Identification of the affected lower limb and unaffected side motor functions as determinants of activities of daily living performance in stroke patients using partial correlation analysis

Fujita, Takaaki; Sato, Atsushi; Togashi, Yui; Kasahara, Ryuichi; Ohashi, Takuro; Tsuchiya, Kenji J.; Yamamoto, Yuichi; Otsuki, Koji

doi:10.1589/jpts.27.2217

Cited by 20 publications

(25 citation statements)

References 29 publications

(34 reference statements)

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“…However, the control group showed no significant difference in the pre-and post-tests (Table 3). The daily living activities in stroke patients are mainly affected by the motor ability of the upper limb, lower limb, and trunk (Fujita et al, 2015;Oliveira et al, 2006;Verheyden et al, 2006). Improved daily living activities were thought to have resulted in the improved motor function such as the upper limb, lower limb, and body balance among stroke patients in the HT group, thus further improving the daily living activities.…”

Section: Resultsmentioning

confidence: 99%

Determining the Effects of a Horticultural Therapy Program for Improving the Upper Limb Function and Balance Ability of Stroke Patients

Lee¹,

Park²,

Park³

et al. 2018

horts

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The objective of this study was to assess the physical and psychological effects of an 18-session horticultural therapy (HT) program based on task-oriented training in stroke patients and investigate patient satisfaction. The HT program consisted of horticultural activities including the motions such as reaching–grasping, squatting, stepping, and stooping. A total of 31 stroke inpatients (16 males, 15 females) at B rehabilitation hospital in Seongnam, South Korea, participated in this study. Fourteen stroke patients participated in a thrice weekly HT program (6 weeks, ≈60 minutes per session) between Aug. and Sept. 2016, whereas another 17 stoke patients comprised the control group. At the completion of the 18-session HT program, upper limb function [manual function test (MFT)], grip strength (hydraulic hand dynamometer), pinch force (hydraulic pinch gauge), fine motor skills (9-hole pegboard), balance [Berg Balance Scale (BBS)], and activities of daily living (Modified Barthel Index) were evaluated in both groups. In addition, depression [The Korean version of the short form of Geriatric Depression Scales (SGDS-K)], rehabilitation stress (Rehabilitation Stress Scales), rehabilitation motivation (Rehabilitation Motivation Scales), and fall efficacy (The Korean version of the Falls Efficacy Scale) were evaluated. Stroke patients in the HT group showed significantly improved upper limb function, hand force, balance, fall efficacy, activities of daily living, and decreased depression (P < 0.05). By contrast, no significant change was noted in the control group. In addition, 85.7% of the stroke patients in the HT group reported being very satisfied or satisfied with the HT program. In conclusion, the HT program based on task-oriented training improved the patients’ physical and psychological function after stroke rehabilitation. These study results suggest that implementing an HT program in a rehabilitation hospital will effectively contribute to functional recovery after stroke.

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Section: Resultsmentioning

confidence: 99%

Determining the Effects of a Horticultural Therapy Program for Improving the Upper Limb Function and Balance Ability of Stroke Patients

Lee¹,

Park²,

Park³

et al. 2018

horts

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“…Therefore, determining the relationship between motor function and ADLs is vital in designing rehabilitation programs aimed at improving ADLs. In people with stroke, the function of the affected upper limb (Mercier et al, 2001), affected lower limb (Fujita et al, 2015b), coordination of unaffected upper limb (Bjørneby & Reinvang, 1985), trunk function (Likhi, Jidesh, Kanagaraj, & George, 2013), and balance (Mercier et al, 2001) have been reported to be related to ADL independence.…”

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confidence: 99%

Motor Function Cutoff Values for Independent Dressing in Stroke Patients

Fujita

Sato²,

Yamamoto

et al. 2016

The American Journal of Occupational Therapy

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“…Koike et al 18) reported that the Brunnstrom stage, as an indicator of the motor function of the affected lower limb, Sato, et al 36 had no significant differences between an independent toileting group and a non-independent toileting group of stroke patients. On the other hand, Fujita et al 25 ) reported that there was a strong relationship between the motor function of the affected lower limb and ADL independence, even when the effects of confounding factors, such as age and the motor function of the trunk and the limbs of the unaffected side, were excluded using partial correlation analysis. Our results revealed that the motor function of the affected lower limb was relevant to toileting performance when the stroke patients were divided into groups of independent-supervision or dependent toileting ability.…”

