Poststroke depression and treatment effects on functional outcomes

Schmid, Arlene A.; Kroenke, Kurt; Hendrie, Hugh C.; Bakas, Tamilyn; Sutherland, Jason M.; Williams, Linda S.

doi:10.1212/wnl.0b013e318210435e

Cited by 84 publications

(56 citation statements)

References 27 publications

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“…Anxiety and depression are common in people with stroke (Fure et al, 2006;Hackett et al, 2005;Pohjasvaara et al, 2001;Schmid, Kroenke, et al, 2011). In our study, we found a significant difference in anxiety scores between participants.…”

Section: Discussionsupporting

confidence: 41%

“…For example, balance impairment has been found to affect 83% of people with acute stroke (Tyson, Hanley, Chillala, Selley, & Tallis, 2006). Anxiety and depression are frequently observed in people with stroke (McGinnes, 2009), and depression has been found to be strongly associated with poor functional outcomes (Fure, Wyller, Engedal, & Thommessen, 2006;Hackett, Yapa, Parag, & Anderson, 2005;Pohjasvaara, Vataja, Leppävuori, Kaste, & Erkinjuntti, 2001;Schmid, Kroenke, et al, 2011). Activity and participation levels have also been found to be decreased after stroke (Hartman-Maeir, Soroker, Ring, Avni, & Katz, 2007;Mayo, Wood-Dauphinee, Côté, Durcan, & Carlton, 2002).…”

mentioning

confidence: 99%

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Fear of Falling in People With Chronic Stroke

Schmid

Arnold

Jones

et al. 2015

The American Journal of Occupational Therapy

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OBJECTIVE. We assessed the prevalence of fear of falling (FoF) in a sample of people with chronic stroke and compared multiple variables (balance, anxiety, depression, activity and participation, and stroke severity) in people with and without FoF. METHOD. This study was a secondary analysis of data collected from a cross-sectional study of mobility after stroke in 77 participants with chronic stroke (>6 mo poststroke). RESULTS. Of the 77 participants, 51 (66%) reported experiencing FoF. People with FoF had significantly decreased balance (p < .001) and activity and participation (p = .006) and significantly increased anxiety (p = .007). People with FoF also had significantly worse stroke severity (p = .001). CONCLUSION. FoF is a prevalent concern in the chronic stroke population. The presence of FoF was associated with a variety of negative consequences. Occupational therapy practitioners should address FoF to help clients manage FoF and possibly improve recovery.

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Section: Discussionsupporting

confidence: 41%

mentioning

confidence: 99%

Fear of Falling in People With Chronic Stroke

Schmid

Arnold

Jones

et al. 2015

The American Journal of Occupational Therapy

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“…Although data are inconclusive as to whether improvement of poststroke depression is independently associated with functional improvement, 222 depression can negatively affect a patient's ability to actively participate in rehabilitation therapies. 223 It is important to address symptoms early in the rehabilitation process, especially given the recent trend for less time in rehabilitation.…”

Section: Poststroke Depression Including Emotional and Behavioral Statementioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,068

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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“…As in previous studies, functional independence was defined as 0 to 2 (slight to no disability) and dependence was defined as 3 to 5 (moderate to severe disability). 26,27 Balance was assessed with the Berg Balance Scale (BBS), a 14-item physical performance measure of static and dynamic balance found to be reliable and valid after stroke. 28 Scoring ranges from 0 to 56, with higher scores indicating better balance.…”

Section: Outcome Assessmentsmentioning

confidence: 99%

Poststroke Balance Improves With Yoga

Schmid¹,

Puymbroeck

Altenburger

et al. 2012

Stroke

119

106

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Background and Purpose— Balance impairment is common after stroke; modified yoga may be able to improve balance and other important poststroke variables. Scientific-evidence is needed to support such treatment interventions. The purpose of this study was to assess the impact of a yoga-based rehabilitation intervention on balance, balance self-efficacy, fear of falling (FoF), and quality of life after stroke. Methods— This was a prospective, randomized, pilot study of yoga-based rehabilitation for people with chronic stroke. All yoga sessions were taught by a registered yoga therapist, occurred twice per week for 8 weeks and included seated, standing, and floor postures with relaxation and meditation. Balance was assessed with the Berg Balance Scale, balance self-efficacy with the Activities-specific Balance Confidence Scale, FoF with a dichotomous yes/no question, and quality of life with the Stroke Specific Quality of Life scale. Results— There were no significant differences between wait-list control (n=10) and yoga (n=37) groups in baseline or follow-up scores. However, using within-group comparisons, yoga group data demonstrated significant improvement in balance (Berg Balance Scale, 41.3±11.7 vs 46.3±9.1; P <0.001) and FoF (51% vs 46% with FoF; P <0.001). Conclusions— A group yoga-based rehabilitation intervention for people with chronic stroke has potential in improving multiple poststroke variables. Group yoga may be complementary to rehabilitation, may be possible in medical-based and community-based settings, and may be cost-effective. Further testing of group yoga-based rehabilitation interventions is warranted. Clinical Trial Registration— URL: http://clinicaltrials.gov . Unique Identifier: NCT01109602.

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Poststroke depression and treatment effects on functional outcomes

Abstract: Background: Poststroke depression (PSD) is common after stroke; however, the relationship to

Cited by 84 publications

References 27 publications

Fear of Falling in People With Chronic Stroke

Fear of Falling in People With Chronic Stroke

Guidelines for Adult Stroke Rehabilitation and Recovery

Poststroke Balance Improves With Yoga

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