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Sample records for activities of daily living

  1. Cognitive profile and activities of daily living

    Borgwardt, Line Gutte; Thuesen, A M; Olsen, K J;

    2015-01-01

    BACKGROUND: Alpha-mannosidosis (OMIM 248500) (AM) is a rare lysosomal storage disease caused by a deficiency of the alpha-mannosidase enzyme. The typical signs consist of hearing impairment, intellectual disabilities, coarse facial features and motor function disturbances. We report on the...... cognitive function and activities of daily living in patients with AM. METHODS: Thirty five AM patients, age 6-35 years, were included in the study. As a cognitive function test, we used the Leiter international performance scale-revised (Leiter-R), which consists of two batteries: the visual function and...... assess that this group of patients has, despite their intellectual disabilities, a potential for continuous cognitive development, especially during childhood and early teenage years. This should be included and supported in the individual educational planning....

  2. Performance of activities of daily living among hospitalized cancer patients

    Lindahl-Jacobsen, Line; Hansen, Dorte Gilså; Wæhrens, Eva Ejlersen;

    2015-01-01

    BACKGROUND: Many cancer patients report unmet rehabilitation needs. Rehabilitation may include activities of daily living (ADL) tasks, but little is known about how cancer patients perform these tasks and how they prioritize their daily activities. Hence, this study aims to identify and character...

  3. Activity of daily living performance amongst Danish asylum seekers

    Morville, Anne-Le; Erlandsson, Lena-Karin; Eklund, Mona; Danneskiold-Samsøe, Bente; Christensen, Robin; Amris, Kirstine

    2014-01-01

    OBJECTIVE: The aim of this study was to evaluate the extent of Activities of Daily Living (ADL) ability impairment in newly arrived Danish asylum seekers. It was hypothesized that exposure to trauma and torture would negatively influence ADL performance and that measures of ADL ability would be...... and Process Skills (AMPS). Interviews were based on questionnaires about torture exposure, WHO-5 Wellbeing Index, Major Depression Inventory and Pain Detect Questionnaire. All participants were interviewed and tested using a linguistic interpreter. RESULTS: Thirty three (77%) participants reported...

  4. Activities of daily living, instrumental activities for daily living and predictors of functional capacity of older men in Jamaica

    Paul Andrew Bourne

    2009-09-01

    Full Text Available Background: An extensive search of the literature found no studies that have examined functional capacity [Activities of Daily Living (ADL and Instrumental Activities for Daily Living (I ADL] of Jamaican older men as well as factors that determine their functional capacity. Aims: The current study examines 1 ADL, 2 (I ADL, 3 self-reported health status, 4 functional capacity, and 5 factors that determine functional capacity of older men. Methods and Method: Stratified multistage probability sampling technique was used to draw a sample of 2,000 55+ year men. A132-item questionnaire was used to collect the data. Descriptive statistics provide background information on the sample, cross tabulations were used to examine non-metric variables and logistic regression provides a model of predictors of functional capacity. Result: Fifty-five percent of sample indicated good current health status. Four percent was mostly satisfied with life; 21.7% had moderate dependence; 77.1% had high dependence (i.e. independence; 1.2% had low dependence; 21.9% were ages 75 years and older; 35.6% were ages 65 to 74 years and 42.6% reported ages 55 to 64 years. Functional capacity can be determined by church attendance (β=0.245; 95% CI: 0.264, 1.291; social support (β=0.129; 95% CI: 0.129, 0.258, area of residence (β=-0.060; 95% CI: -0.427, -0.061 and lastly by age of respondents. Conclusion: Ageing in explains deterioration in their (I ADL, suggesting the challenges of ageing men’s independence. More rural men were rarely satisfied with life; but more of them had a greater functional capacity than urban men. Depression was found to negatively relate to functional capacity, and church attendees had a greater functional status than non-attendees

  5. [Functional disability in activities of daily living and instrumental or domestic activities of daily living in the elderly living at home in Bobo-Dioulasso (Burkina Faso)].

    Berthé, Abdramane; Berthé-Sanou, Lalla; Konaté, Blahima; Hien, Hervé; Tou, Fatoumata; Somda, Serge; Bayala, Éric; Drabo, Maxime; Badini-Kinda, Fatoumata; Macq, Jean

    2015-12-01

    In sub-Saharan Africa, various studies have been conducted on severe disability in activities of daily living, instrumental or domestic activities. These studies have reported different rates without describing the social context for understanding their results. This study was conducted in Burkina Faso to fill the gaps in scientific information on disability in these areas. We conducted a cross-sectional descriptive study in Bobo-Dioulasso among the older population, aged 60 and above. Their functional status was evaluated using the Functional Autonomy Measurement System (SMAF). Data analysis was done with the help of Stata. A systematic random sample of 351 aging adults was interviewed. Moderate to severe functional disability or the need for supervision or assistance was present in 7% in activities of daily living and 86% in instrumental or domestic activities of daily living. This need for assistance varied according to the different activities or items in each domain. The proportions of disability found in this study are higher than those of previous studies that measured the often severe disabilities. All persons with disability claimed to have stable human resources which help them to manage their disabilities. The social context instrumental or domestic activities of daily living are divided by generation and/or by sex. That explains some results. With this division, it's inacceptable in some family that elders and/or old men do instrumental or domestic activities of daily living as prepare meals, do laundry, carry water to wash. The variation of this division from one family to another complicates the assessment of functional disability. To best manage elders disabilities, strategies must develop to: 1) retard the resignation of the family in care of its elderly in functional disability, 2) anticipate the preparation of formal social networks, public structures to support the elderly. PMID:26707555

  6. Dynamic hyperinflation during activities of daily living in COPD patients.

    Silva, Cláudia S; Nogueira, Fabiana R; Porto, Elias F; Gazzotti, Mariana R; Nascimento, Oliver A; Camelier, Aquiles; Jardim, José R

    2015-08-01

    The objective of this study was to investigate whether some activities of daily living (ADLs) usually related to dyspnea sensation in patients with chronic obstructive pulmonary disease (COPD) are associated with dynamic lung hyperinflation (DH) and whether the use of simple energy conservation techniques (ECTs) might reduce this possible hyperinflation. Eighteen patients (mean age: 65.8 ± 9.8 years) with moderate-to-severe COPD performed six ADLs (walking on a treadmill, storing pots, walking 56 meters carrying a 5-kilogram weight, climbing stairs, simulating taking a shower, and putting on shoes) and had their inspiratory capacity (IC) measured before and after each task. The patients were moderately obstructed with forced expiratory volume in 1 second (FEV1): 1.4 ± 0.4 L (50% ± 12.4); FEV1/forced vital capacity: 0.4 ± 8.1; residual volume/total lung capacity: 52.7 ± 10.2, and a reduction in IC was seen after all six activities (p < 0.05): (1) going upstairs, 170 mL; (2) walking 56 meters carrying 5 kilogram weight, 150 mL; (3) walking on a treadmill without and with ECT, respectively, 230 mL and 235 mL; (4) storing pots without and with ECT, respectively, 170 mL and 128 mL; (5) taking a shower without and with ECT, respectively, 172 mL and 118 mL; and (6) putting on shoes without and with ECT, respectively, 210 mL and 78 mL). Patients with moderate to severe COPD develop DH after performing common ADLs involving the upper and lower limbs. Simple ECTs may avoid DH in some of these ADLs. PMID:25896955

  7. Differences in ability to perform activities of daily living among women with fibromyalgia

    von Bülow, Cecilie; Amris, Kirstine; La Cour, Karen;

    2015-01-01

    capacities of the individual and are relevant targets for interventions aiming at improving activities of daily living ability. Since self-report instruments do not capture differences in activities of daily living process ability, clinicians should include observationsbased assessment of activities of daily......Objective: To investigate whether the Assessment of Motor and Process Skills (AMPS), the physical function subscales of the Fibromyalgia Impact Questionnaire (FIQ PF) and the 36-item Short Form (SF-36 PF) can identify subgroups of women with fibromyalgia with clinically relevant differences in...... ability to perform activities of daily living. Design: Cross-sectional study. Subjects: A total of 257 women with fibromyalgia. Methods: Participants were evaluated with the AMPS (measuring activities of daily living motor and activities of daily living process ability), FIQ and SF-36. AMPS independence...

