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Impact of visuospatial neglect post-stroke on daily activities, participation and informal caregiver burden: A systematic review in Annals of physical and rehabilitation medicine, Vol. 63 n° 4 (July 2020)
[article] Impact of visuospatial neglect post-stroke on daily activities, participation and informal caregiver burden: A systematic review [texte imprimé] . - 2020 . - p. 344-358.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 4 (July 2020) . - p. 344-358
Catégories : PATHOLOGIE
Accident cérébrovasculaire
SOCIOLOGIE
Activités vie quotidienneTags : Stroke Visuospatial neglect Unilateral neglect Activities of daily living Participation Caregiver burden Résumé : Objectives: Visuospatial neglect (VSN) is a common cognitive disorder after stroke. The primary aim of this systematic review was to provide an overview of the impact of VSN in 3 aspects: (1) activities of daily living (ADL), (2) participation, and (3) caregiver burden. The second aim was to investigate the differences in studies focusing on populations with mean age<65 versus≥65 years.
Methods: PubMed, EMBASE, Web of Science, Cochrane Library, Emcare, PsychINFO, Academic Search Premier and CENTRAL were searched systematically. Quality was assessed with the Mixed Methods Appraisal Tool.
Results: Of the 115 included studies, 104 provided outcomes on ADL, 15 on participation (4 studies with mean age≥65), and 2 on caregiver burden (1 study with mean age≥65). Quality assessment yielded scores ranging from 0 to 100%. VSN had a negative impact on ADL (i.e., independence during ADL and performance in self-care, household tasks, reading, writing, walking, wheelchair navigation) and participation (i.e., driving, community mobility, orientation, work). The impact of VSN on fulfilling social roles was unclear. VSN had a negative effect on caregiver burden. We found no clear age-related differences.
Conclusions and implications: VSN has a negative impact not only on patients’ independence but particularly on the performance of ADL. Despite the far fewer studies of VSN as compared with ADL, VSN also seems to hamper participation and increase caregiver burden, but further research is needed. Because of the large impact, VSN should be systematically and carefully assessed during rehabilitation. A considerable number of different instruments were used to diagnose VSN. Diagnosing VSN at more than one level [function (i.e., pen-and-paper test), activities, and participation] is strongly recommended. Consensus is needed on how to assess VSN and its negative impact for research and rehabilitation practice.
En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=18130 [article]Construction and feasibility study of the SOFMER Activity Score (SAS), a new assessment of physical and cognitive activity / Marie-Doriane Morard in Annals of physical and rehabilitation medicine, Vol. 61 n° 5 (September 2018)
[article] Construction and feasibility study of the SOFMER Activity Score (SAS), a new assessment of physical and cognitive activity [texte imprimé] / Marie-Doriane Morard, Auteur ; Sibylle Gonzalez-Monge, Auteur ; P. Rippert, Auteur . - 2018 . - p. 315-322.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 61 n° 5 (September 2018) . - p. 315-322
Catégories : PRATIQUE MÉDICALE
Rééducation fonctionnelle
PSYCHOLOGIE
Fonction cognitive
SOCIOLOGIE
Activités vie quotidienneTags : Activities of daily living Rehabilitation centers Feasibility study Nursing assessment Résumé : Objectives: For hospitalizations in rehabilitation centers (RCs) in France, the quantification of healthcare givers’ activity is based on the dependency of the patients, defined as a total or partial inability to perform activities required for daily living without help. The tools currently used to quantify dependency are not sufficiently precise. Here we describe the construction of a new tool, the SOFMER Activity Score (SAS scoring), which allows for a good description of the level of activity of patients hospitalized in RCs, and a feasibility study of the tool.
Methods: After a study group proposed the first version of the SAS, the validity of its content was studied by the Delphi consensus method: 26 physicians or healthcare professionals known for their expertise in PMR responded to the first round. The feasibility study was prospective and involved multi-site professionals. Data related to the SAS determined by a multidisciplinary team were collected and compared to the Activité de la Vie Quotidienne (AVQ) scale, which is administered to all patients and included in medical and administrative data.
Results: We included 81 patients in the feasibility study. The mean (SD) time to obtain the SAS was 4.5 (3.3) min. For 97.5% of scorings, the participating professionals judged that the SAS was compatible or fairly compatible with clinical practice. The internal structure of the SAS scale seemed better than that of the AVQ scale, for which the present study confirmed a floor effect for all items.
