Monitoring of Functioning Status in Subjects With Chronic Stroke in South Korea Using WHODAS II

Kwon, SuYeon; Hong, Sang-Eun; Kim, Ee-Jin; Kim, Chang-Hwan; Joa, Kyung-Lim; Jung, Han Yong

doi:10.5535/arm.2016.40.1.111

Cited by 12 publications

(7 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In stroke patients, early recovery usually occurs within three months of onset. Subacute stroke recovery continues after three months and the treatment of chronic stroke aims to maintain functional status by use of compensatory techniques [ 12 ]. Furthermore, early intensive rehabilitation treatment is important in enabling patients to achieve maximum recovery [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of a Caregiver's Education Program on Stroke Rehabilitation

Hong

Kim

et al. 2017

Ann Rehabil Med

Self Cite

View full text Add to dashboard Cite

ObjectiveTo evaluate effects of caregiver's education program on their satisfaction, as well as patient functional recovery, performed in addition to daily conventional rehabilitation treatment.MethodsThree hundred eleven subjects diagnosed with first-onset stroke and transferred to the Department of Physical Medicine and Rehabilitation of Inha University Hospital were surveyed. In 2015, caregivers attended an education program for acute and subacute stroke patients. Patients who received an additional rehabilitation therapy were assigned to the experimental group (n=81), whereas the control group (n=100) consisted of transfer cases in 2014 with only conventional treatment. The experimental group was classified by severity using the Korean version of the National Institutes of Health Stroke Scale (K-NIHSS), which was administered to all 181 subjects, in addition to, the Korean version of the Mini Mental Status Examination (K-MMSE), a Modified Barthel Index (K-MBI), and the Berg Balance Scale (K-BBS). Caregiver satisfaction and burden before and after education programs were assessed using the Canadian Occupational Performance Measure (COPM), as well as family burden and caregiver burnout scales.ResultsNo significant intergroup difference was observed between initial K-NIHSS, K-MMSE, K-BBS, K-MBI scores, and times from admission to transfer. Those with moderate or severe strokes under the experimental condition showed a more significant improvement than the control group as determined by the K-NIHSS and K-BBS, as well as tendential K-MMSE and K-MBI score increases. Satisfaction was significantly greater for family members and formal caregivers of patients with strokes of moderate severity in the experimental group.ConclusionThe caregiver's education program for stroke subjects had a positive outcome on patients' functional improvement and caregiver satisfaction. The authors believe that the additional rehabilitation therapy with the education program aids patients to achieve functional improvements for an optimal return to social life.

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of a Caregiver's Education Program on Stroke Rehabilitation

Hong

Kim

et al. 2017

Ann Rehabil Med

Self Cite

View full text Add to dashboard Cite

show abstract

“…Although multivariate logistic regression sought to identify socioeconomic factors that might severely limit participation and activity, there were no significant risk factors associated with severe disability. Age, income level, and area of residence may be related to poor functioning in SCI patients [17,31], and age, gender, income level, and neighborhood socioeconomic status have been identified as significant predictors of functioning in stroke patients [19,32]. However, here, the type of disease itself rather than socioeconomic factors seemed to affect the patterns of participation and activity.…”

Section: Discussionmentioning

confidence: 71%

“…Many previous studies focused on the medical problems and treatment of CNS injuries [14,15], while measures of activity and participation for community-dwelling people with chronic CNS injuries remain relatively underdeveloped. Several studies evaluated the activity and participation of people with CNS injuries, and compared the pattern of disability between different disease groups [16][17][18][19][20]. Some previous studies employed WHODAS 2.0 to study various health conditions, including stroke, TBI, SCI, and aging.…”

Section: Introductionmentioning

confidence: 99%

Comparing Activity and Participation between Acquired Brain Injury and Spinal-Cord Injury in Community-Dwelling People with Severe Disability Using WHODAS 2.0