Section: Discussionmentioning

confidence: 99%

“…This suggests that factors other than balance function are related to differences in toileting ability between supervision and dependent groups. Other studies have reported that trunk function 17,18) and aphasia 19 ) are relevant to toileting ability.Moreover, according to previous studies, there is a possibility that cognitive function 20,21) , unilateral spatial neglect 22,23) , and affected lower limb function 24,25) are related to toileting ability. These cognitive and physical functions may be associated with differences between supervision and dependent groups in toileting ability; however, it is unclear which function is most strongly related to toileting ability.…”

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confidence: 93%

Cognitive and physical functions related to the level of supervision and dependence in the toileting of stroke patients

Sato¹,

Okuda²,

Fujita

et al. 2016

Phys Ther Res

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ABSTRACT. Purpose: This study aimed to clarify which cognitive and physical factors are associated with the need for toileting assistance in stroke patients and to calculate cut-off values for discriminating between independent supervision and dependent toileting ability. Method: This cross-sectional study included 163 first-stroke patients in nine convalescent rehabilitation wards. Based on their FIM instrument score for toileting, the patients were divided into an independent-supervision group and a dependent group. Multiple logistic regression analysis and receiver operating characteristic analysis were performed to identify factors related to toileting performance. The Minimental State Examination (MMSE); the Stroke Impairment Assessment Set (SIAS) score for the affected lower limb, speech, and visuospatial functions; and the Functional Assessment for Control of Trunk (FACT) were analyzed as independent variables. Result: The multiple logistic regression analysis showed that the FIM instrument score for toileting was associated with the SIAS score for the affected lower limb function, MMSE, and FACT. On receiver operating characteristic analysis, the SIAS score for the affected lower limb function cut-off value was 8/7 points, the MMSE cut-off value was 25/24 points, and the FACT cut-off value was 14/13 points. Conclusion: Affected lower limb function, cognitive function, and trunk function were related with the need for toileting assistance. These cut-off values may be useful for judging whether toileting assistance is needed in stroke patients. Key words: toileting assistance, cognitive function, Physical function, FIM instrument (Phys Ther Res 19: 32-38, 2016)C ognitive and physical dysfunctions in stroke patients cause reduction in the activities of daily living (ADLs) 1,2 ) and quality of life (QOL) [3][4][5] . Loss of independence in ADLs of stroke patients leads to emotional distress 6) . Furthermore, family caregivers of elderly persons with stroke have inadequate respite and time to participate in personal activities and social interactions 7) , and they often suffer from somatic symptoms such as hypertension and lower back pain 8 ) . In particular, dependence in toileting leads to somatic and mental stress for both patients and caregivers [8][9][10][11] . In addition, toileting is an important ADL in stroke patients when they return home from hospital 12) . Therefore, it is important for rehabilitation therapists to address and improve toileting performance as soon as possible.The clarification of factors that are related to and that influence independence in toileting is useful when planning effective rehabilitation programs. Previous studies have reported that balance function is associated with the level of independence in overall ADLs [13][14][15] . The Berg Balance Scale (BBS), which is a balance assessment, has been found to be associated with differences in toileting ability between an independent group and a supervision group 16 ) ; however, BBS is not associated with strong differences in ...

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Identification of the affected lower limb and unaffected side motor functions as determinants of activities of daily living performance in stroke patients using partial correlation analysis

Cited by 20 publications

References 29 publications

Determining the Effects of a Horticultural Therapy Program for Improving the Upper Limb Function and Balance Ability of Stroke Patients

Determining the Effects of a Horticultural Therapy Program for Improving the Upper Limb Function and Balance Ability of Stroke Patients

Motor Function Cutoff Values for Independent Dressing in Stroke Patients

Cognitive and physical functions related to the level of supervision and dependence in the toileting of stroke patients

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