Association between daily activities, process skills, and motor skills in community-dwelling patients after left hemiparetic stroke

Abstract

[Purpose] The purpose of this study was to evaluate the relationships between daily activities, information processing, and motor skills in individuals with hemineglect after having a left hemiparetic stroke. [Subjects and Methods] The instrumental activities of daily living of 35 patients (22 male and 13 female; age: 57.1 ± 16.9 years) with hemineglect after having a left hemiparetic stroke were assessed by using three clinical measurement tools, including activity card sorting, assessment of motor and process skills, and the modified Barthel Index. [Results] The results of the regression analysis indicated that the patients’ processing skills in instrumental activities of daily living after having a left hemiparetic stroke were reduced. Participation in leisure and social activities was also affected as assessed by using the modified Barthel Index. [Conclusion] This study supports the clinical need for rehabilitation intervention after a left hemiparetic stroke to improve patients’ processing skills and independence in performing activities of daily living.

Predictors of Instrumental Activities of Daily Living Performance in Patients with Stroke

“…Despite the significant correlation between motor function and independence in IADL performance in our study in line with previous literature [ 43 , 44 ], motor function was not a predictor of IADL performance in our study. Motoricity index which was used in the present study for measuring motor function is a questionnaire assessing basic motor functions that are more important for BADLs [ 45 ].…”

Contralaterally controlled functional electrical stimulation improves wrist dorsiflexion and upper limb function in patients with early-phase stroke: A randomized controlled trial

“…The outcome of JHFT also indicated better hand activity in the CCFES group than in the NMES group, which indicated better hand function with CCFES. For ADL measurement, patients in the CCFES group (mean 66.67 (SD 10.99)) could be classified as "Moderate Dependence" after 2 weeks treatment according to the criteria of mBI, while those in the NMES group (mean 58.25 (SD 11.73)) were classified as "Severe Dependence" (15). This also demonstrated better ADL ability in the CCFES group and could be considered clinically important by patients and clinicians.…”

“…The functional assessments were performed both at baseline (before 2 weeks of training) and at endpoint (after 2 weeks of training), including active ROM for WD measured with a goniometer (range 0-45°), strength of the extensor carpi measured with Manual Muscle Testing (range 0-5), upper extremity impairment measured with Fugl-Meyer assessment (FMA) (range 0-66, presented as absolute scores: 0, cannot perform; 1, perform partially; and 2, perform fully, with higher score indicating better upper extremity function) (9,12,13); hand function measured with Jebsen Hand Function Test (JHFT) (ranged 0-7 and presented as number of missions completed: with more completed items indicating better function) (14), and ADL measured with Modified Barthel Index (mBI) (range 0-100 and presented as absolute score: 0 and 100, with higher scores indicating greater independence) (15). In addition, the ICF Generic Set was used to evaluate patients' general health (range 0-10 and presented with absolute scores: 0 and 10, with lower scores indicating better general health) (16).…”

Ecological Virtual Reality Evaluation of Neglect Symptoms (EVENS): Effects of Virtual Scene Complexity in the Assessment of Poststroke Unilateral Spatial Neglect

“…Our findings may explain the difficulties individuals with chronic USN experience on daily basis in real-world situations where cluttered environments are encountered, such as mobility within the community that requires goal-directed locomotion, 35,50 obstacle avoidance, 24 wheelchair navigation skills, 23 street crossing, 51 or performing instrumental activities of daily living. 52 These tasks may not only be lengthier to perform for those with poststroke USN but also more demanding, tiring, and possibly leading to difficultly in maintaining a given level of performance over an extended period of time. This could also explain the behavior of busy environment avoidance so often present in individuals with poststroke neglect in chronic stages.…”