Functional independence measure in patients with intermittent claudication

Assis, Caroline Shihara de; Batista, Letícia de Carvalho; Wolosker, Nelson; Zerati, Antônio Eduardo; Silva, Rita de Cassia Gengo e

doi:10.1590/s0080-623420150000500007

Cited by 10 publications

(8 citation statements)

References 20 publications

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“…The instrument is used in interviews with the patient and/or the patient's care-giver. In this study, it was only used with the patient 9 . Independence for instrumental activities of daily living was assessed on the Lawton scale 10 , which consists of seven items and has a total score ranging from 7 (dependence on others to help carry out activities) to 21 (complete independence).…”

Section: Methodsmentioning

confidence: 99%

Impact of disease duration on functional status of patients with spinocerebellar ataxia type 2

Amarante

Takeda

Teive

et al. 2017

Arq. Neuro-Psiquiatr.

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Objective: To correlate disease duration in spinocerebellar ataxia type 2 (SCA2) with disease severity, balance and functionality. Method: Sixteen SCA2 patients were analyzed for: disease duration, disease severity (SARA score), balance (Berg balance scale score) and functionality (FIM and Lawton scores). Results: Greater severity was correlated with worse functionality (Lawton: r = −0.0561, FIM: r = −0.6402) and balance (r = −0.7188). Longer disease duration was correlated with greater severity (p = 0.0002) and reduced functionality (FIM: p = 0.005; Lawton: p = 0.0402) and balance (p = 0.0036). A year increase in disease duration corresponded to a 0.8-point increase on the SARA scale, a 1.38-point decrease in FIM score, a 2.30-point decrease on the Berg balance scale and a 0.45-point decrease on the Lawton scale. Conclusion: Longer disease duration in this series of SCA2 patients was correlated with greater disease severity, worse balance and greater functional dependency.

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Section: Methodsmentioning

confidence: 99%

Impact of disease duration on functional status of patients with spinocerebellar ataxia type 2

Amarante

Takeda

Teive

et al. 2017

Arq. Neuro-Psiquiatr.

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“…Cada item pode ser pontuado de 1 a 7, correspondendo, respectivamente, à dependência total e à independência completa para respectiva atividade. Com base na soma do desempenho do indivíduo em cada domínio, o instrumento apresenta níveis de corte para a classificação da dependência do indivíduo, 18 pontos representa dependência completa; de 19 a 60 pontos, dependência modificada, necessitando de assistência em até 50% das tarefas; de 61 a 103 pontos representa dependência modificada, precisando de assistência em até 25% das tarefas; e de 104 a 126 pontos caracteriza a independência completa/modificada 12 .…”

Section: Independência Funcional E Capacidade Ventilatória No Pós-ope...unclassified

Independência funcional e capacidade ventilatória no pós-operatório de videolaparoscopias e laparotomias

Santos¹,

Gomes²,

Takeda³

et al. 2022

ASSOBRAFIR Ciênc

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Este é um artigo publicado em acesso aberto (Open Access) e distribuído sob a licença Creative Commons Attribution NonComercial ShareAlike License, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que sem fins comerciais e que o trabalho original seja corretamente citado e de forma que não indique endosso ao trabalho feito. Adicionalmente, qualquer trabalho derivado deverá ser publicado sob a mesma licença. ResumoIntrodução: Cirurgias abdominais são realizadas com frequência, sendo comum a ocorrência de complicações. Objetivo: Avaliar e comparar a independência funcional, o risco de queda e a capacidade ventilatória em indivíduos submetidos a videolaparoscopia e laparotomia abdominal. Métodos: Estudo transversal, com 102 pacientes no 1º dia de pós-operatório de videolaparoscopias e laparotomias. A independência funcional foi avaliada pela Medida da Independência Funcional (MIF) e o risco de quedas pela Morse Fall Scale. A capacidade ventilatória foi avaliada pelo pico de fluxo expiratório (PFE) e pressão inspiratória e expiratória máximas (Pimáx e Pemáx). Resultados: Na pontuação total da MIF houve diferença entre os grupos (p < 0,001). Os pacientes submetidos à laparotomia apresentaram maior dependência nas atividades básicas de vida diária. A independência completa foi observada em 95,1% dos pacientes submetidos à videolaparoscopia, enquanto 46,3% dos pacientes submetidos à laparotomia apresentaram dependência modificada. A avaliação ventilatória resultou em valores de PFE, Pimáx e Pemáx similares e abaixo dos valores previstos. Conclusão: Pacientes submetidos à laparotomia apresentam menor independência funcional quando comparados àqueles submetidos à videolaparoscopia no primeiro dia de pós-operatório, não havendo diferença quanto à capacidade ventilatória. Observou-se ainda que indivíduos com maior risco de queda apresentam menor independência funcional.