  8. Marker placement to describe the wrist movements during activities of daily living in cyclical tasks

    Murgia, A; Kyberd, PJ; Chappell, PH; Light, CM

    2004-01-01

    Objective. To describe the wrist kinematics during movement through free range of motion and activities of daily living using a cyclical task. Design. The wrist angles were initially calculated in a calibration trial and then in two selected activities of daily living (jar opening and carton pouring

  9. Relationship between cognitive status and activities of daily living among the elderly of nursing homes

    Heiman Nazari

    2015-03-01

    Full Text Available In recent years, increased life expectancy has caused the emergence of aging phenomenon in Iran. This study was conducted on 79 elderly in nursing homes. Data were collected by the demographic questionnaire, Abbreviated Mental Test Score (AMTs and Barthel Activities of Daily Living (ADL Index. The mean score of AMT was 4.06 (SD: 3.05 and the mean of Barthel Index was 66.15 (SD: 33.27. Results indicated a significantly positive correlation between cognitive status and activities of daily living (P=0.001, r=0.354. Accordingly, cognitive status can be a good predictor of functional independence in activities of daily living for the elderly.

  10. Cognitive Activities and Instrumental Activity of Daily Living in Older Adults with Mild Cognitive Impairment

    Takehiko Doi

    2013-10-01

    Full Text Available Aims: This study aimed to identify differences in the implementation of cognitive activities and instrumental activities of daily living (IADLs between healthy individuals and subjects with mild cognitive impairment (MCI. Methods: The study included 2,498 cognitively healthy subjects (mean age, 71.2 ± 5.1 years and 809 MCI subjects (mean age, 71.8 ± 5.4 years. The subjects were interviewed regarding their participation in cognitive activities and the implementation of IADLs. Results: We found a significant association between participation in any cognitive activities (p Conclusions: Our study revealed that greater participation in cognitive activity was associated with lower odds of MCI. Participation in cognitive activities may reflect differences between healthy and MCI subjects. To clarify the causal relationship between cognitive activities and MCI, further studies are required.

  11. Subjective experiences of occupational performance of activities of daily living in patients with mild stroke

    Kristensen, Hanne Kaae; Post, A; Poulsen, T.E.;

    2014-01-01

    Aim: To investigate the subjective experiences of occupational performance of activities of daily living (ADL) in patients with mild stroke. Methodology: Data was generated from January – December 2011 and consisted of 41 individual ADL-I interviews with patients in hospital and another 41...

  12. Early Prediction of Outcome of Activities of Daily Living After Stroke A Systematic Review

    Veerbeek, Janne M.; Kwakkel, Gert; van Wegen, Erwin E. H.; Ket, Johannes C. F.; Heymans, Martijn W.

    2011-01-01

    Background and Purpose-Knowledge about robust and unbiased factors that predict outcome of activities of daily living (ADL) is paramount in stroke management. This review investigates the methodological quality of prognostic studies in the early poststroke phase for final ADL to identify variables t

  13. Development, validity, and reliability of the General Activities of Daily Living Scale: a multidimensional measure of activities of daily living for older people

    Jonas J. de Paula

    2014-05-01

    Full Text Available Objective: To propose and evaluate the psychometric properties of a multidimensional measure of activities of daily living (ADLs based on the Katz and Lawton indices for Alzheimer's disease (AD and mild cognitive impairment (MCI. Methods: In this study, 85 patients with MCI and 93 with AD, stratified by age (≤ 74 years, > 74 years, completed the Mini Mental State Examination (MMSE and the Geriatric Depression Scale, and their caregivers completed scales for ADLs. Construct validity (factor analysis, reliability (internal consistency, and criterion-related validity (receiver operating characteristic analysis and logistic regression were assessed. Results: Three factors of ADL (self-care, domestic activities, and complex activities were identified and used for item reorganization and for the creation of a new inventory, called the General Activities of Daily Living Scale (GADL. The components showed good internal consistency (> 0.800 and moderate (younger participants or high (older participants accuracy for the distinction between MCI and AD. An additive effect was found between the GADL complex ADLs and global ADLs with the MMSE for the correct classification of younger patients. Conclusion: The GADL showed evidence of validity and reliability for the Brazilian elderly population. It may also play an important role in the differential diagnosis of MCI and AD.

  14. Effect of structured physical exercise program on older adult's daily living activities and cognitive functions

    Manal Abo El Magd; Sahar Zaki

    2015-01-01

    Background: Older adults experience marked physiological and cognitive changes. Literature states that, daily exercising positively effects older adults' both physical and cognitive functioning. Aim: To evaluate the effect of the developed Structured Physical Exercise Program (SPEP) on both older adult's activities of daily living and cognitive functions. Subjects and methods: A quasi experimental design (pre/ post- tests) was utilized for the current study where the older adults' sample serv...

  15. Influence of peripheral arterial disease on daily living activities in elderly women.

    Cucato, Gabriel Grizzo; Ritti-Dias, Raphael Mendes; Franco, Fábio Gazelato de Mello; de Mattos, Luciana Diniz Nagem Janot; Cendoroglo, Maysa Seabra; Wolosker, Nelson; Nasri, Fábio; Costa, Maria Luiza Monteiro; de Carvalho, José Antônio Maluf

    2016-06-01

    Aging has been associated with decreases in physical and cognitive functions. Peripheral artery disease (PAD) has been associated with further impairments in these functions, especially in women. However, no detailed information is available indicating whether PAD leads to further impairment in these functions in elderly women. Thus, the aims of this study were 1) to compare the capacity to perform daily living activities between elderly women with and without PAD and 2) to identify the factors related with the performance in daily activities. Twenty-seven elderly women with PAD and 22 elderly non-PAD women were surveyed in a geriatric hospital. Women aged ≥65 years and with no signal of dementia were included. PAD was identified by the ankle-brachial index ≤0.90, whereas elderly non-PAD women presented ankle-brachial index >1.0. Patients were interviewed to obtain information regarding basic (Katz questionnaire) and instrumental daily living activities (Lawton-Brody scale) and performed the mini-mental state examination, handgrip strength test, and timed up and go tests. PAD and non-PAD women had similar age, clinical characteristics, handgrip strength test, and cognitive function (P > 0.05). The capacity to perform basic and instrumental daily living activities was similar between PAD and non-PAD women (P > 0.05). In PAD and non-PAD, the instrumental daily living activities were significantly correlated with cognitive function (r = 0.44, P < 0.05 and r = 0.74 and P < 0.05, respectively). PAD elderly women present similar capacity to perform basic and instrumental daily activities than non-PAD women. In addition, in both groups, the capacity to perform instrumental daily activities was related with cognitive function. PMID:27210449

  16. Contribution of abdominal muscle strength to various activities of daily living of stroke patients with mild paralysis

    Fujita, Takaaki; Sato, Atsushi; Togashi, Yui; Kasahara, Ryuichi; Ohashi, Takuro; Yamamoto, Yuichi

    2015-01-01

    [Purpose] The trunk muscles frequently become weak after stroke, thus impacting overall activities of daily living. However, activities of daily living items closely related with trunk strength remain unclear. This study aimed to clarify the influence of trunk muscle weakness on activities of daily living items. [Subjects] The subjects were 24 stroke patients who fulfilled the following inclusion criteria: first stroke and the absence of severe paralysis, marked cognitive function deteriorati...

