scholarly journals Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma

2020 ◽  
Vol 17 (23) ◽  
pp. 9098
Author(s):  
Hayato Narao ◽  
Keisuke Hirota ◽  
Shunji Koya ◽  
Manabu Tomita ◽  
Yuta Manako ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Physical Therapy ◽  
Activities Of Daily Living ◽  
Cancer Treatment ◽  
Daily Living ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Knee Extension ◽  
Significant Difference ◽  
Before And After

Activities of daily living (ADL) are frequently impaired in patients with hepatocellular carcinoma (HCC). In this retrospective study, we aimed to investigate the effects of physical therapy on ADLs in patients with HCC during hospitalization for cancer treatment. Nineteen patients with HCC were enrolled. During hospitalization, patients performed a combination of resistance training, stretching, and aerobic exercise (20–60 min/day). ADLs were assessed using the functional independence measure (FIM). Changes in FIM were evaluated by before–after analysis. No significant difference was seen in Child–Pugh class before and after physical therapy. The bilateral knee extension strength and chair stand test were significantly increased after physical therapy compared with before physical therapy (p = 0.001 and p = 0.008, respectively). The total FIM score was significantly increased after physical therapy compared with that before physical therapy (p = 0.0156). Among the 18 indexes of FIM, the stairs index was significantly improved after physical therapy compared with that before physical therapy (5.9 vs. 6.4 points, p = 0.0241). We demonstrated that physical therapy improved muscle strength without worsening liver function. Furthermore, physical therapy improved FIM, especially in the stairs index, in patients with HCC. Thus, physical therapy may be beneficial in patients with HCC during cancer treatment.

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 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.

scholarly journals Activities of Daily Living in Patients with Schizophrenia Analysis by the Functional Independence Measure (FIM).

2002 ◽  
Vol 17 (1) ◽  
pp. 71-75
Author(s):  
Hiroyuki SENBA ◽  
Mariko SEKIGUCHI ◽  
Hitoshi NAKAYAMA ◽  
Hirotaka NAGUMO ◽  
Yoko IMAMURA ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Functional Independence Measure ◽  
Functional Independence

scholarly journals Trunk Impairment as a Predictor of Activities of Daily Living in Acute Stroke

2021 ◽  
Vol 12 ◽  
Author(s):  
Masahiro Ishiwatari ◽  
Kaoru Honaga ◽  
Akira Tanuma ◽  
Tomokazu Takakura ◽  
Kozo Hatori ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Acute Stroke ◽  
Daily Living ◽  
Control Function ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Stroke Onset ◽  
Trunk Control ◽  
Upper And Lower Extremities ◽  
Input Variables

Background and purpose: Trunk function plays a key role in performing activities of daily living (ADL) including locomotion and sitting. Sitting and ADL should be performed as early as possible especially during the acute phase of stroke rehabilitation. Therefore, this study aimed to assess trunk function among patients with acute stroke using the Trunk Impairment Scale (TIS) and to predict its functional outcomes.Methods: Overall, 67 patients with acute stroke (i.e., within 2 days of occurrence of the stroke) were included. The following clinical assessment items were obtained within 48 h after stroke onset and on the day before discharge from the hospital. Trunk function was examined using TIS and Trunk Control Test (TCT). The motor function of the upper and lower extremities was assessed using the stroke impairment assessment set motor (SIAS-M) score, and ADL was assessed using functional independence measure motor (FIM-M) items.Results: Multiple regression analysis was performed using the stepwise regression method, using the total FIM-M score following discharge as the dependent variable and age, TIS, TCT, SIAS-M, and FIM-M within 48 h after stroke onset as the independent variables. Age, TIS, and FIM-M within 48 h after stroke onset were selected as the input variables and showed a high-adjusted determination coefficient (R2 = 0.79; P &lt; 0.001).Conclusion: TIS is a reliable method for evaluating trunk control function and is an early predictor of ADL among patients with acute stroke.

scholarly journals The Effect of Group Movie Therapy on the Activities of Daily Living Among the Older Adults

2019 ◽  
Vol 5 (4) ◽  
pp. 223-230
Author(s):  
Narges Yaghini ◽  
◽  
Fatemeh Sadat Izadi-Avanji ◽  
Sedigheh Miranzadeh ◽  
Hossain Akbari ◽  
...  
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Low Cost ◽  
Study Groups ◽  
Functional Independence ◽  
Essential Components ◽  
Significant Difference ◽  
Movie Therapy ◽  
The Mean

Background: The daily living activities are among the essential components of life and reflect an important aspect of functional independence in older adults. This study aimed to determine the effect of Group Movie Therapy (GMT) on the Activities of Daily Living (ADL) in older adults. Methods: A randomized clinical trial was conducted on 48 older adults referred to Urban Comprehensive Health Service Centers of Kashan City, Iran. The study subjects were enrolled by a convenience sampling method and were randomly assigned to the intervention (n=24) and control (n=24) groups. GMT was performed in 6 weekly sessions. The Lawton’s ADL Scale was used for data collection. The obtained data were analyzed by the Chi-Squared test, Fisher’s Exact test, and Independent Samples t-test using SPSS. Results: There was no significant difference in the mean scores of Basic Activities of Daily Living (BADL) and Instrumental Activities of Daily Living (IADL) before the intervention between the study groups. A significant difference was found in the mean scores of IADL after the intervention between the study groups (P=0.001); however, there was no significant difference in the BADL values of the groups after the intervention. Conclusion: GMT is a non-invasive, low-cost, and non-risky way to improve the elderly’s autonomy in performing IADL. Thus, GMT is recommended as a method of behavior therapy.

scholarly journals Effects of proprioceptive neuromuscular facilitation on the functional independence measure in patients with Parkinson’s disease.

2015 ◽  
Vol 13 ◽  
pp. 299 ◽  
Author(s):  
Emilton Lima De Carvalho ◽  
Ilkiane Pinheiro Queiroz ◽  
Ilkilene Pinheiro Queiroz ◽  
Ingred Merllin de Souza Batista ◽  
Thiago Dos Santos Maciel ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Dopaminergic Neurons ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Muscle Rigidity ◽  
Significant Difference ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Before And After ◽  
Positive Results

Background: Parkinson’s disease is classified as a chronic, degenerative disease and is characterized by a regression in the number of dopaminergic neurons in the substantia nigra region, the main clinical features of PD are: muscle rigidity and tremor at rest six cycles per second. Objective: To evaluate the effects of pop on the Functional Independence Measure (FIM) in patient carriers of Parkinson disease. Method: The above study five elderly patients with Parkinson’s disease with a mean age of 82,5±10,33 years. The study was carried out applying the FIM questionnaire before and after treatment with PNF to assess cognitive and motor control levels. The patients were submitted to 10 sessions estimated time between 40 and 50 minutes. Results: The analysis of the functional independence of patients, although the results have been optimistic, improving patient’s functional pattern not observed statistically significant difference (p >0,05). Conclusion: It did not get positive results when assessing the level of motor and cognitive functional independence. Although there have been reports of improvement in locomotion and sphincter control by the patients themselves.

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