The relationship between the change in ADL ability during hospitalization, severity of disability and the destination after discharge : a look at the effectiveness of occupational therapy after 6 months post onset Masayo Hama 1 , Hiromi Shindou 2 , Satomi Doyama 3 , Munehiro Ikuta 4 1Rehabilitation Kagayawata Onsen Hospital 2Keiju General Hospital 3Kanazawa Neuro Surgery Hospital 4School of Allied Medical Sciences, Kanazawa University Keyword: 脳血管障害 , ADL , 治療効果 , Cerebrovascular disease , ADL , Effectiveness of Therapy pp.259-268
Published Date 1997/8/15
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 We studied 165 patients with cerebrovascular disease in a rehabilitation hospital and 2 acute-care hospitals in order to examine how the patients' ADL abilities had changed at the time of discharge relative to onset, and how such changes were related to the severity of disability and their destination after discharge. Patients who achieved independence in ADL within 4 months post onset(mpo)had a mild paralysis, and their improvement could be accounted for by spontaneous recovery. In contrast, among those who achieved independence in ADL after 4 mpo, there was a significantly greater number of patients with severe disability, and there improvement in ADL seemed to be due to training and environmental adjustment. Patients who had either apraxia, agnosia, or aphasia, were likely to stay hospitalaized beyond 6 mpo. Patients whose total ADL score was greater than 0 at 4 mpo, or greater than 40 points at 6 mpo, had a high probability of returning home after they had received training. Even after 6 mpo, there was a relatively high probability of returning home for patients who had improved there total ADL score by more than 10 points after having received a training in bathing, environmental adjustment, and adaptation training for apraxia and/or agnosia.

Copyright © 1997, Japanese Association of Occupational Therapists. All rights reserved.


電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会