Yoon

Leigh

Lee

et al. 2020

IJERPH

View full text Add to dashboard Cite

Central-nervous-system (CNS) injuries constitute a significant cause of morbidity (often resulting in long-term disability) and mortality. This cross-sectional study compared the activity and participation of community-dwelling people with severe disability from acquired brain injuries (ABI) (n = 322) and spinal-cord injuries (SCI) (n = 183) to identify risk factors related to disability. Data were collected through a questionnaire survey of community-dwelling people with severe disability attending 65 healthcare centers. The survey included the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) and sociodemographic factors. We categorized a registered grade of disability of 1 or 2 as severe disability. WHODAS 2.0 domain and summary scores were compared between the ABI and SCI groups, and risk factors associated with disability were identified through regression analysis. ABI participants had significantly higher disability in cognition and relationships, whereas patients with SCI had higher disability in mobility (p < 0.05). Onset duration was negatively correlated with cognition, relationships, participation, and summary scores in ABI participants (p < 0.05). Neither group’s socioeconomic factors were associated with WHODA 2.0 scores. Understanding the different patterns of disability between SCI and ABI in community-dwelling people with severe disability helps establish future plans for the management of health resources.

show abstract

“…However, even though the adjusted odds of being in a higher category on each domain except SCA is higher (aOR of 1.13 ~ 1.42) for female compared to male, these sex-related differences in WHODAS disability measurements are not signi cant. A Korean study previously has reported that male elderly stroke patients seem to be more vulnerable to self-care because of Korean tradition of the passive domestic role of male [19]. The Framingham study has reported that female with ischemic stroke is not functionally more disabled than male [21].…”

Section: Discussionmentioning

confidence: 99%

Health-related Quality of Life Using WHODAS 2.0 and Associated Factors 1 Year After Stroke in Korea: a Multi-center and Cross-sectional Study

Lee¹,

Song

Moon³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: The self-perceived level of disability for stroke survivors in community is little known. We aimed to characterize HRQoL 1 year after stroke and to investigate how socio-demographic and stroke-related factors and medical adherence explain the self-perceived level of disability among a Korean stroke population.Methods: This study was a multi-center and cross-sectional study. A total of 426 ischemic stroke survivors at 1 year after onset recruited from 11 university hospitals underwent a one-session assessment including: socioeconomic variables, the modified Rankin Scale (mRS), various neurological sequelae, the modifed Morisky scale (MMS), and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) 36-items. The relationship between disability and different variables was analyzed using ordinal logistic regression. Results: The prevalence of disability by global WHODAS 2.0 score was 62.6% (41.6% for mild; 16.0% for moderate; 5.0% for severe) in subjects. Prevalence of severe disability was higher in Participation in society (16.8%) and Getting around (11.8%) than in the other domains. Low MMS motivation was the only factor determining the significant association between all six domains of disability after adjustment. Different predictors for specific domains were age, mRS, dysarthria, trouble seeing, cognition problem and MMS-motivation for Understanding and communicating; age, recurrent stroke, mRS, hemiplegia, facial palsy, general weakness and MMS-motivation for Getting around; age, education, mRS, hemiplegia and MMS-motivation for Self-care; age, education, recurrent stroke, hemiplegia, dysarthria and MMS-motivation for Getting along with people; age, education, income, mRS, hemiplegia, dysarthria, MMS-knowledge and MMS-motivation for Life activities; living without spouse, recurrent stroke, mRS, hemiplegia, dysarthria, trouble seeing, cognition problem, general weakness and MMS-motivation for Participation in society.Conclusions: Self-perceived disability by the WHODAS 2.0 had almost double the prevalence compared to hemiplegia, one of the most common neurological sequelae 1 year after stroke. Each domain of disability increased with various associated factors. Interventions promoting medical adherence of motivation seem to help high HRQoL in all domains.

show abstract

Monitoring of Functioning Status in Subjects With Chronic Stroke in South Korea Using WHODAS II

Cited by 12 publications

References 9 publications

Effect of a Caregiver's Education Program on Stroke Rehabilitation

Effect of a Caregiver's Education Program on Stroke Rehabilitation

Comparing Activity and Participation between Acquired Brain Injury and Spinal-Cord Injury in Community-Dwelling People with Severe Disability Using WHODAS 2.0

Health-related Quality of Life Using WHODAS 2.0 and Associated Factors 1 Year After Stroke in Korea: a Multi-center and Cross-sectional Study

Contact Info

Product

Resources

About