Effect of rehabilitation motivation on improving activities of daily living in subacute stroke patients.


Journal

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 08 07 2023
revised: 12 09 2023
accepted: 20 09 2023
medline: 24 11 2023
pubmed: 16 10 2023
entrez: 15 10 2023
Statut: ppublish

Résumé

To determine the effect of rehabilitation motivation on activities of daily living improvement in subacute stroke patients starting intensive rehabilitation. This was a single-center cohort study involving patients with a subacute stroke who were admitted to or discharged from a Recovery Rehabilitation Unit between February 2021 and August 2022. Improvement in Activity of Daily Living was evaluated using the Functional Independence Measure. We calculated the corrected motor Functional Independence Measure effectiveness using its motor-related items at admission and discharge. The Behavioral Regulation in Exercise Questionnaire 2 was used to evaluate admission rehabilitation motivation, and the Relative Autonomy index was calculated. Hierarchical multiple regression analysis was used to examine the relationship between the corrected motor Functional Independence Measure effectiveness and the Relative Autonomy Index. Eighty-six of the 231 patients (37.2 %) were included in the analysis. Hierarchical multiple regression analysis adjusted for demographic and clinical variables demonstrated that age, comorbidities, and Relative Autonomy Index were significantly associated with corrected motor Functional Independence Measure effectiveness (R Motivation at intensive rehabilitation initiation in patients with a subacute stroke influences Activities of Daily Living improvement. These results may help develop rehabilitation programs aimed at improving Activities of Daily Living in patients with subacute strokes.

Identifiants

pubmed: 37839300
pii: S1052-3057(23)00408-1
doi: 10.1016/j.jstrokecerebrovasdis.2023.107385
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

107385

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors have no competing interests to disclose.

Auteurs

Shinnosuke Ishida (S)

Department of Rehabilitation, Tokyo General Hospital, 3-15-2 Egota, Nakano-, ku, Tokyo 165-8906, Japan; Department of Graduate School of Comprehensive Human Sciences, University of Tsukuba, 3-29-1 Otsuka, Bunkyouku, Tokyo 112-0012, Japan. Electronic address: shitianjinnojie@gmail.com.

Hiroaki Harashima (H)

Department of Rehabilitation, Tokyo General Hospital, 3-15-2 Egota, Nakano-, ku, Tokyo 165-8906, Japan.

Satoshi Miyano (S)

Department of Rehabilitation, Tokyo General Hospital, 3-15-2 Egota, Nakano-, ku, Tokyo 165-8906, Japan.

Kennosuke Kawama (K)

Department of Graduate School of Comprehensive Human Sciences, University of Tsukuba, 3-29-1 Otsuka, Bunkyouku, Tokyo 112-0012, Japan.

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Classifications MeSH