  17. Strategies of Daily Living Rehabilitative Activities for Post Stroke Patients at Minia University Hospital

    Zaky, Hend Elham Mohamed; EL-Lateef Mohammad, Zienab Abd; EL-Labban, Abdou Saad Taha; Ahmed, Gahen

    2015-01-01

    Background: Stroke is a leading cause of disability. Rehabilitation aims to hasten and maximize recovery from stroke by treating the disabilities caused by the stroke. Therefore, the aim of this study determine the post stroke patients' knowledge and practices in relation to disease and activities of daily living before the implementation of…

  18. Disability, Activities of Daily Living and Self Efficacy in Dialysis Patients

    Mukadder Mollaoglu

    2011-04-01

    Full Text Available Purpose: The purpose of this study is to assess patients’ disability, activities of daily living and self-efficacy patients undergoing hemodialysis (HD and continuos ambulatory peritoneal dialysis (CAPD, to examine the relationship between them. Material and Methods: This study was carried with 152 patients as sample group. In this study, three instruments were used: Personal Information Form, Brief Disability Questionnaire, Katz\\'s Activity\\'s of Daily Living Index and Lawton and Brody\\'s Instrumental Activities of Daily Living Index and Self-efficacy Assessment Form. Data collected from the study was analyzed using percent, mean, Tukey test, significance test of two means, One-way variant analysis and Kruskal-Wallis test. Results: The study results demonstrate that while there is a correlation between self-care ability and age, education level, marital status and additional health problems, factors such as age, gender, education level, work status, income level, social insurance status and frequency of hemodialysis application determine self-efficacy. Furthermore, a negative correlation was found between patients’ disability and activities of daily living , self-efficacy. It was determined that as the level of disability increases self-efficiacy level decreases. Conclusions: Dialysis application affects patients’ disability, activities of daily living and self-efficacy levels. In view of this study’s results, it is recommended to organize education programs to increase self-efficacy levels of dialysis patients and prepare comprehensive plans including patients’ families. [TAF Prev Med Bull 2011; 10(2.000: 181-186

  19. Disability in instrumental activities of daily living among older adults: gender differences

    Tiago da Silva Alexandre

    2014-06-01

    Full Text Available OBJECTIVE To analyze gender differences in the incidence and determinants of disability regarding instrumental activities of daily living among older adults. METHODS The data were extracted from the Saúde, Bem-Estar e Envelhecimento (SABE – Health, Wellbeing and Ageing study. In 2000, 1,034 older adults without difficulty in regarding instrumental activities of daily living were selected. The following characteristics were evaluated at the baseline: sociodemographic and behavioral variables, health status, falls, fractures, hospitalizations, depressive symptoms, cognition, strength, mobility, balance and perception of vision and hearing. Instrumental activities of daily living such as shopping and managing own money and medication, using transportation and using the telephone were reassessed in 2006, with incident cases of disability considered as the outcome. RESULTS The incidence density of disability in instrumental activities of daily living was 44.7/1,000 person/years for women and 25.2/1,000 person/years for men. The incidence rate ratio between women and men was 1.77 (95%CI 1.75;1.80. After controlling for socioeconomic status and clinical conditions, the incidence rate ratio was 1.81 (95%CI 1.77;1.84, demonstrating that women with chronic disease and greater social vulnerability have a greater incidence density of disability in instrumental activities of daily living. The following were determinants of the incidence of disability: age ≥ 80 and worse perception of hearing in both genders; stroke in men; and being aged 70 to 79 in women. Better cognitive performance was a protective factor in both genders and better balance was a protective factor in women. CONCLUSIONS The higher incidence density of disability in older women remained even after controlling for adverse social and clinical conditions. In addition to age, poorer cognitive performance and conditions that adversely affect communication disable both genders. Acute events

  20. Activities of daily living and lesion position among multiple sclerosis patients by Bayes network

    Zhifang Pan; Hongtao Lu; Qi Cheng

    2013-01-01

    Magnetic resonance imaging is a highly sensitive approach for diagnosis of multiple sclerosis, and T2-weighted images can reveal lesions in the cerebral white matter, gray matter, and spinal cord. However, the lesions have a poor correlation with measurable clinical disability. In this study, we performed a large-scale epidemiological survey of 238 patients with multiple sclerosis in eleven districts by network member hospitals in Shanghai, China within 1 year. The involved patients were scanned for position and size of lesions by MRI. Results showed that lesions in the cerebrum, spinal cord, or supratentorial position had an impact on the activities of daily living in multiple sclerosis patients, as assessed by the Bayes network. On the other hand, brainstem lesions were very unlikely to influence the activities of daily living, and were not associated with the position of lesion, patient's gender, and patient's living place.

  1. Validation of an electrogoniometry system as a measure of knee kinematics during activities of daily living

    Urwin, Samuel; Kader, Deiary; Caplan, Nick; St Clair Gibson, Alan; Stewart, Su

    2013-01-01

    Purpose: The increasing use of electrogoniometry (ELG) in clinical research requires the validation of different instrumentation. The purpose of this investigation was to examine the concurrent validity of an ELG system during activities of daily living. Methods: Ten asymptomatic participants gave informed consent to participate. A Biometrics SG150 electrogoniometer was directly compared to a 12 camera three dimensional motion analysis system during walking, stair ascent, stair descent, s...

  2. Evaluation of a complex intervention to improve activities of daily living of disabled cancer patients

    Lindahl-Jacobsen, Line Elisabeth; Hansen, Dorte Gilså; la Cour, Karen;

    2014-01-01

    Background: Many cancer patients have problems performing activities of daily living (ADL). A randomised controlled trial was designed to examine the effects of an ADL intervention in addition to standard treatment and care in a hospital setting. The objective of this article was to present the s......-up period were mostly due to death among participants. Very few participants declined to complete questionnaires during follow-up. Keywords: Cancer rehabilitation, Occupational therapy, Activities of daily living, Intervention studies, Feasibility studies...... study and to analyse the feasibility of the recruitment process and the intervention. Methods: Adult disabled cancer patients at Næstved Hospital in Denmark were enrolled between 1 March 2010 and 30 June 2011 and randomised into an ADL intervention or to a control group. The intervention was performed......Background: Many cancer patients have problems performing activities of daily living (ADL). A randomised controlled trial was designed to examine the effects of an ADL intervention in addition to standard treatment and care in a hospital setting. The objective of this article was to present the...

