Association between self-perceived activity performance and upper limb functioning in subacute stroke.
Physiother Res Int
; 27(3): e1946, 2022 Jul.
Article
en En
| MEDLINE
| ID: mdl-35254717
ABSTRACT
BACKGROUND AND PURPOSE:
This study aimed to investigate to what extent upper limb (UL) motor impairment, trunk compensation, and activity performance are related to self-perception of UL activity performance in subacute stroke.METHODS:
This was a prospective observational study. Twenty-four adults with subacute stroke (age 65.4 ± 10.8 years) underwent clinical and kinematic assessments at baseline (33.9 ± 5.2 days after stroke onset) and 4 weeks after the baseline. The clinical assessment included the UL Fugl-Meyer motor assessment (FMA), Simple Test for Evaluating hand Function (STEF), and the performance and satisfaction scores of the Canadian Occupational Performance Measure (COPM). The kinematic measurement was performed using a motion capture system during a standardized reach-to-grasp task. Endpoint performance variables and trunk displacement were calculated as kinematic outcomes. An inpatient rehabilitation program of 3 h/day was provided every day for 4 weeks between the two measurement points. The relationships between COPM scores and clinical/kinematic outcomes were examined by multiple regression analysis. Significance levels of p < 0.05 were used.RESULTS:
The results of the multiple regression analysis showed that the changes in STEF (ß = 0.520, p = 0.005) and trunk compensation (ß = -0.398, p = 0.024) were moderately related to the change in the COPM satisfaction (R2 adj = 0.426, p = 0.001), while the change in UL FMA was not.DISCUSSION:
The changes in activity performance and trunk compensation were related to improved self-perception of UL activity performance. Therapeutic management for activity performance and trunk compensation may be important for improving self-perception of UL activity performance after stroke.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Accidente Cerebrovascular
/
Rehabilitación de Accidente Cerebrovascular
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Humans
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Physiother Res Int
Asunto de la revista:
REABILITACAO
Año:
2022
Tipo del documento:
Article
País de afiliación:
Japón