scholarly journals Effects of community-based rehabilitation program on activities of daily living and cognition in elderly chronic stroke survivors

2016 ◽  
Vol 28 (11) ◽  
pp. 3264-3266
Author(s):  
Young-Ju Park ◽  
Chun-Yeop Lee
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Rehabilitation Program ◽  
Chronic Stroke ◽  
Stroke Survivors ◽  
Community Based ◽  
Community Based Rehabilitation

Abstract WP195: Patients Beginning Community Based Outpatient Stroke Rehabilitation Program More Than 6 Months Post Stroke Achieve Equally Excellent Outcomes as Sub-Acute Patients

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Joan Breen ◽  
Jeanne Andrusin ◽  
Tom Ferlito
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Rehabilitation Program ◽  
Chronic Stroke ◽  
Outpatient Rehabilitation ◽  
Stroke Severity ◽  
Stroke Patients ◽  
Community Based ◽  
Post Stroke ◽  
Rehabilitation Programs

Background: Despite the availability of community based outpatient rehabilitation programs in the U.S., few use standardized measure sets and assessments, and outcomes studies are sparse. There is especially a knowledge gap regarding outcomes of participating chronic stroke patients (rehabilitation begins more than 6 months post stroke). Methods: Prospective observational study of stroke patients treated between 12/2011-1/2015 in an interdisciplinary outpatient rehabilitation program that addresses health literacy, risk factors, physical, psychosocial, cognitive, communicative and vocational issues. Patients were classified as chronic if admitted to the program >6 months and sub-acute if admitted <6 months post stroke. Results: Among 96 consecutive patients, 71 were sub-acute (72% ischemic, 28% hemorrhages) and 25 chronic (68% ischemic, 32% hemorrhages) who were admitted to the program an average 18.5 months post stroke (range 6-121 months). Chronic vs subacute stroke patients were 64% vs 59% male, with no difference in age (mean 66, range 27-90 years vs 65, range 18-90 years), but with greater stroke severity (chronic mean NIHSS score 8.32, range 2-15 vs subacute NIHSS of 5.2, range 0-16). On admission, chronic vs subacute patients were 44% vs 34% aphasic and 96% vs 86% needed assistance with activities of daily living (chronic with modified Rankin Scale [mRS] of 3=28% and 4=68% vs subacute mRS of 3=65% and 4=21%). The percent change in outcomes from baseline to program discharge for subacute and chronic stroke patients is presented in the Table. Conclusions: Although age, sex and stroke types were similar in both groups, chronic patients were more severely impaired than subacute patients but achieved greater improvement in activities of daily living, recovery, walking speed, balance, and risk factor knowledge. These findings demonstrate that outpatient rehabilitation programs can aid in stroke recovery independent of time since stroke onset.

scholarly journals A Comparative Study of Conventional Physiotherapy versus Robot-Assisted Gait Training Associated to Physiotherapy in Individuals with Ataxia after Stroke

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Marcia Belas dos Santos ◽  
Clarissa Barros de Oliveira ◽  
Arly dos Santos ◽  
Cristhiane Garabello Pires ◽  
Viviana Dylewski ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Controlled Trial ◽  
Gait Training ◽  
Functional Independence ◽  
Chronic Stroke ◽  
Wilcoxon Test ◽  
Stroke Survivors ◽  
Registration Number ◽  
One Year

Objectives. To assess the influence of RAGT on balance, coordination, and functional independence in activities of daily living of chronic stroke survivors with ataxia at least one year of injury.Methods. It was a randomized controlled trial.The patients were allocated to either therapist-assisted gait training (TAGT) or robotic-assisted gait training (RAGT). Both groups received 3 weekly sessions of physiotherapy with an estimated duration of 60 minutes each and prescribed home exercises. The following outcome measures were evaluated prior to and after the completion of the 5-month protocol treatment: BBS, TUG test, FIM, and SARA. For intragroup comparisons, the Wilcoxon test was used, and the Mann–Whitney test was used for between-group comparison.Results. Nineteen stroke survivors with ataxia sequel after one year of injury were recruited. Both groups showed statistically significant improvement (P<0.05) in balance, functional independencein, and general ataxia symptoms. There were no statistically significant differences (P<0.05) for between-group comparisons both at baseline and after completion of the protocol.Conclusions. Chronic stroke patients with ataxia had significant improvements in balance and independence in activities of daily living after RAGT along with conventional therapy and home exercises. This trial was registered with trial registration number39862414.6.0000.5505.

scholarly journals The impact of a Community Based Rehabilitation Program in Afghanistan: A longitudinal analysis using propensity score matching and difference in difference analysis