  3. [Measurement of activities of daily living in patients with dementia living at home: development of a questionnaire].

    Teunisse, S; Derix, M M

    1991-04-01

    In clinical practice and for scientific research a method is needed for the assessment of changes in functioning in daily life of dementia patients living at home. As existing methods have their limitations, a questionnaire was developed (the Interview for Deterioration in Daily life in Dementia: IDDD), to be answered by caregivers. The questionnaire concerns self-care and complex activities, that are usually performed by men as well as women. Attention is paid to the difference between lack of initiative and impaired performance itself. Caregivers are interviewed in a structured interview. A study among 30 caregivers of dementia patients living at home, showed the relevance and usefulness of the questions. The questionnaire shows high internal consistency, which may be the result of our structured interview technique. PMID:2042235

  4. Predicting functional outcome after stroke: the influence of neglect on basic activities in daily living

    Tanja Nijboer; Ingrid Van de Port

    2013-01-01

    One prominent deficit resulting from stroke is visuo-spatial neglect, which has been associated with slower and more attenuated recovery patterns of sensory-motor impairment as well as limitations in activities of daily living. The aim of the current study was to further specify the relationship between neglect and recovery of different domains of ADL. 184 Patients were assessed with the Functional Independence Measure (FIM) in the first week of inpatient rehabilitation, and again at 6, 12, a...

  5. Correlation Between Instrumental Hand Function and Activities of Daily Living in Rheumatoid Arthritis

    Gupta AK; Yadav SL; Singh U; Wadhwa S; Kumar A; Borah D; Pandey RM

    2009-01-01

    Objective: To find the correlation of instrumental handfunction (grip strength, muscle power and range ofmotion) and Activities of Daily Living (ADL) inrheumatoid arthritis patients.Methods: 50 patients of either sex were included in thestudy. Objective evaluation of hand function was doneusing Hand dynamometer and Electrogoniometer(Tracker system-version 4®). The patients were assessedfor their functional limitations using Indian version ofHAQ-DI. Spearman rank collision was performed to fin...

  6. Theta burst stimulation reduces disability during the activities of daily living in spatial neglect.

    Cazzoli, Dario; Müri, René M; Schumacher, Rahel; von Arx, Sebastian; Chaves, Silvia; Gutbrod, Klemens; Bohlhalter, Stephan; Bauer, Daniel; Vanbellingen, Tim; Bertschi, Manuel; Kipfer, Stefan; Rosenthal, Clive R; Kennard, Christopher; Bassetti, Claudio L; Nyffeler, Thomas

    2012-11-01

    Left-sided spatial neglect is a common neurological syndrome following right-hemispheric stroke. The presence of spatial neglect is a powerful predictor of poor rehabilitation outcome. In one influential account of spatial neglect, interhemispheric inhibition is impaired and leads to a pathological hyperactivity in the contralesional hemisphere, resulting in a biased attentional allocation towards the right hemifield. Inhibitory transcranial magnetic stimulation can reduce the hyperactivity of the contralesional, intact hemisphere and thereby improve spatial neglect symptoms. However, it is not known whether this improvement is also relevant to the activities of daily living during spontaneous behaviour. The primary aim of the present study was to investigate whether the repeated application of continuous theta burst stimulation trains could ameliorate spatial neglect on a quantitative measure of the activities of daily living during spontaneous behaviour. We applied the Catherine Bergego Scale, a standardized observation questionnaire that can validly and reliably detect the presence and severity of spatial neglect during the activities of daily living. Eight trains of continuous theta burst stimulation were applied over two consecutive days on the contralesional, left posterior parietal cortex in patients suffering from subacute left spatial neglect, in a randomized, double-blind, sham-controlled design, which also included a control group of neglect patients without stimulation. The results showed a 37% improvement in the spontaneous everyday behaviour of the neglect patients after the repeated application of continuous theta burst stimulation. Remarkably, the improvement persisted for at least 3 weeks after stimulation. The amelioration of spatial neglect symptoms in the activities of daily living was also generally accompanied by significantly better performance in the neuropsychological tests. No significant amelioration in symptoms was observed after sham

  7. Automatic Task Assistance for Persons with Cognitive Disabilities in Basic Activities of Daily Living

    Peters, Christian

    2014-01-01

    Persons with cognitive disabilities such as Autistic Spectrum Disorders (ASD) and intellectual disabilities tend to have problems in sequencing and coordinating steps in the execution of basic Activities of Daily Living (ADLs) due to limited capabilities in cognitive functioning. In order to successfully perform basic ADLs, these persons are highly reliant on the assistance of a human caregiver. This leads to a decrease or even a loss of independence for care recipients and imposes a high bur...

  8. Relationship Between Grip and Pinch Strength and Activities of Daily Living in Stroke Patients

    Bae, Jung Hyun; Kang, Si Hyun; Seo, Kyung Mook; Kim, Don-Kyu; Shin, Hyun Iee; Shin, Hye Eun

    2015-01-01

    Objective To investigate the relationship between grip and pinch strength and independence in activities of daily living (ADL) in stroke patients. Methods Medical records of 577 stroke patients from January 2010 to February 2013 were retrospectively reviewed. Patients' grip and pinch strength of both hemiplegic and non-hemiplegic hands and the Korean version of Modified Barthel Index (K-MBI) score were collected. These patients were divided into three groups: group A (onset duration: ≤3 month...

  9. Robust Sounds of Activities of Daily Living Classification in Two-Channel Audio-Based Telemonitoring

    David Maunder

    2013-01-01

    Full Text Available Despite recent advances in the area of home telemonitoring, the challenge of automatically detecting the sound signatures of activities of daily living of an elderly patient using nonintrusive and reliable methods remains. This paper investigates the classification of eight typical sounds of daily life from arbitrarily positioned two-microphone sensors under realistic noisy conditions. In particular, the role of several source separation and sound activity detection methods is considered. Evaluations on a new four-microphone database collected under four realistic noise conditions reveal that effective sound activity detection can produce significant gains in classification accuracy and that further gains can be made using source separation methods based on independent component analysis. Encouragingly, the results show that recognition accuracies in the range 70%–100% can be consistently obtained using different microphone-pair positions, under all but the most severe noise conditions.

  10. The psychometric properties of ADCS - activities of daily living inventory and comparison of different ADL scores

    Rózsa, S.; Brandtmüller, A.; Nagy, B.; Brennan, A.(School of Physics, University of Melbourne, Victoria, Australia); Akehurst, R

    2009-01-01

    Several multi-item activities of daily living (ADL) scales have been developed for assessment of functional status of patients with Alzheimer’s Disease (AD) in the last few decades. A disadvantage of the large number of scales is that scores of different ADL scales cannot be compared directly with each other. ADL scales which are used by McNamee’s (Townsend's disability scale) and Hill’s (Medicare Beneficiary definitions and Katz index of ADL) provide suitable tools for modelling the cost-eff...

