Cited by 24Stroke Rehabilitation and RecoveryMedical Practices and RehabilitationOccupational Therapy Practice and Research

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Ability in daily activities after early supported discharge models of stroke rehabilitation

Open access
Taule, Tina, Strand, Liv Inger, Assmus, Jörg, Skouen, Jan Sture·2015·Scandinavian Journal of Occupational Therapy

Abstract

UNLABELLED: More knowledge is needed about how different rehabilitation models in the municipality influence stroke survivors' ability in activities of daily living (ADL). OBJECTIVES: To compare three models of outpatient rehabilitation; early supported discharge (ESD) in a day unit, ESD at home and traditional treatment in the municipality (control group), regarding change in ADL ability during the first three months after stroke. METHODS: A group comparison study was designed within a randomized controlled trial. Included participants were tested with the Assessment of Motor and Process Skills (AMPS) at baseline and discharged directly home. Primary and secondary outcomes were the AMPS and the modified Rankin Scale (mRS). RESULTS AND CONCLUSIONS: Included were 154 participants (57% men, median age 73 years), and 103 participants completed the study. There were no significant group differences in pre-post changed ADL ability measured by the AMPS. To find the best rehabilitation model to improve the quality of stroke survivors' motor and process skills needs further research. Patients participating in the ESD rehabilitation models were, compared with traditional treatment, significantly associated with improved ADL ability measured by the mRS when controlling for confounding factors, indicating that patients with social needs and physical impairment after stroke may benefit from ESD rehabilitation models.

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Metadata

Authors
Taule, T., Strand, L. I., Assmus, J., & Skouen, J. S.
Affiliations
  • Haukeland University Hospital (NO)
  • University of Bergen (NO)
Corresponding author
Taule, Tina
Venue
Scandinavian Journal of Occupational Therapy
Published
2015-05-25
Volume
22
Issue
5
Pages
355-365
ISSN
  • 1103-8128 (ISSN-L)
  • 1651-2014
OpenAlex
W1881025093
Cited by
24
References
41
Citations by year
2026: 1 · 2025: 2 · 2024: 1 · 2023: 4 · 2022: 4 · 2021: 3 · 2020: 2 · 2019: 2 · 2017: 2 · 2016: 2 · 2015: 1
FWCI
1.68
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Scandinavian Journal of Occupational Therapy (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • NORA - Norwegian Open Research Archives (submittedVersion, cc-by-nc)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
Keywords
stroke rehabilitation, early supported discharge, activities of daily living, outpatient rehabilitation, home-based rehabilitation, functional recovery, stroke survivors, Assessment of Motor and Process Skills, modified Rankin Scale
MeSH terms
Stroke Rehabilitation, Activities of Daily Living, Aged, Female, Humans, Male, Occupational Therapy, Patient Discharge, Outcome Assessment, Health Care

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