Measuring Participation After Stroke: A Review of Frequently Used Tools

Tse, Tamara; Douglas, Jacinta; Lentin, Primrose; Carey, Leeanne

doi:10.1016/j.apmr.2012.09.002

Cited by 104 publications

(71 citation statements)

References 152 publications

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“…The ACS is a reliable and valid instrument (Edwards, Hahn, Baum, & Dromerick, 2006;Everard, Lach, Fisher, & Baum, 2000;Tse, Douglas, Lentin, & Carey, 2013). A recent review indicated that the ACS covers the most domains of the ICF Activities and Participation domains, relative to other measures, and meets the most psychometric properties (Tse et al, 2013). The version used to collect the data in a telephone interview was the 55-item measure.…”

Section: Methodsmentioning

confidence: 99%

Effects of Somatosensory Impairment on Participation After Stroke

Carey

Matyas

Baum

2018

The American Journal of Occupational Therapy

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OBJECTIVE. Our objective was to determine the effect of loss of body sensation on activity participation in stroke survivors. METHOD. Participants (N = 268) were assessed at hospital admission for somatosensory and motor impairment using the National Institutes of Health Stroke Scale. Participation was assessed using the Activity Card Sort (ACS) in the postacute phase. Between-group differences in activity participation were analyzed for participants with and without somatosensory impairment and with or without paresis. RESULTS. Somatosensory impairment was experienced in 33.6% of the sample and paresis in 42.9%. ACS profiles were obtained at a median of 222 days poststroke. Somatosensory loss alone (z = 1.96, p = .048) and paresis in upper and lower limbs without sensory loss (z = 4.62, p < .001) influenced activity participation. CONCLUSION. Somatosensory impairment is associated with reduced activity participation; however, paresis of upper and lower limbs can mask the contribution of sensory loss.

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Section: Methodsmentioning

confidence: 99%

Effects of Somatosensory Impairment on Participation After Stroke

Carey

Matyas

Baum

2018

The American Journal of Occupational Therapy

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“…3 Despite the advances in therapeutic interventions, many patients remain dependent on their community mobility, 4 however, the majority (75%) consider going out to the street either essential or very important for their daily activities. 5 The ability to come and go within the community goes beyond the capacity to walk outside one's residence, thus, the distance and means used by the patients to move around near their residences or to more distant places must be included in the evaluation.…”

Section: Introductionmentioning

confidence: 99%

Validation of the "Life Space Assessment - LSA" Questionnaire in a group of hemiplegic patients

Estima

Dutra

Martins³

et al. 2015

Acta Fisiátrica

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The mobility of a hemiplegic patient is an interaction between their functional ability and external factors. The "Life Space Assessment" (LSA) questionnaire is a tool that assesses their mobility on 5 levels. Objective: To validate the LSA in a population of stroke survivors in physical therapy at a rehabilitation center, correlating it with measures of physical performance. Method: Instruments used in concurrent validation: Timed Up and Go Test (TUG), Postural Assessment Scale (PASS), Rivermead Mobility Index. Statistics: Descriptive, Spearman Index and Intra Class Correlation (ICC). Results: Thirty hemiplegic patients were assessed (73% male, mean age 58.6 years, mean time since injury 1.9 years). The LSA correlated significantly (p < 0.01) with age, TUG, PASS, and Rivermead. Inter-rater agreement: ICC 0.941 Intra-rater agreement 0.981. Conclusion: The LSA was valid in a population of chronic stroke survivors, with excellent intra and inter-rater correlation measures, correlating significantly with measurements of body structure, function, and motor activities (TUG, PASS, and Rivermead).

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“…According to the International Classification of Functioning, Disability and Health (ICF), participation can be defined as "the person's involvement in a life situation" [5], including daily activities as well as social roles [6]. Stroke survivors often experience participation restrictions in the chronic phase, despite being independent in basic activities of daily living [7].…”

Section: Introductionmentioning

confidence: 99%

Long-term restrictions in participation in stroke survivors under and over 70 years of age

Graaf

Mierlo

Post

et al. 2017

Disability and Rehabilitation

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Purpose: This study aims to (1) assess differences in participation restrictions between stroke survivors aged under and over 70 years and (2) identify predictors associated with favorable and unfavorable longterm participation in both age groups. Methods: Prospective cohort study in which 326 patients were assessed at stroke onset, two months and one year after stroke. The Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation) was used to measure participation restrictions one year after stroke. Bivariate and multivariate logistic regression analyses were performed including demographic factors, stroke-related factors, emotional functioning and comorbidity as possible predictors. Results: Stroke survivors aged over 70 years perceived more participation restrictions in comparison to stroke survivors aged under 70 years one year after stroke. Independently significant predictors for unfavorable participation outcomes were advancing age, more severe stroke and anxiety symptoms in patients aged over 70 years, and female gender, more severe stroke, impaired cognition and depression symptoms in patients aged under 70 years. Lower age was the only independent predictor associated with favorable participation after one year in stroke survivors aged over 70 years. Conclusions: This study emphasizes the need to pay more attention to participation restrictions in elderly stroke survivors. ä IMPLICATIONS FOR REHABILITATIONMore attention in the rehabilitation process should be paid to restrictions in participation of stroke survivors aged older than 70 years, taking into account the different participation needs and predictors of older stroke survivors. Early screening on the presence of anxiety symptoms could potentially prevent long-term restrictions in participation in stroke survivors aged over 70-year old. Stroke survivors experience considerable restrictions in physical activity and mobility after one year, highlighting the need for the development of community-based exercise programs for stroke survivors.ARTICLE HISTORY

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Measuring Participation After Stroke: A Review of Frequently Used Tools

Cited by 104 publications

References 152 publications

Effects of Somatosensory Impairment on Participation After Stroke

Effects of Somatosensory Impairment on Participation After Stroke

Validation of the "Life Space Assessment - LSA" Questionnaire in a group of hemiplegic patients

Long-term restrictions in participation in stroke survivors under and over 70 years of age

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