  11. Effects of individually tailored physical and daily activities in nursing home residents on activities of daily living, physical performance and physical activity level

    Andresen, Mette; Frändin, Kerstin; Bergland, Astrid;

    2012-01-01

    Background: Nursing home residents are extremely inactive and deterioration in health and an increasing dependence in activities of daily living (ADL) are common. Physical activity and exercise play a major role in the preservation of physical function and quality of life late in life. However......, evidence for the benefit of rehabilitation in nursing home residents is conflicting and inconclusive. Objective: To evaluate the effect of an individually tailored intervention program of 3 months, for nursing home residents, on ADL, balance, physical activity level, mobility and muscle strength. Methods......: In this single-blind randomized clinical trial with parallel groups, nursing home residents 1 64 years of age from three Nordic countries were included. The intervention group (IG) was assigned to individually tailored physical and daily activities, while the control group (CG) received ordinary care...

  12. Probabilistic learning from incomplete data for recognition of activities of daily living in smart homes.

    Zhang, Shuai; McClean, Sally I; Scotney, Bryan W

    2012-05-01

    Learning behavioral patterns for activities of daily living in a smart home environment can be challenged by the limited number of training data that may be available. This may be due to the infrequent repetition of routine activities (e.g., once daily), the expense of using observers to label activities, and the intrusion that would be caused by the presence of observers over long time periods. It is important, therefore, to make as much use of any labeled data that are collected, however, incomplete these data may be. In this paper, we propose an algorithm for learning behavioral patterns for multi-inhabitants living in a single smart home environment, by making full use of all limited labeled activities, including incomplete data resulting from unreliable low-level sensors in this environment. Through maximum-likelihood estimation, using Expectation-Maximization, we build a model that captures both environmental uncertainties from sensor readings and user uncertainties, including variations in how individuals carry out activities. Our algorithm outperforms models that cannot handle data incompleteness, with increasing performance gains as incompleteness increases. The approach also enables the impact of particular sensors to be assessed and can thus inform sensor maintenance and deployment. PMID:22411044

  13. Testing and Analysis of Activities of Daily Living Data with Machine Learning Algorithms

    Ayse Cufoglu

    2016-03-01

    Full Text Available It is estimated that 28% of European Union’s population will be aged 65 or older by 2060. Europe is getting older and this has a high impact on the estimated cost to be spent for older people. This is because, compared to the younger generation, older people are more at risk to have/face cognitive impairment, frailty and social exclusion, which could have negative effects on their lives as well as the economy of the European Union. The ‘active and independent ageing’ concept aims to support older people to live active and independent life in their preferred location and this goal can be fully achieved by understanding the older people (i.e their needs, abilities, preferences, difficulties they are facing during the day. One of the most reliable resources for such information is the Activities of Daily Living (ADL, which gives essential information about people’s lives. Understanding this kind of information is an important step towards providing the right support, facilities and care for the older population. In the literature, there is a lack of study that evaluates the performance of Machine Learning algorithms towards understanding the ADL data. This work aims to test and analyze the performance of the well known Machine Learning algorithms with ADL data.

  14. Wear testing of moderate activities of daily living using in vivo measured knee joint loading.

    Jörn Reinders

    Full Text Available Resumption of daily living activities is a basic expectation for patients provided with total knee replacements. However, there is a lack of knowledge regarding the impact of different activities on the wear performance. In this study the wear performance under application of different daily activities has been analyzed. In vivo load data for walking, walking downstairs/upstairs, sitting down/standing up, and cycling (50 W & 120 W has been standardized for wear testing. Wear testing of each activity was carried out on a knee wear simulator. Additionally, ISO walking was tested for reasons of comparison. Wear was assessed gravimetrically and wear particles were analyzed. In vivo walking produced the highest overall wear rates, which were determined to be three times higher than ISO walking. Moderate wear rates were determined for walking upstairs and downstairs. Low wear rates were determined for standing up/sitting down and cycling at power levels of 50 W and 120 W. The largest wear particles were observed for cycling. Walking based on in vivo data has been shown to be the most wear-relevant activity. Highly demanding activities (stair climbing produced considerably less wear. Taking into account the expected number of loads, low-impact activities like cycling may have a greater impact on articular wear than highly demanding activities.

  15. Versão brasileira da Vestibular Disorders Activities of Daily Living Scale (VADL Brazilian version of the Vestibular Disorders Activities of Daily Living Scale (VADL

    Mayra Cristina Aratani

    2013-04-01

    Full Text Available A Vestibular Disorders Activities of Daily Living Scale (VADL avalia o impacto da tontura e desequilíbrio corporal nas atividades cotidianas de indivíduos vestibulopatas. A escala contempla 28 atividades divididas em três dimensões (funcional, locomoção e instrumental. OBJETIVO: Traduzir, adaptar transculturamente e verificar a confiabilidade da VADL para o português do Brasil. MÉTODO: Pesquisa metodológica de tradução de questionário. Foram recrutados 80 idosos (> 65 anos com tontura crônica de origem vestibular, dos quais 40 participaram do pré-teste e 40 da análise de confiabilidade. A confiabilidade foi testada pelo Coeficiente de Correlação de Concordância (CCC e a consistência interna pelo Alfa de Cronbach (α. RESULTADOS: No pré-teste, houve 15% de incompreensão em duas atividades da versão brasileira da VADL, sendo necessária adaptação desses itens. A VADL-Brasil apresentou valor semelhante de confiabilidade intra e inter-examinadores para o escore total com concordância substancial (CCC = 0,79. A consistência interna apresentou valor excelente para o escore total (α = 0,92, bom para as dimensões funcional (α = 0,89 e locomoção (α = 0,86, e fraco para a instrumental (α = 0,56. CONCLUSÃO: A versão brasileira da VADL mostrou-se adequada, com boa confiabilidade e consistência interna, sendo, assim, uma alternativa para avaliar a capacidade funcional de vestibulopatas.The Vestibular Disorders Activities of Daily Living Scale (VADL assesses the impact of dizziness and body imbalance on the everyday activities of patients with vestibulopathy. The scale encompasses 28 activities divided into three sub-scales (functional, ambulation and instrumental. OBJECTIVE: To translate and cross-culturally adapt the VADL to the Brazilian Portuguese language and verify its reliability. METHOD: Questionnaire translation methodological research. Eighty elderly subjects (age > 65 years with chronic dizziness arising from

  16. Relations of morale and physical function to advanced activities of daily living in health promotion class participants

    Yajima, Masahide; Asakawa, Yasuyoshi; Yamaguchi, Haruyasu

    2016-01-01

    [Purpose] The aim of this study was to clarify the relations of morale and physical function to the presence/absence of advanced activities of daily living. [Subjects] The subjects were 86 elderly community residents participating in health promotion classes. [Methods] A questionnaire survey on age, gender, presence/absence of advanced activities of daily living, and Philadelphia Geriatric Center Morale Scale score was conducted, in addition to assessment of fitness, consisting of measurement...

