  
Daily Living

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.

The Design of a Dexterous Gripper to be Used for Activities of Daily Living by People With Upper-Extremity Disabilities

2007 ◽  
Author(s):  
Redwan Alqasemi ◽  
Sebastian Mahler ◽  
Rajiv Dubey
Keyword(s):  
Activities Of Daily Living ◽  
Upper Extremity ◽  
Daily Living ◽  
The Other ◽  
Robotic Arm ◽  
Driving Mechanism ◽  
Actuation Mechanism ◽  
Parallel Motion ◽  
Different Shapes ◽  
Wheelchair Mounted Robotic Arm

A new robotic gripper was designed and constructed for Activities of Daily Living (ADL) to be used with the new Wheelchair-Mounted Robotic Arm developed at USF. Two aspects of the new gripper made it unique; one is the design of the paddles, and the other is the design of the actuation mechanism that produces parallel motion for effective gripping. The paddles of the gripper were designed to grasp a wide variety objects with different shapes and sizes that are used in every day life. The driving mechanism was designed to be simple, light, effective, safe, self content, and independent of the robotic arm attached to it.

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