Predictors of Instrumental Activities of Daily Living Performance in Patients with Stroke

Overview

Journal Occup Ther Int

Publisher Wiley

Specialties Occupational Medicine
Rehabilitation Medicine

Date 2021 Mar 17

PMID 33727902

Citations 25

Authors

Amin Ghaffari

Hamid Reza Rostami

Malahat Akbarfahimi

Affiliations

Soon will be listed here.

Abstract

Objective: Instrumental activities of daily livings are important for independent living and active participation in the community. The present study is aimed at determining factors predicting instrumental activities of daily living performance in patients with stroke.

Methods: In this cross-sectional study, a convenient sample of 90 patients with stroke entered from five occupational therapy centers, which were selected based on the cluster randomization method. Lawton IADL scale, Barthel Index, Trail Making Test (A and B), Digit span subtest of Wechsler memory scale, Motorcity index, and Beck Depression Inventory-II were used to investigate the study's aim. Statistical analyses were performed using independent sample -test, one-way ANOVA, Pearson correlation, and multiple linear regression analysis.

Results: Age ( = -0.384, < 0.001), memory ( = 0.565, < 0.001), basic activities of daily living ( = 0.818, < 0.001), depression ( = -0.758, < 0.001), Trial Making Test ( = -0.614, < 0.001), and motoricity index ( = 0.670, < 0.001) were significantly associated with instrumental activities of daily living performance.

Conclusions: Basic activities of daily living were the strongest predictor of IADL's performance. Age, TMT , and depression were orderly the next strongest predictors. Stroke patients with more dependency in basic activities of daily living, older age, cognitive impairment, and depression are more opted to be dependent in instrumental activities of daily living and as a result, less participation in home and community affairs.

Citing Articles

Comparison of Occupational Performance in Immersive Virtual and Real Environments Among Patients With Stroke: Observational Randomized Crossover Pilot Study.

Wei X, Zhou P, Wei Y, Wu D, Qin P, Zhang Y JMIR Serious Games. 2024; 12:e58388.

PMID: 39545803 PMC: 11583515. DOI: 10.2196/58388.

Association between post-stroke depression and functional outcomes: A systematic review.

Butsing N, Zauszniewski J, Ruksakulpiwat S, Quinn Griffin M, Niyomyart A PLoS One. 2024; 19(8):e0309158.

PMID: 39173005 PMC: 11341015. DOI: 10.1371/journal.pone.0309158.

Impact of Interprofessional Collaborative Practice on Functional Improvements Among Post-Acute Stroke Survivors: A Retrospective Cross-Sectional Study.

Chen T, Lin Y, Wang Y, Wu L, Ho C J Multidiscip Healthc. 2024; 17:3945-3956.

PMID: 39161540 PMC: 11331037. DOI: 10.2147/JMDH.S467777.

Investigating cognitive impairment, biopsychosocial barriers, and predictors of return to daily life among older stroke survivors.

Bjorck A, Materne M, Arvidsson Lindvall M, Jarl G Front Neurol. 2024; 15:1403567.

PMID: 38988607 PMC: 11233709. DOI: 10.3389/fneur.2024.1403567.

Association between the executive dysfunction and balance function in patients with stroke.

Sakai K, Hosoi Y, Harada Y, Kato Y Brain Behav. 2024; 14(5):e3542.

PMID: 38783598 PMC: 11116755. DOI: 10.1002/brb3.3542.

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