  17. Assessment of executive dysfunction during activities of daily living in schizophrenia.

    Semkovska, Maria; Bédard, Marc-André; Godbout, Lucie; Limoge, Frédérique; Stip, Emmanuel

    2004-08-01

    Many neuropsychological studies have described deficits of memory and executive functions in patients with schizophrenia, and the severity of these deficits seems to be determinant in predicting the community outcome of these patients [Schizophr. Bull. 26 (2000) 119]. However, neuropsychological evaluation does not provide valuable information about how the cognitive deficits directly affect daily living, that is, which cognitive deficit affects which behavior. The present study aimed at determining whether executive dysfunction in schizophrenia could be directly measured by analyzing three activities of daily living (ADL), in addition to assessing the ecological validity of commonly used neuropsychological tests. Within specific ADL (choosing a menu, shopping the ingredients, cooking a meal), the sequences of behaviors that have been performed by 27 control subjects and 27 patients with schizophrenia were both analyzed by using a preset optimal sequence of behavior. When compared with control subjects, patients with schizophrenia showed more omissions when choosing the menu, more sequencing and repetitions errors during the shopping task, and more planning, sequencing, repetition and omission errors during the cooking task. These behavioral errors correlated significantly with negative, but not with positive symptoms of the patients. Furthermore, they also correlated with the poor performances on executive neuropsychological tests, especially those sensitive to shifting and sequencing abilities, but not with memory tests. These results suggest that executive deficits in schizophrenia may specifically affect ADL and that such deficits can be quantitatively assessed with a behavioral scale of action sequences. PMID:15469200

  18. Recognition of Activities of Daily Living with Egocentric Vision: A Review

    Thi-Hoa-Cuc Nguyen

    2016-01-01

    Full Text Available Video-based recognition of activities of daily living (ADLs is being used in ambient assisted living systems in order to support the independent living of older people. However, current systems based on cameras located in the environment present a number of problems, such as occlusions and a limited field of view. Recently, wearable cameras have begun to be exploited. This paper presents a review of the state of the art of egocentric vision systems for the recognition of ADLs following a hierarchical structure: motion, action and activity levels, where each level provides higher semantic information and involves a longer time frame. The current egocentric vision literature suggests that ADLs recognition is mainly driven by the objects present in the scene, especially those associated with specific tasks. However, although object-based approaches have proven popular, object recognition remains a challenge due to the intra-class variations found in unconstrained scenarios. As a consequence, the performance of current systems is far from satisfactory.

  19. Personalizing energy expenditure estimation using physiological signals normalization during activities of daily living

    In this paper we propose a generic approach to reduce inter-individual variability of different physiological signals (HR, GSR and respiration) by automatically estimating normalization parameters (e.g. baseline and range). The proposed normalization procedure does not require a dedicated personal calibration during system setup. On the other hand, normalization parameters are estimated at system runtime from sedentary and low intensity activities of daily living (ADLs), such as lying and walking. When combined with activity-specific energy expenditure (EE) models, our normalization procedure improved EE estimation by 15 to 33% in a study group of 18 participants, compared to state of the art activity-specific EE models combining accelerometer and non-normalized physiological signals. (paper)

  20. Effect of structured physical exercise program on older adult's daily living activities and cognitive functions

    Manal Abo El Magd

    2015-01-01

    Full Text Available Background: Older adults experience marked physiological and cognitive changes. Literature states that, daily exercising positively effects older adults' both physical and cognitive functioning. Aim: To evaluate the effect of the developed Structured Physical Exercise Program (SPEP on both older adult's activities of daily living and cognitive functions. Subjects and methods: A quasi experimental design (pre/ post- tests was utilized for the current study where the older adults' sample served as their own control. The study was conducted at a charity geriatric home (Female section in Giza Governorate on a convenient sample of 45 older adult females. Data were collected through using three tools; Personal and clinical data assessment sheet, and the two pre-post scales (i.e. Activity of Daily Living scale "ADL" and Nurses’ Observation Scale for Cognitive Abilities "NOSCA"; both scales were already developed and tested before. Results: Data revealed that, after implementation of SPEP, statistically significant differences, indicating improvement, were found between the older adult's ADL and both their age, presence of support network, the number of offspring and medical history. Also Statistically significant difference, indicating improvement, was found between ADL and NOSCA scales among the study sample before and after implementing the SPEP. Conclusion: Both ADL level and cognitive functions of study sample were significantly improved after implementing the SPEP. Regular physical exercising is likely to have positive effect on both older adults' physical and cognitive functioning resulting in higher level of independency. Recommendation: This study recommends wide range application of the developed SPEP on older adults in Egypt.

  1. Loneliness in elderly individuals, level of dependence in activities of daily living (ADL) and influential factors.

    Hacihasanoğlu, Rabia; Yildirim, Arzu; Karakurt, Papatya

    2012-01-01

    This study has been carried out to investigate the level of loneliness, determine the level of dependence in the ADL and influential factors in the elderly people. This descriptive, cross-sectional study was conducted in 5 Family Healthcare Centers (FHC) located in central Erzincan, Turkey between March and June 2010. The data of the research was collected using a questionnaire that determined the descriptive and UCLA Loneliness Scale (UCLA-LS). Mean score of the UCLA-LS was determined as 51.59 ± 4.44. It was determined that 2% of the elderly ADL were completely dependent, 14.5% were semi-dependent. Factors such as being old, a widow/divorced, having a lower level of education and/or income, living alone, having a chronic disease, poor self-perceived health, lack of visits by relatives or acquaintances, dissatisfaction with the place of living, and being fully dependent while performing daily activities were determined as factors which increased the level of loneliness. Furthermore, factors such as being old, a female, a widow/divorced, living together with a daughter/son, having a chronic disease and poor self-perceived health were found to be influential in dependency. Elderly people who are alone and dependent in fulfilling their ADL should be monitored more closely. PMID:21514680

  2. Activities of Daily Living Indexing by Hierarchical HMM for Dementia Diagnostics

    Karaman, Svebor; Dartigues, Jean-François; Gaëstel, Yann; Mégret, Rémi; Pinquier, Julien

    2011-01-01

    This paper presents a method for indexing human ac- tivities in videos captured from a wearable camera being worn by patients, for studies of progression of the dementia diseases. Our method aims to produce indexes to facilitate the navigation throughout the individual video recordings, which could help doctors search for early signs of the dis- ease in the activities of daily living. The recorded videos have strong motion and sharp lighting changes, inducing noise for the analysis. The proposed approach is based on a two steps analysis. First, we propose a new approach to segment this type of video, based on apparent motion. Each segment is characterized by two original motion de- scriptors, as well as color, and audio descriptors. Second, a Hidden-Markov Model formulation is used to merge the multimodal audio and video features, and classify the test segments. Experiments show the good properties of the ap- proach on real data.

  3. [Dependency for activities of daily living in the elderly in Catalonia, Spain].

    Brugulat-Guiteras, Pilar; Puig-Oriol, Xavier; Mompart-Penina, Anna; Séculi-Sánchez, Elisa; Salvà-Casanovas, Antoni

    2011-12-01

    The aim of this article is to estimate the disabilty prevalence for the activities of daily living (ADL), the socioeconomic and demographic characteristics and the use of health services, distinguishing between the population receiving assistance for ADL and not. Cross-sectional study (Encuesta de Salud de Cataluña [ESCA] 2006). We have analyzed 17 ADL. Differences among proportions are estimated with a 95% confidence interval to characterize the analysis groups. Logistic regression describes the explanatory variables about getting help or not. Disabilty prevalence for the ADL: 26.6% men and 48.2% in women. Of these, 79.6% is getting help. There is a socioeconomic gradient in prevalence, not being observed in relation to assistance or not. We must deepen our understanding of the phenomenon and its evolution to which the ESCA is an essential tool. PMID:22310361

  4. Intellectual function, activities of daily living and computerized tomography of the brain in geriatric demented patients

