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- Peny-Dahlstrand, Marie, 1953, et al.
(författare)
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Performance of activities in daily living in children born with spina bifida
- 2008
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Ingår i: Folke Bernadotte Stiftelsen konferens om delaktighet "En hel del" 18-19 september 2008.
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Konferensbidrag (refereegranskat)abstract
- PERFORMANCE OF ACTIVITIES IN DAILY LIVING IN CHILDREN BORN WITH SPINA BIFIDA Background Dependency in daily living in children with spina bifida has most commonly been described as a problem due to motor dysfunctions and little is known about the impact on the performance of daily living activities due to executive dysfunction. The aim of this study was to evaluate the quality of the performance of daily activities in children with spina bifida. This study is the first in larger research plan aimed to study the correlation between skills of activity performance and perceived participation in school and everyday life among children born with spina bifida. Materials and Methods A cross-sectional study of children from the western region of Sweden with spina bifida (n=50) born between1993-1999, was carried out at the Regional Rehabilitation Centre for children and adolescents in Gothenburg to evaluate performance of activities in daily living using the Assessment of Motor and Process Skills (AMPS). The study group consisted of both children with and without hydrocephalus. The AMPS is an observational method designed to allow a simultaneous evaluation of the motor and process skills necessary for a competent performance. The results from the study group were analysed and compared to age-matched normative values and to match-pairs of typically developed Scandinavian children, in the latter case considering minimal clinical important differences (> 0,5 logits). Results The results showed that 60% of the children with spina bifida had lower ADL-motor skills and 48% had lower ADL-process skills than the age norms (± 2SD). Results from the match-pair comparisons shows that the study group had skill values that were lower and of clinical meaningful importance on motor skills in 80% of the cases and on process skills in 66% of the cases. There were significant differences in both motor skills and process skills in the study group between the children with and those without hydrocephalus with the former group demonstrating lower measures. Conclusions Children with spina bifida have, to a large extent, decreased ability to perform activities of daily living relating to impairment of both motor and process abilities. These findings suggests that to reach autonomy in daily life, children born with spina bifida need support from parents and professionals to find, to learn and to use strategies not only to know “how to do things” but also “how to get things done”
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- Cederfeldt, Marie, 1957, et al.
(författare)
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A longitudinal study of cognitive impairments in relation to activities in daily life
- 2009
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Ingår i: AT-FORUM, Äldres vardag, 6-8 maj-2009, Älvsjömässan i Stockholm.
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Konferensbidrag (refereegranskat)abstract
- Objective: To examine whether there were any differences in recovery in performance of personal activities of daily living (P-ADL) in relation to cognitive impairments pre- and poststroke from discharge to 6 and 12 months in elderly persons. Methods: Forty-five elderly persons after stroke were assessed at discharge from the hospital at 6 and at 12 months. A questionnaire was used to evaluate the person´s prestroke cognitive status. P-ADL was assessed with the Barthel Index. The Mini Mental State Examination and neuropsychological tests were used to measure cognitive functions. Results: Persons with cognitive impairments before and after stroke did not improve in P-ADL from the acute phase until 6 and 12 months, while persons with intact cognition pre- and poststroke did. Conclusion: Since cognitive problems pre- and poststroke hinder recovery in P-ADL, it is important to be aware of the connection between cognitive impairment and activity limitations in planning the optimal rehabilitation. Key words: ADL, cognitive dysfunction, elderly, longitudinal, prestroke, stroke
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- Cederfeldt, Marie, 1957, et al.
(författare)
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En prospektiv studie om kognitiv nedsättning i relation till aktiviteter i det dagliga livet - Göteborgs Kognitiva Stroke Studie för Äldre
- 2008
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Ingår i: Läkarstämman i Göteborg 2008.
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Konferensbidrag (refereegranskat)abstract
- Det saknas studier om hur kognitiva nedsättningar pre-och poststroke påverkar vardagsaktiviteterna för äldre personer efter ett år. Syftet var att undersöka om det var någon skillnad i P-ADL från akutskedet till 12 månader hos äldre personer efter stroke med eller utan kognitiva nedsättningar pre- och poststroke. Äldre personer drabbade av stroke (n=45) inkluderades. Bedömningar utfördes vid utskrivning, 6 och 12 månader. Medianålderna var 77 år. Åstrands frågeformulär användes för att intervjua anhöriga om patientens kognitiva status prestroke. DSM-III användes också för diagnosen prestroke demens. Bartel Index användes för att bedöma P-ADL. Mini Mental State Examination (MMSE) och ett neuropsykologiskt test batteri användes för att bedöma kognitiv funktion. Resultat: Ej publicerat än
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