Unique ID issued by UMIN | UMIN000012955 |
---|---|
Receipt number | R000015147 |
Scientific Title | Comparison of occupational therapy intervention process for subacute stroke patient: A pilot randomised controlled study |
Date of disclosure of the study information | 2014/01/25 |
Last modified on | 2016/05/16 08:50:51 |
Comparison of occupational therapy intervention process for subacute stroke patient: A pilot randomised controlled study
occupational therapy intervention process
Comparison of occupational therapy intervention process for subacute stroke patient: A pilot randomised controlled study
occupational therapy intervention process
Japan |
subacute stroke patients
Rehabilitation medicine |
Others
NO
In the present study we will investigate the effects of occupational therapy for subacute stroke patient, in comparison with bottom-up and top-down approach.
Efficacy
Confirmatory
Phase II
SF-36(MOS 36-Item Short-Form Health Survey)
Functional independent measure (FIM)
Client satisfaction questionnaire(CSQ-8)
Brunnstrom recovery stage
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
Active
YES
NO
Institution is not considered as adjustment factor.
YES
Central registration
2
Treatment
Behavior,custom | Maneuver |
In the bottom-up (BOT) group, occupational therapists focus evaluations on the patients generic abilities (i.e., boby functions and structures according to the ICF) and personal activities of daily living (P-ADL). During the hospital stay, majority interventions (had to be more than 2/3) was 'Basic function exercise' and 'Simulated occupation practice', and as appropriate, intervention in BOT group was allowed the 'Real-occupationnal practice (P-ADL)' and 'Real-occupational practice (except for P-ADL) within the range of 1/3.
In the top-down (TOP) group, patient and occupational therapists begins to share and identifiy meaningful occupations for the patient by using Aid for Decision-making in Occupation Choice (ADOC). Then, occupational therapist observes the meaningful occupation and analyzed occupational performance. Interventions focuses on enabling the occupation. During the hospital stay, majority interventions (had to be more than 2/3) was 'Real-occupationnal practice (P-ADL)' and 'Real-occupational practice (except for P-ADL)', and as appropriate, intervention in TOP group was allowed the 'Basic function exercise' and 'Simulated occupation practice' within the range of 1/3.
40 | years-old | <= |
Not applicable |
Male and Female
This study of participation include patients with hemiparesis in the subacute stage of stroke who were hospitalized at Kaifukuki rehabilitation ward. Stroke was caused by a cerebral infarct or intracerebral hemorrhageonset; onset ≥30 days; no major cognitive deficits (24 of 30 on the Mini-Mental State Examination), aphasia or depression as an obstacle to daily living.
We excluded patient who had cardiac or progressive disease and could not carry on occupational therapy as judged by a primary doctor.
40
1st name | |
Middle name | |
Last name | Kounosuke Tomori |
Kanagawa University of Human Services
Dividion of Occupational therapy
1-10-1 Heiseicho Yokosuka city
046-828-2724
adoc.project@gmail.com
1st name | |
Middle name | |
Last name | Kounosuke Tomori |
Kanagawa University of Human Services
Dividion of Occupational therapy
1-10-1 Heiseicho Yokosuka city
046-828-2724
adoc.project@gmail.com
Kounosuke Tomori
Grant-in-Aid for Scientific Research (C)
Japanese Governmental office
Japan
NO
2014 | Year | 01 | Month | 25 | Day |
Unpublished
Completed
2012 | Year | 06 | Month | 30 | Day |
2012 | Year | 08 | Month | 01 | Day |
2014 | Year | 01 | Month | 25 | Day |
2016 | Year | 05 | Month | 16 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015147