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“…P<.05 was considered statistically significant. We included external variables that were described in previous studies such as gender, age, age ranges, education level, FIM [58], and severity at admission measured using the GCS. In Table A2 (Multimedia Appendix 1), we have included a detailed description of FIM and GCS.…”

Section: Performance Measures: External Validationmentioning

confidence: 99%

Personalized Web-Based Cognitive Rehabilitation Treatments for Patients with Traumatic Brain Injury: Cluster Analysis (Preprint)

García-Rudolph¹,

García-Molina²,

Opisso³

et al. 2019

Preprint

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BACKGROUND Traumatic Brain Injury (TBI) is a leading cause of disability worldwide. TBI patients are characterized by a wide heterogeneity, one of the most significant barriers to effective therapeutic interventions. Cluster analysis (CA) to identify homogeneous subgroups based on performance in neuropsychological baseline tests has been extensively applied in state-of-the-art. Nevertheless, most analyzed samples are rarely larger than n = 100, different CA approaches and cluster validity indices (CVI) have been scarcely compared and not applied in web-based rehabilitation treatments. OBJECTIVE 1) Apply state-of-the-art CVIs to different cluster strategies: hierarchical, partitional and model based. 2) Apply combined strategies of dimensionality reduction by means of principal components analysis and random forests and perform stability assessment to the final profiles 3) Characterize the identified profiles by means of demographic and clinically relevant variables 4) Study the external validity of the obtained clusters considering three relevant aspects of TBI rehabilitation: Glasgow Coma Scale (GCS), functional independence measure (FIM) and executions of web-based cognitive tasks. METHODS Different cluster strategies were executed with mclust, factoextra and cluster R packages. For combined strategies we used the factominer and random forest R packages. Stability analysis was performed with fpc R package. Between groups comparisons for external validation were performed using T-test, chi-square test or Mann-Whitney U test as appropriate. The period under study is August 2008 to July 2019 RESULTS We analyzed 574 adult (mostly severe) TBI patients undergoing web-based rehabilitation. We identified and characterized 3 clusters with strong internal validation: 1) moderate attentional impairment and moderate disexecutive syndrome with mild memory impairment and normal spatio-temporal perception being 66% highly educated (P<.05) 2) severe disexecutive syndrome with severe attentional and memory impairments and normal spatio-temporal perception being 49.2% highly educated (P<.05) 3) very severe cognitive impairment, being 45.2% highly educated (P<.05). We externally validated them with severity of injury (P<.006), and functional independence assessments: cognitive (P< .001), motor(P<.001) and total(P<.001). We mapped 151,763 web based cognitive rehabilitation tasks performed by the 574 participants during the whole period (all cognitive functions) to the 3 obtained clusters (P<.001) and confirmed the identified patterns. Stability analysis indicates that Cluster 1 and 2 were respectively rated as 0.6 and 0.75 therefore they are indeed measuring a pattern and Cluster 3 was rated as highly stable. CONCLUSIONS CA in web-based cognitive rehabilitation treatments allows for ii)identifying and characterizing strong patterns of response to neuropsychological tests, iii) externally validating the obtained clusters using important aspects of TBI rehabilitation (severity or functional independence in daily activities) iv) tailoring cognitive web based tasks executed in the web platform to the identified profiles providing clinicians a tool for treatments’ personalization not addressed in previous traditional CA. iv) extension of a similar approach to other medical conditions CLINICALTRIAL

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Functional independence measure in patients with intermittent claudication

Cited by 10 publications

References 20 publications

Impact of disease duration on functional status of patients with spinocerebellar ataxia type 2

Impact of disease duration on functional status of patients with spinocerebellar ataxia type 2

Independência funcional e capacidade ventilatória no pós-operatório de videolaparoscopias e laparotomias

Personalized Web-Based Cognitive Rehabilitation Treatments for Patients with Traumatic Brain Injury: Cluster Analysis (Preprint)

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