Conclusions: The SAS allows for measuring the level of physical and cognitive activity of a patient hospitalized in an RC. If validation studies for the SAS, exploring its reliability, construct validity or criterion validity, confirm the tool's good metrological qualities, the SAS will allow for a good quantification of the burden of care.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=16211 [article]Development and assessment of a home environment checklist to evaluate mismatch between patients’ ability and home environment / Masahiko Mukaino in Annals of physical and rehabilitation medicine, Vol. 63 n° 4 (July 2020)
[article] Development and assessment of a home environment checklist to evaluate mismatch between patients’ ability and home environment [texte imprimé] / Masahiko Mukaino, Auteur ; Birgit Prodinger, Auteur ; Yuki Okouchi, Auteur . - 2020 . - p. 288-295.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 4 (July 2020) . - p. 288-295
Catégories : SOCIOLOGIE
Activités vie quotidienne
ENVIRONNEMENT & MATIÈRES
Élément environnementTags : ICF Environmental factors Activities of daily living Résumé : Background: Modification of the home environment, together with rehabilitative interventions, is important for maximizing the level of functioning after an individual with disability undergoes rehabilitation in the hospital.
Objectives: We developed a simple screening scale – the home environment checklist (HEC) – to identify any mismatch between an individual's abilities and their home environment to help clinicians monitor the appropriateness of the home environment to which individuals with disability will be discharged. We also examined the psychometric properties of the HEC.
Methods: The HEC was developed by a multidisciplinary panel of rehabilitation experts using information routinely collected in rehabilitation clinics before discharge. The reliability of the checklist was assessed in 60 individuals undergoing rehabilitation. The inter-rater agreement and internal consistency of the scale were assessed by weighted kappa statistics and Cronbach's alpha, respectively. Rasch analysis was performed with 244 rehabilitation individuals to evaluate the internal construct validity, and the known-groups validity was confirmed by a comparison of the daily activity levels of 30 individuals with disabilities under rehabilitation to the HEC score.
Results: The HEC was developed as a simple, 10-item checklist. The weighted kappa statistics ranged from 0.73 to 0.93, indicating excellent inter-rater reliability. Cronbach's alpha was 0.92, indicating high internal consistency. Rasch analysis with a testlet approach on 3 subscales demonstrated a good fit with the Rasch model (χ2=13.2, P =0.153), and the demonstrated unidimensionality and absence of differential item functioning supported the internal construct validity of the HEC. HEC scores were significantly different (P <.01) among individuals with disability and 3 levels of restrictions in their activities (no limitation, home-bound, and bed-bound), which demonstrates the known-groups validity of the HEC.
Conclusions: The HEC has good reliability and validity, which supports its utility in rehabilitation clinics.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=18122 [article]Ecological Assessment Battery for Numbers (EABN) for brain-damaged patients: Standardization and validity study / Marie Villain in Annals of physical and rehabilitation medicine, Vol. 58 n° 5 (October 2015)
[article] Ecological Assessment Battery for Numbers (EABN) for brain-damaged patients: Standardization and validity study [texte imprimé] / Marie Villain, Auteur ; Cécile Tarabon-Prevost, Auteur ; Éléonore Bayen, Auteur . - 2015 . - p. 283-288.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 58 n° 5 (October 2015) . - p. 283-288
Catégories : PATHOLOGIE
Accident cérébrovasculaire
SANTÉ PHYSIQUE
Traumatisme crânien
SOCIOLOGIE
Activités vie quotidienneTags : Acalculia Ecological assessment Stroke Traumatic brain injury Activities of daily living Résumé : Objectives: Number-processing may be altered following brain injury and might affect the everyday life of patients. We developed the first ecological tool to assess number-processing disorders in brain-injured patients, the Ecological Assessment Battery for Numbers (EABN; in French, the BENQ). The aim of the present study was to standardize and validate this new tool.
Material and methods: Standardization included 126 healthy controls equally distributed by age, sex and sociocultural level. First, 17 patients were evaluated by the EABN; then scores for a subgroup of 10 were compared with those from a French analytical calculation test, the Évaluation Clinique des Aptitudes Numériques (ECAN). The concordance between the EABN and the ECAN was analyzed to determine construct validity. Discrimination indexes were calculated to assess the sensitivity of the subtests.
Results: Standardization highlighted a major effect of sociocultural level. In total, 9 of 17 patients had a pathological EABN score, with difficulties in telling time, making appointments and reading numerical data. The results of both the EABN and ECAN tests were concordant (Kendall's w =0.97). Finally, the discriminatory power was good, particularly for going to the movies, cheque-writing and following a recipe: scores were>0.4.
Conclusion: The EABN is a new tool to assess number-processing disorders in adults. This tool has been standardized and has good psychometric properties for patients with brain injury.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=12900 [article]