subacute stroke patients
Conditions
Interventions
In the bottom-up (BOT) group, occupational therapists focus evaluations on the patients generic abilities (i.e., boby functions and structures according to the ICF) and personal activities of daily li
Basic function exercise'
Simulated occupation practice'
, and as appropriate, intervention in BOT group was allowed the '
Real-occupationnal practice (P-ADL)'
Real-occupational practice (except for P-ADL) within the range of 1/3.
In the top-down (TOP) group, patient and occupational therapists begins to share and identifiy meaningful occupations for the pat
Real-occupational practice (except for P-ADL)'
, and as appropriate, intervention in TOP group was allowed the '
within the range of 1/3.
Sponsors
Kounosuke Tomori
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: This study of participation include patients with hemiparesis in the subacute stage of stroke who were hospitalized at Kaifukuki rehabilitation ward. Stroke was caused by a cerebral infarct or intracerebral hemorrhageonset; onset ≥30 days; no major cognitive deficits (24 of 30 on the Mini-Mental State Examination), aphasia or depression as an obstacle to daily living.
Exclusion criteria
Exclusion criteria: We excluded patient who had cardiac or progressive disease and could not carry on occupational therapy as judged by a primary doctor.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| SF-36(MOS 36-Item Short-Form Health Survey) | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional independent measure (FIM) Client satisfaction questionnaire(CSQ-8) Brunnstrom recovery stage | — |
Countries
Japan
Contacts
Public ContactKounosuke Tomori
Kanagawa University of Human Services Dividion of Occupational therapy
Outcome results
None listed