Participation After Stroke: Do We Understand All the Components and Relationships As Categorised in the ICF?

Hoyle, Melanie; Gustafsson, Louise; Meredith, Pamela; Ownsworth, Tamara

doi:10.1017/brimp.2012.9

Cited by 28 publications

(26 citation statements)

References 82 publications

(137 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, the impact of contextual factors (personal and environmental) is not yet well understood or documented (25). The findings of this study could therefore contribute to this area of knowledge, highlighting the importance of a well-functioning interaction between the injured brain and the environment, as well as of the emotional aspects and subjective experience in terms of having an influence on participation.…”

Section: Discussionmentioning

confidence: 79%

Factors affecting participation after traumatic brain injury

Larsson¹,

Björkdahl²,

Esbjörnsson³

et al. 2013

J Rehabil Med

View full text Add to dashboard Cite

Objective: The aim of this work was to explore the extent to which social, cognitive, emotional and physical aspects influence participation after a traumatic brain injury. Design/subjects: An explorative study of the patient perspective of participation 4 years after traumatic brain injury. The cohort consisted of all patients (age range 18-65 years), presenting in 1999-2000, admitted to the hospital (n = 129). Sixty-three patients responded; 46 males and 17 females, mean age 41 (range 19-60) years. Methods: Four years after the injury, the European Brain Injury Questionnaire (EBIQ), EuroQol-5D, Swedish Stroke Register Questionnaire and Impact on Participation and Autonomy (IPA) questionnaire were sent to the sample. Data were analysed with logistic regression. Results: On the EBIQ, 40% of the sample reported problems in most questions. According to IPA, between 20% and 40% did not perceive that they had a good participation. The analyses gave 5 predictors reflecting emotional and social aspects, which could explain up to 70% of the variation in participation. Conclusion: It is not easy to find single predictors, as there seems to be a close interaction between several aspects. Motor deficits appear to have smaller significance for participation in this late state, while emotional and social factors play a major role.

show abstract

Section: Discussionmentioning

confidence: 79%

Factors affecting participation after traumatic brain injury

Larsson¹,

Björkdahl²,

Esbjörnsson³

et al. 2013

J Rehabil Med

View full text Add to dashboard Cite

show abstract

“…This model is useful, but further studies are needed on the analysis of how cognitive impairment influences the selection, teaching and learning of AT [11,14]. The use of ICF in prescribing and evaluating AT has been repeatedly advocated without specific recommendations about the applicability of the model on the functions of available AT [15]. Additional models are needed [12] for providing AT to clients with cognitive impairment after ABI [16] and require detailed knowledge of the client and his/her situation [17][18][19].…”

Section: Introductionmentioning

confidence: 99%

A multiprofessional client-centred guide to implementing assistive technology for clients with cognitive impairments

Bartfai

Boman

2014

TAD

View full text Add to dashboard Cite

OBJECTIVE: The aim was to develop a framework for prescribing assistive technology (AT) for people with cognitive impairment and provide guidelines for clinical practice. METHODS: A qualitative approach was used to develop and validate the guide. RESULTS: The guide is directed mainly towards occupational therapists and neuropsychologists. It comprises six main steps, 1. Meeting the client, 2. Goal setting, 3. Assessment, 4. Choice of relevant devices, 5. Teaching and training plan, 6. Evaluation and follow-up. Special emphasis is put on the empowerment of the client and their significant others in the process. The guide applies to a wide range of clinical diagnoses involving cognitive impairment. CONCLUSIONS: The guide involves a number of steps requiring substantial clinical resources, which is a challenge but at the same time it might promote an understanding for the complexity of the process among clients, their significant others, rehabilitation professionals and resource providers. The expectations are that more structured and individually adjusted procedures result in a more successful long term use of AT.

show abstract

“…This reflects the lack of complete understanding of the environment, its facilitating and inhibiting features and the way in which it affects activities and participation for people with stroke related disabilities [25,26]. Understanding environmental factors is, therefore, essential for health care planning and resource allocation.…”

Section: Introductionmentioning

confidence: 99%

Environment and the Daily Functioning of Jordanian Patients with Stroke: An Exploratory Study

R¹

2015

Int J Phys Med Rehabil

View full text Add to dashboard Cite

Purpose: Environment as described in the ICF can significantly affect the daily functioning of patients with longterm disabilities such as stroke. The purpose of this study is to explore barriers in the environment surrounding Jordanian patients with stroke. Methods:A sample of 116 patients with stroke was recruited. A questionnaire listing the environmental factors as described in the ICF was used to explore patients' perception on the level of hinderness each factor imposes on their daily functioning. Patients were also asked to report the availability of necessary services they need in rehabilitation. Additionally, correlations were explored between patients' demographic and illness-related characteristics. Results:External environmental factors such as sidewalks, other drivers, and noise in public places were perceived by the patients as hindering to daily functioning. Psychological services were reported to be provided the least in rehabilitation. Moderate but significant correlations were found between patients' perceived level of independence and patient's level of participation(r=0.56, p<0.000), as well as use of assistive devices (r=0.51, p<0.000). Conclusions:Exploring the effect of environmental factors on the daily functioning of patients with stroke is important when planning intervention. Special attention must be given to the effect of external environmental factors where patients have minimal control over the surroundings.

show abstract

Participation After Stroke: Do We Understand All the Components and Relationships As Categorised in the ICF?

Cited by 28 publications

References 82 publications

Factors affecting participation after traumatic brain injury

Factors affecting participation after traumatic brain injury

A multiprofessional client-centred guide to implementing assistive technology for clients with cognitive impairments

Environment and the Daily Functioning of Jordanian Patients with Stroke: An Exploratory Study

Contact Info

Product

Resources

About