2020 ◽  
Author(s):  
Jean-Francois Trani ◽  
Juanita Vasquez-Escallon ◽  
Parul Bakhshi
Keyword(s):  
Propensity Score ◽  
Activities Of Daily Living ◽  
Propensity Score Matching ◽  
Daily Living ◽  
Well Being ◽  
Community Based ◽  
Persons With Disabilities ◽  
Difference Analysis ◽  
Community Based Rehabilitation ◽  
The Impact

Abstract Background. The 2006 United Nations Convention on the Rights of Persons with Disabilities states that the achievement of equal rights, empowerment and social inclusion of people with disabilities requires comprehensive rehabilitation services encompassing all components of the World Health Organization Community based rehabilitation (CBR) matrix: health, education, livelihood, social and empowerment. CBR programs specifically aim to deliver such comprehensive interventions. In the present study, we investigate the impact of a CBR program in Afghanistan on all these components. Methods. We enrolled 1861 newly recruited CBR participants with disabilities in the study, from 169 villages between July 2012 and December 2013 as well as 1132 controls with disabilities randomly selected through a two-stage process within 6000 households from 100 villages in the same provinces but outside the catchment area of the CBR program. We interviewed them again after one (midline) and two (end-line) years in the study. Using propensity score matching and difference in difference analysis, we estimated the impact of the CBR on outcomes of interest, namely mobility, activities of daily living, communication, participation in social and community life, emotional well-being and employment.Results. There were statistically significant differences between participants and controls on all outcomes between baseline and end-line, with impacts ranging from the highest on emotional wellbeing (1.02, 95%CI 0.04-2.00) and the lowest on activities of daily living (0.08, CI 0.03-0.13).Conclusion. Our study indicates that a CBR program may provide positive rehabilitation outcomes for persons with disabilities even in a conflict context, and improve overall well-being of all participants with disabilities, whatever their impairment, individual characteristics and the CBR matrix components considered. Trial registration. ISRCTN, ISRCTN50214054. Registered August 5th 2020 - retrospectively registered, http://www.isrctn.com/ISRCTN50214054

Evaluation of a long-term community based rehabilitation program for adult stroke survivors

2007 ◽  
Vol 22 (4) ◽  
pp. 295-301 ◽  
Author(s):  
Adina Hartman-Maeir ◽  
Yafit Eliad ◽  
Rachel Kizoni ◽  
Irit Nahaloni ◽  
Hagit Kelberman ◽  
...  
Keyword(s):  
Rehabilitation Program ◽  
Stroke Survivors ◽  
Community Based ◽  
Community Based Rehabilitation

scholarly journals Relationship between Trunk Impairment and Upper Extremity Function, and Its Impact on Activities of Daily Living in Chronic Stroke Survivors

2021 ◽  
Vol 6 (4) ◽  
pp. 220-227
Author(s):  
Ludhiya Baby ◽  
Anoop Joy ◽  
Ranjith KV
Keyword(s):  
Activities Of Daily Living ◽  
Upper Extremity ◽  
Daily Living ◽  
Functional Performance ◽  
Chronic Stroke ◽  
Stroke Survivors ◽  
Positive Correlation ◽  
Extremity Function ◽  
Upper Extremity Function ◽  
Moderate Positive Correlation

Background: Stroke often leads to significant impairment of trunk and upper extremity functions, which is associated with decreased quality of life and functional performance in all domains. Trunk stability and control is considered to be a prerequisite for upper extremity function in stroke survivors. Therefore, it is important to evaluate the relationship between trunk impairment and upper extremity function in stroke survivors which may help in improving their ADL’s by giving proper treatment. Methods: 20 chronic stroke survivors with age group between 40 – 80 years were included in this study. Trunk impairment, upper extremity function and activities of daily living of all the participants were determined using trunk impairment scale, Chedoke arm and hand activity inventory scale (version 8) and functional independence measure – motor scoring scale. Results: Using Karl Pearson’s Correlation coefficient, moderate positive correlation was observed between TIS and CAHAI-8. Strong positive correlation was noted between TIS and FIM-M, whereas, moderate positive correlation was noted between CAHAI-8 and FIM-M which was found to be highly statistically significant. Conclusion: Our study concludes that, a moderate positive correlation exists between trunk impairment and upper extremity function in chronic stroke survivors. The study also reveals that, both trunk impairment and upper extremity function has strong and moderate correlation on their activities of daily living. Keywords: Stroke, trunk function, paretic arm, functional performance, stroke rehabilitation.

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