Prakash V, R Patel Shrishma, Hariohm K, S Soni Vandita, Alagumoorthi G
a Ashok & Rita Patel Institute of Physiotherapy, Charotar University of Science and Technology , Changa , Gujarat , 388421 , India.
b Spring Physiotherapy Centre , Chennai , India.
Top Stroke Rehabil. 2016 Aug;23(4):240-4. doi: 10.1080/10749357.2016.1151693. Epub 2016 Mar 15.
Identifying activities that are preferred and valued by patients' is essential to optimize rehabilitation outcomes and quality of care in stroke rehabilitation. Deep knee flexion (DKF) activities like squatting and sitting on the floor are regularly performed and preferred daily activities in many cultures. Yet few studies have investigated its importance as perceived by patients with stroke.
To identify the magnitude of importance of squatting and sitting on the floor in carrying out daily activities in adults diagnosed with stroke.
We conducted a survey among patients with stroke using a questionnaire. A sample of convenience of 123 patients diagnosed with stroke who were receiving physiotherapy in rural rehabilitation setting in Gujarat, India participated. All patients were asked to rate the importance of DKF activities in performing various daily activities related to self care, mobility, domestic life, work and community participation.
Sixty-eight percent of participants rated DKF activities as very important for carrying out their daily activities. Toileting (78%), bathing (68%), eating (68%), praying (54%) and work (51%) were the activities for which DKF activities were rated as very important by both men and women. However, higher proportion of women compared to men rated domestic life activities such as cooking, washing cloths and cleaning house as very important.
Because a substantial proportion of patients with stroke identified DKF activities as very important for performing major daily activities, independent performance of squatting and sitting on the floor should be considered as one of the important rehabilitation goals for patients with stroke.
确定患者偏好和重视的活动对于优化中风康复的治疗效果和护理质量至关重要。深蹲和坐在地上等深度屈膝(DKF)活动在许多文化中都是日常经常进行且偏好的活动。然而,很少有研究调查中风患者对其重要性的认知。
确定深蹲和坐在地上对于被诊断为中风的成年人进行日常活动的重要程度。
我们使用问卷对中风患者进行了一项调查。印度古吉拉特邦农村康复机构中123名正在接受物理治疗的中风患者参与了这项便利抽样调查。所有患者都被要求对深度屈膝活动在进行各种与自我护理、移动性、家庭生活、工作和社区参与相关的日常活动中的重要性进行评分。
68%的参与者认为深度屈膝活动对他们的日常活动非常重要。如厕(78%)、洗澡(68%)、进食(68%)、祈祷(54%)和工作(51%)是男性和女性都认为深度屈膝活动非常重要的活动。然而,与男性相比,有更高比例的女性认为烹饪、洗衣服和打扫房屋等家庭生活活动非常重要。
由于相当一部分中风患者认为深度屈膝活动对进行主要日常活动非常重要,因此独立进行深蹲和坐在地上应被视为中风患者重要的康复目标之一。