Independence in Daily Activities after Stroke among Occupational Therapy Patients and Its Relationship with Unilateral Neglect

Iván De-Rosende-Celeiro, Alba Rey-Villamayor, Isabel Francisco- de-Miguel and Adriana Ávila-Álvarez
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Iván De-Rosende-Celeiro: Occupational Therapy Research Unit in Non-Pharmacological Interventions, University of A Coruña, 15071 A Coruña, Spain
Alba Rey-Villamayor: Private Practice of Occupational Therapy, 36212 Vigo, Spain
Isabel Francisco- de-Miguel: Rehabilitation Service, A Coruña University Hospital Complex, 15006 A Coruña, Spain
Adriana Ávila-Álvarez: Occupational Therapy Research Unit in Non-Pharmacological Interventions, University of A Coruña, 15071 A Coruña, Spain

IJERPH, 2021, vol. 18, issue 14, 1-13

Abstract: More research is needed to better understand the impact of occupational therapy (OT) in stroke patients and syndromes of unilateral neglect (UN) and anosognosia. A prospective, observational, longitudinal design was conducted on a sample of 27 OT patients. The objectives were to examine: (1) the presence of UN and anosognosia; (2) the functional outcomes; and (3) the association of UN at baseline with functional status at discharge from OT. The outcomes were Barthel (functional independence) and the Rivermead Mobility Index (RMI). The baseline proportion of participants with UN was 33% according to the Star Cancellation Test (STC), and 48.1% according to the Catherine Bergego Scale (CBS) therapist-version. There was a significant difference between the therapist and participant-rated CBS scores ( p = 0.004). Functional independence improved significantly between the initial and final assessments ( p < 0.001); the effect size ( r ) was large ( r = 0.61). There was a significant improvement in RMI scores ( p < 0.001), which was large in size ( r = 0.59). Both the STC and CBS-therapist scores were significantly correlated with the Barthel ( p < 0.001, p = 0.005, respectively) and with the RMI ( p = 0.004, p = 0.028, respectively). The participants substantially enhanced their functional status skills. UN and anosognosia were common problems, and neglect was associated with worse OT program outcomes.

Keywords: activities of daily living; anosognosia; occupational therapy; stroke; unilateral neglect (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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