Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Research Article Volume 7 Issue 5

Tailoring Hope: A Retrospective Investigation of Rehabilitation’s Influence on Activities of Daily Living in Stroke Survivors

Vijay Janagama1*, Gaurav Thukral1, Sunanda Kandiraju1 and Divya2

1Healthcare at Home India Private Limited, Noida, Uttar Pradesh, India
2HCAH Suvitas, Transition Care Center Bangalore, Health Care at Home, Bangalore, India

*Corresponding Author: Vijay Janagama, Healthcare at Home India Private Limited, Noida, Uttar Pradesh, India.

Received: February 29, 2024; Published: April 30, 2024

Abstract

Background: Stroke is the leading cause of long-term disability, impacting physical, cognitive, and emotional well-being. To address the consequences of stroke, personalized rehabilitation programs are essential. This retrospective study focuses on the impact of tailored rehabilitation on activities of daily living (ADL) in stroke survivors.

Aim: The primary aim of this study is to evaluate ADL improvement in stroke patients from following a tailored rehabilitation program at Transition Care Centers or Inpatient Rehabilitation Centers.

Methods: A retrospective analysis was conducted at HCAH Transition Care Centers over a 12month period, involving 373 stroke patients with specific inclusion criteria. Participants received intensive physiotherapy and occupational therapy sessions along with other multidisciplinary rehabilitation therapies.

Outcome Measures: ADL assessments were conducted using a customized 14-component scale, encompassing basic and complex tasks, each rated on a scale from 1 (Completely Dependent) to 3 (Independent).

Results: The ADL scores were collected at the time of admission and discharge from each patient. Paired T-tests were employed to understand the statistical differences within the group. The results showed a significant p-values of 0.000 providing a high evidence of tailored made rehabilitation program on improving Activities of daily living.

Conclusions: This study demonstrates that tailored rehabilitation programs implemented at Transition Care Centers significantly improve Activities of Daily Living (ADL) in stroke survivors. Through intensive physiotherapy, occupational therapy, and multidisciplinary rehabilitation sessions, participants exhibited notable enhancements in both basic and complex tasks. The findings highlight the pivotal role of personalized rehabilitation plan in improving Activities of Daily Living and enhancing the quality of life.

Keywords: Early Rehabilitation; Stroke; Transition Care; Activities of Daily Living; Length of Stay

References

  1. Maria L., et al. “Quality of Life during the First Two Years Post Stroke: The Restore Stroke Cohort Study”. Cerebrovascular Disease 41 (2016): 19-26.
  2. Feigin VL., et al. “Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) and the GBD Stroke Experts Group. Global and regional burden of stroke during1990-2010: findings from the Global Burden of Diseases Study 2010”. Lancet 9913 (2014): 245-255.
  3. Olver J., et al. “Post Stroke Outcome: Global Insight into Persisting Sequelae Using the Post Stroke Checklist”. Journal of Stroke and Cerebrovascular Diseases 30 (2021): 105612.
  4. Wu CY., et al. “Relationship Consensus and Caregiver Burden in Adults with Cognitive Impairments 6 Months Following Stroke”. PM R 11 (2019): 597-603.
  5. Marotta N., et al. “International Classification of Functioning, Disability and Health (ICF) and Correlation between Disability and Finance Assets in Chronic Stroke Patients”. Acta Biomedicine 91 (2020): e2020064.
  6. Lasprilla JCA., et al. “Manual Moderno: Mexico City, Mexico, 2019. Interventions within the Scope of Occupational Therapy in the Hospital Discharge Process Post-Stroke: A Systematic Review” (2019).
  7. Jönsson AC., et al. “Determinants of quality of life in stroke survivors and their informal caregivers”. Stroke 36 (2005): 803-808.
  8. Gjelsvik BEB., et al. “Balance, and Walking after Three Different Models of Stroke Rehabilitation: Early Supported Discharge in a Day Unit or at Home, and Traditional Treatment (Control)”. BMJ Open 4 (2014): e004358.
  9. Mudzi W., et al. “Effect of Carer Education on Functional Abilities of Patients with Stroke”. International Journal of Therapy and Rehabilitation 19 (2012): 380-385.
  10. Rafsten L., et al. “Gothenburg Very Early Supported Discharge Study (GOTVED): A Randomised Controlled Trial Investigating Anxiety and Overall Disability in the First Year after Stroke”. BMC Neurology 19 (2019): 277.
  11. Rasmussen RS., et al. “Stroke Rehabilitation at Home before and after Discharge Reduced Disability and Improved Quality of Life: A Randomised Controlled Trial”. Clinical Rehabilitation 30 (2016): 225-236.
  12. Saal S., et al. “Effect of a Stroke Support Service in Germany: A Randomized Trial”. Topics in Stroke Rehabilitation 22 (2015): 429-436.
  13. Taule T., et al. “Ability in Daily Activities after Early Supported Discharge Models of Stroke Rehabilitation”. Scandinavian Journal of Occupational Therapy 22 (2015): 355-365.
  14. Tove Lise Nielsen., et al. “Intensive client-centred occupational therapy in the home improves older adults’ occupational performance. Results from a Danish randomized controlled trial”. Scandinavian Journal of Occupational Therapy5 (2019): 325-342.
  15. Chu K., et al. “Feasibility of a Nurse-Trained, Family Member-Delivered Rehabilitation Model for Disabled Stroke Patients in Rural Chongqing, China”. Journal of Stroke and Cerebrovascular Diseases 29 (2020): 105382.
  16. Wu Z., et al. “Collaborative Care Model Based Telerehabilitation Exercise Training Program for Acute Stroke Patients in China: A Randomized Controlled Trial”. Journal of Stroke and Cerebrovascular Diseases 29 (2020): 105328.
  17. Zhou B., et al. “Caregiver Delivered Stroke Rehabilitation in Rural China”. Stroke 50 (2019): 1825-1830.
  18. Feng W., et al. “Application Effect of the Hospital-Community Integrated Service Model in Home Rehabilitation of Stroke in Disabled Elderly: A Randomised Trial”. Annals of Palliative Medicine 10 (2021): 4670-4677.
  19. Che S., et al. “Effectiveness of a Home-Based Exercise Program among Patients with Lower Limb Spasticity Post-Stroke: A Randomized Controlled Trial”. Asian Nursing Research 15 (2021): 1-7.

Citation

Citation: Vijay Janagama., et al. “Tailoring Hope: A Retrospective Investigation of Rehabilitation’s Influence on Activities of Daily Living in Stroke Survivors". Acta Scientific Neurology 7.5 (2023): 39-44.

Copyright

Copyright: © 2023 Vijay Janagama., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate32%
Acceptance to publication20-30 days

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is November 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US