    Thirty eight patients of geriatric dementia (mean age 74.9 years) were examined by computerized tomography (CT) and their intellectual functions and activities of daily living (ADL) were evaluated. CT was evaluated by both visual assessment method and direct measuring method. Intellectual function was evaluated by Jikei University dementia rating scale. ADL was evaluated by both Hasegawa's rating scale and Sengoku's rating scale. Results were as follows: significant influence by age was observed in intellectual functions and ADL of subjects above 75 years old. There were good correlations between the higher intellectual function, the better grooming and hygiene, and less needs of nursing care. The severe brain atrophy evaluated by the visual assessment method was correlated with the depressed level of intellectual function. When brain atrophy is mild despite high degree of dementia, reexamination should be made to explore somatic diseases inducing depression of mental activity. It also should be noted that sex and age difference is important in studying geriatric patients. (author)

  5. Validity of the Katz Index to assess activities of daily living by informants in neuropathological studies

    Renata Eloah de Lucena Ferretti-Rebustini

    2015-12-01

    Full Text Available Abstract OBJECTIVE To analyze the evidences of construct validity of the Katz Index for the retrospective assessment of activities of daily living (ADL by informants, to assist neuropathological studies in the elderly. METHOD A cross-sectional study analyzed the functional ability of ADL measure by the Katz Index, of 650 cases randomly selected from the Brazilian Brain Bank of the Ageing Brain Study Group (BBBABSG database. Sample was divided in two subsamples for the analysis (N=325, each and then stratified according to cognitive decline assessed by the Clinical Dementia Rating Scale (CDR. Factor analyses with calculations of internal consistency and invariance were performed. RESULTS Factor analysis evidenced a unidimensional instrument with optimal internal consistency, in all subgroups. Goodness of fit indices were obtained after two treatments of covariance, indicating adequacy of the scale for assessing ADL by informants. The scale is invariant to cognitive decline meaning that it can be used for subjects with or without cognitive impairment. CONCLUSION Katz Index is valid for the retrospective assessment of basic ADL by informants, with optimal reliability.

  6. Prevalence of headache and its interference in the activities of daily living in female adolescent students

    Alaine Souza Lima

    2014-06-01

    Full Text Available OBJECTIVE: To describe the prevalence of headache and its interference in the activities of daily living (ADL in female adolescent students.METHODS: This descriptive cross-sectional study enrolled 228 female adolescents from a public school in the city of Petrolina, Pernambuco, Northeast Brazil, aged ten to 19 years. A self-administered structured questionnaire about socio-demographic characteristics, occurrence of headache and its characteristics was employed. Headaches were classified according to the International Headache Society criteria. The chi-square test was used to verify possible associations, being significant p<0.05.RESULTS: After the exclusion of 24 questionnaires that did not met the inclusion criteria, 204 questionnaires were analyzed. The mean age of the adolescents was 14.0±1.4 years. The prevalence of headache was 87.7%. Of the adolescents with headache, 0.5% presented migraine without pure menstrual aura; 6.7%, migraine without aura related to menstruation; 1.6%, non-menstrual migraine without aura; 11.7%, tension-type headache and 79.3%, other headaches. Significant associations were found between pain intensity and the following variables: absenteeism (p=0.001; interference in ADL (p<0.001; medication use (p<0.001; age (p=0.045 and seek for medical care (p<0.022.CONCLUSIONS: The prevalence of headache in female adolescents observed in this study was high, with a negative impact in ADL and school attendance.

  7. Activities of daily living, depression, and quality of life in Parkinson's disease.

    Blake J Lawrence

    Full Text Available This study examined whether activities of daily living (ADL mediate the relationship between depression and health-related quality of life (HR-QOL in people with Parkinson's disease (PD. A cross-sectional, correlational research design examined data from 174 participants who completed the Geriatric Depression Scale (GDS-15, Parkinson's Disease Questionnaire-39 (PDQ-39, and Unified Parkinson's Disease Rating Scale-section 2 (UPDRS-section 2 [ADL]. Multiple Regression Analysis (MRA was used to examine the mediator model. Depression and ADL significantly (p<.001 predicted HR-QOL, and depression significantly (p<.001 predicted ADL. Whilst ADL did not impact on the relationship between depression and HR-QOL, there was a significant (p<.001 indirect effect of depression on HR-QOL via ADL, suggesting both direct and indirect (via ADL effects of depression on HR-QOL. The magnitude of this effect was moderate (R2 = .13. People with PD who report depression also experience greater difficulty completing ADL, which impacts upon their HR-QOL. It is recommended that clinicians adopt a multidisciplinary approach to care by combining pharmacological treatments with psycho/occupational therapy, thereby alleviating the heterogeneous impact of motor and non-motor symptoms on HR-QOL in people with PD.

  8. Traditional Chinese Medicine Improves Activities of Daily Living in Parkinson's Disease

    Weidong Pan

    2011-01-01

    Full Text Available We evaluated the effects of a traditional Chinese medicine (TCM, named Zeng-xiao An-shen Zhi-chan 2 (ZAZ2, on patients with Parkinson's disease (PD. Among 115 patients with idiopathic PD enrolled (mean age, 64.7 ± 10.2 years old, 110 patients (M = 65, F = 45; mean age, 64.9 ± 10.7 years old completed the study. Patients took either ZAZ2 (=59 or placebo granule (=56 in a blind manner for 13 weeks while maintaining other anti-Parkinson medications unchanged. All participants wore a motion logger, and we analyzed the power-law temporal autocorrelation of the motion logger records taken on 3 occasions (before, one week, and 13 weeks after the drug administration. Drug efficacy was evaluated with the conventional Unified Parkinson Disease Rating Scale (UPDRS, as well as the power-law exponent α, which corresponds to the level of physical activity of the patients. ZAZ2 but not placebo granule improved the awake-sleep rhythm, the UPDRS Part II, Part II + III, and Part IV scores, and the α values. The results indicate that ZAZ2 improved activities of daily living (ADL of parkinsonism and, thus, is a potentially suitable drug for long-term use.

  9. Contribution of abdominal muscle strength to various activities of daily living of stroke patients with mild paralysis

    Fujita, Takaaki; Sato, Atsushi; Togashi, Yui; Kasahara, Ryuichi; Ohashi, Takuro; Yamamoto, Yuichi

    2015-01-01

    [Purpose] The trunk muscles frequently become weak after stroke, thus impacting overall activities of daily living. However, activities of daily living items closely related with trunk strength remain unclear. This study aimed to clarify the influence of trunk muscle weakness on activities of daily living items. [Subjects] The subjects were 24 stroke patients who fulfilled the following inclusion criteria: first stroke and the absence of severe paralysis, marked cognitive function deterioration, unilateral spatial neglect or apathy. [Methods] According to abdominal strength, the 24 patients were divided into a nonweakness group and a weakness group. For the assessment, we used the stroke impairment assessment set, the Berg balance scale, a simple test for evaluating hand function, grip strength, and functional independence measure scale scores and the results were compared between the groups. [Results] The Berg balance scale score and scores for dressing, toilet use, transfer to bed, and walk items of the functional independence measure were significantly lower in the weakness group than in the nonweakness group. [Conclusion] Our results suggest that weakness of the abdominal muscles adversely impacts the balance of patients with mild stroke as well as their ability to dress, use a toilet, transfer, and walk. Trunk training, including abdominal muscle exercises, can effectively improve the performance of these activities of daily living items. PMID:25931737

