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Ability in daily activities after early supported discharge models of stroke rehabilitation
Open accessAbstract
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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“Stroke discharges and rehabilitation plans are usually carried out in a multidisciplinary manner, making it difficult to evaluate the extent OT contributes to the patients’ recovery [3–5, 54].”
From Early Occupational Therapy Intervention post-stroke (EOTIPS): A randomized controlled trial (2024) · cites this paper as [54]
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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
- PMC
- PMC4673522
- 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
- hybrid
- doi.org
- 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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