[Purpose] The purpose of this study is to examine the sleep quality, pain, and instrumental activities of daily living (IADL) of outpatients with chronic stroke, and to examine their correlation. [Participants and Methods] This study was conducted on 42 outpatients with chronic stroke, and data on their sleep quality, pain, and instrumental activities of daily living were collected and analyzed using the survey measurement tools. [Results] The analysis shows significant correlations among the sleep quality, pain, and instrumental activities of daily living of the outpatients with chronic stroke. [Conclusion] The findings of this study confirmed that the sleep quality and pain of outpatients with chronic stroke was related with their capacities of instrumental activities of daily living.
Objectives The purpose of this research was to study the influences of dual task training on upper extremity function and performance of daily activities of chronic stroke patients. Methods Dual task training was performed on 21 patients who had suffered a chronic stroke with hemiplegia. The dual task training was performed for 30 minutes per session, for 5 days a week, for 3 weeks. There were 5 evaluations carried out over 3 weeks before and after the intervention. Changes in upper extremity function were measured by using the Box and block test. Changes in the performance of daily activities were measured using the Korea-Modified Barthel Index. Results The mean upper limb function score of the chronic stroke patients increased significantly from 21.88 ± 19.99 before the intervention, to 26.22 ± 15.65 after the intervention ( p < 0.05), and the mean daily activities score increased significantly from 65.82 ± 12.04, to 67.29 ± 12.90 ( p < 0.05). Conclusion Dual task training effectively improved upper extremity function, and the performance of daily activities in chronic stroke patients.
[Purpose] The purpose of this research is to take a look at the influences of client-centered therapy on the level of everyday life performance, the level of satisfaction, and the quality of life of the chronic stroke patients. [Subjects and Methods] This research used client-centered therapy with two chronic stroke and hemiplegia patients as subjects. The therapy was carried out once a day, five times a week, for thirty minutes at a time for four weeks. Also, five kinds of training were included in the medical treatment programs which were organized after the initial Canadian occupational performance measure (COPM) evaluations. Evaluations were carried out before and after the mediation. Changes in the level of everyday life performance level of satisfaction were measured using the COPM, and changes in quality of life were measured using the Stroke Specific Quality of Life Scale (SS-QOL). [Results] After the application of medical treatment, both subjects showed positive changes in terms of the level of everyday life performance, level of satisfaction, and quality of life. [Conclusion] Both subjects demonstrated improvements in all aspects of both outcome measurements which implied that a short client-centered therapy program could help chronic stroke patients improve some aspects of their life.
The purpose of this study was to investigate the effects of First‐Person Perspective Action Observation training and Third‐Person Perspective Action Observation training on upper extremity function and activities of daily living of patients with stroke‐induced hemiplegia. This was a single‐blind randomized study of 20 stroke patients (more than 6 months after the incident stroke) with upper extremity disabilities. The subjects who satisfied the inclusion and exclusion criteria were randomly divided into two groups: First‐Person Perspective Action Observation training group and Third‐Person Perspective Action Observation training group. The measurements were performed using Action Research Arm Test (ARAT) and Korean Modified Barthel Index (K‐MBI) and Motor Activity Log (MAL). The results of this study showed statistically significant differences (p < .05) in the upper extremity function and activity of daily living after the intervention in all two groups. Upon comparison of the amount of change between the experimental group and the control group, there was significant difference in upper extremity function and activity of daily living (p < .05). Action Observation training was found to have an effect on the upper extremity function and activity of daily living on chronic stroke patients. First‐Person Perspective Action Observation training was more effective in improving upper limb function and activity of daily living than the Third‐Person Perspective Action Observation training.
Objective This study is a randomized experimental design study conducted to investigate the effect of task-oriented mental practice (TOMP) on upper limb function and coordination in chronic stroke patients. Methods A total of 34 chronic stroke patients participated in this study and were randomly divided into an experimental group (EG) of 17 patients (TOMP) and a control group (CG) of 17 patients (task-oriented training). To measure the subject’s upper extremity function and coordination, the results of Fugl-Meyer assessment (FMA) of motor function (U/E) and co-coordination ratio (CCR) values calculated from the measurements of the BTS FreeEMG 300 were used. Results In the comparison before and after group intervention in terms of FMA, the EG showed significant changes in all items of FMA, but the CG showed significant changes only in the shoulder items ( p < 0.05). In the comparison between groups, significant differences were observed only in the total score of FMA ( p < 0.05). In terms of the CCR value, positive changes were found in the EG in all items except for the shoulder flexion, but negative changes were observed in all items in the CG. Conclusion It was confirmed that the TOMP applied in this study can have a positive effect on upper limb function and coordination in chronic stroke patients.
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