Mehdizadeh Maryam, Hassani Mehraban Afsoon, Zahediyannasab Roohollah
Department of neuroscience, School of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran.
Department of Occupational Therapy, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Basic Clin Neurosci. 2017 Jan;8(1):69-76. doi: 10.15412/J.BCN.03080109.
Stroke imposes limitations on performing activities of daily living (ADL) and their level. Different therapeutic approaches are used for improving the level of performance after a stroke. This study was performed with the aim of evaluating the effect of group-based occupational therapy on improving the performance of ADL and satisfaction of its performance in patients with chronic strokes.
Fourteen chronic stroke patients with the mean age of 52 years participated in the study. The participants were assigned into two groups (control and treatment). The level of performance of ADL, level of stroke disability, and participation were respectively evaluated by Barthel index (BI), modified Rankin scale (MRS), and Canadian Occupational Performance Measure (COPM). Six sessions of group therapy tasks were scheduled with an emphasis on three main activities, including mobility exercises, craft, and cooking.
The COPM changes in the 'performance' and 'satisfaction' scores in the treatment group and the 'performance' scores in the control group were significant. The MRS scale in the two groups revealed no change in the level of stroke disability. However, the changes in the ADL performance in BI were significant.
The current study indicated that doing daily, craft, and mobility activities in the groups can affect the 'performance' and 'satisfaction' levels in stroke patients.
中风会限制日常生活活动（ADL）及其水平。为提高中风后的功能水平，人们采用了不同的治疗方法。本研究旨在评估基于小组的职业治疗对改善慢性中风患者ADL功能及功能满意度的效果。
14名平均年龄为52岁的慢性中风患者参与了本研究。参与者被分为两组（对照组和治疗组）。分别通过巴氏指数（BI）、改良Rankin量表（MRS）和加拿大职业表现测量量表（COPM）评估ADL功能水平、中风残疾程度和参与度。安排了六节小组治疗课程，重点是三项主要活动，包括移动锻炼、手工艺和烹饪。
治疗组“功能”和“满意度”得分以及对照组“功能”得分的COPM变化显著。两组的MRS量表显示中风残疾程度没有变化。然而，BI中ADL功能的变化显著。
当前研究表明，在小组中进行日常、手工艺和移动活动可影响中风患者的“功能”和“满意度”水平。