  10. Social participation and independence in activities of daily living: a cross sectional study

    Sánchez-Sánchez Antonio

    2009-07-01

    Full Text Available Abstract Background It is today widely accepted that participation in social activities contributes towards successful ageing whilst, at the same time, maintaining independence in the activities of daily living (ADLs is the sine qua non for achieving that end. This study looks at people aged 65 and over living in an urban area in Spain who retain the ability to attend Social Centres providing recreational facilities. The aim of this paper is to quantify independence and identify the risk factors involved in its deterioration. Methods The sample size was calculated using the equation for proportions in finite populations based on a random proportional sample type, absolute error (e = 0.05, α = 0.05, β = 0.1, p = q = 0.5. Two-stage sampling was used. In the first place, the population was stratified by residence and a Social Centre was randomly chosen for each district. In the second stage, individuals were selected in a simple random sample without replacement in proportion to the number of members at each social centre. A multivariate logistical regression analysis takes functional ADL capacity as the dependent variable. The choice of predictive variables was made using a bivariate correlation matrix. Among the estimators obtained, Nagelkerke's R2 coefficient, and the Odds ratio (CI 95% were considered. Sensitivity and 1-specificity were adopted to present the results in graphic form. Results Out of this sample, 63.7% were fully capable of carrying out ADLs, while the main factors contributing to deterioration, identified on the basis of a logistic regression model, are in order of importance, poor physical health, poor mental health, age (above 75 years and gender (female. The model employed has a predictive value of 88% and 92% (depending on the age range considered with regard to the independence in ADLs. Conclusion A review of the few Spanish works using similar methodology shows that the percentage of non-institutionalised persons who are

  11. Effects of mirror therapy combined with motor tasks on upper extremity function and activities daily living of stroke patients.

    Kim, Kyunghoon; Lee, Sukmin; Kim, Donghoon; Lee, Kyoungbo; Kim, Youlim

    2016-01-01

    [Purpose] The objective of this study was to investigate the effects of mirror therapy combined with exercise tasks on the function of the upper limbs and activities of daily living. [Subjects and Methods] Twenty-five stroke patients who were receiving physical therapy at K Hospital in Gyeonggi-do, South Korea, were classified into a mirror therapy group (n=12) and a conventional therapy group (n=13). The therapies were applied for 30 minutes per day, five times per week, for a total of four weeks. Upper limb function was measured with the Action Research Arm test, the Fugl-Meyer Assessment, and the Box and Block test, and activities of daily living were measured with the Functional Independence Measure. A paired test was performed to compare the intragroup differences between before training and after four weeks of therapy, and an independent t-test was performed to compare the differences between the two groups before and after four weeks of therapy. [Results] In the intragroup comparison, both groups showed significant differences between measurements taken before and after four weeks of therapy. In the intergroup comparison, the mirror therapy group showed significant improvements compared with the conventional therapy group, both in upper limb function and activities of daily living. [Conclusion] The findings of this study demonstrated that mirror therapy is more effective than conventional therapy for the training of stroke patients to improve their upper limb function and activities of daily living. PMID:27065534

  12. Examining Success of Communication Strategies Used by Formal Caregivers Assisting Individuals with Alzheimer's Disease during an Activity of Daily Living

    Wilson, Rozanne; Rochon, Elizabeth; Mihailidis, Alex; Leonard, Carol

    2012-01-01

    Purpose: To examine how formal (i.e., employed) caregivers' use verbal and nonverbal communication strategies while assisting individuals with moderate to severe Alzheimer's disease (AD) during the successful completion of an activity of daily living (ADL). Based on the literature, the authors hypothesized that caregivers' use of 1 proposition,…

  13. Activities of Daily Living in patients with Hunter syndrome: Impact of enzyme replacement therapy and hematopoietic stem cell transplantation

    Tanjuakio, Julian; Suzuki, Yasuyuki; Patel, Pravin; Yasuda, Eriko; Kubaski, Francyne; Tanaka, Akemi; Yabe, Hiromasa; Mason, Robert W.; Montaño, Adriana M.; Orii, Kenji E.; Orii, Koji O.; FUKAO, TOSHIYUKI; Orii, Tadao; Tomatsu, Shunji

    2014-01-01

    The aim of this study was to assess the Activities of Daily Living (ADL) in patients with Hunter syndrome (mucopolysaccharidosis II; MPS II) using a newly designed ADL questionnaire. We applied the questionnaire to evaluate clinical phenotypes and therapeutic efficacies of enzyme replacement therapy (ERT) and hematopoietic stem cell transplantation (HSCT). We also explored early signs and symptoms to make early diagnosis feasible.

  14. EFFECTS OF BURN ON THE MOBILITY OF UPPER LIMB/S, FUNCTIONS OF HAND /S & ACTIVITIES OF DAILY LIVING

    Perera M M N; Nanayakkarawasam P P; Katulanda P

    2015-01-01

    Background: Burn is an injury cause destruction of skin and underling tissue. Post burns complications are severe. Objective of this study is to identify the effects on the Active Range of Motion (AROM) of upper limb/s, hand functions and Activities of Daily Living (ADL) who attend the physical therapy department of burns unit. Methodology: It was a descriptive cross sectional study carried out at out-patient physical therapy department of burns unit of National Hospital of SriLanka (NHS...

  15. Variability in measuring (instrumental) activities of daily living functioning and functional decline in hospitalized older medical patients: a systematic review.

    Buurman, B.M.; Munster, B.C. van; Korevaar, J.C.; Haan, R.J. de; Rooij, S.E. de

    2011-01-01

    OBJECTIVE: To study instruments used and definitions applied in order to measure (instrumental) activities of daily living (I [ADL]) functioning and functional decline in hospitalized older medical patients. STUDY DESIGN: We systematically searched Medline, Embase, and the Cochrane Database of Syste

  16. Prevalence of Musculoskeletal Symptoms Related With Activities of Daily Living and Contributing Factors in Korean Adults

    Choi, Kyusik; Park, Jae-Hyun; Cheong, Hae-Kwan

    2013-01-01

    Objectives This study aims to investigate the prevalence of musculoskeletal symptoms and factors related to daily activities in a representative Korean population. Methods This study was based on the questions about musculoskeletal symptoms in the Korean General Social Survey 2010. The questionnaire about musculoskeletal symptoms was adopted from Korean Occupational Safety and Health Agency guide, and it includes general characteristics, characteristics of pain, work type, work intensity and ...

  17. Ventilatory and muscular assessment in healthy subjects during an activity of daily living with unsupported arm elevation

    Giselle F. L. Panka; Marina M. Oliveira; Danielle C. França; Parreira, Verônica F; Raquel R. Britto; Marcelo Velloso

    2010-01-01

    INTRODUCTION: Patients with chronic obstructive pulmonary disease (COPD) report dyspnea when performing activities of daily living (ADLs) with elevated upper limbs. To elucidate the determinants of dyspnea, it is important to study the changes in the respiratory pattern of these patients and the electromyographic activity of their accessory muscles of respiration during ADLs. In the literature, there are no reports of a normative parameter, therefore it is necessary to study how these variabl...

  18. Impact of Sativex(®) on quality of life and activities of daily living in patients with multiple sclerosis spasticity.

    Arroyo, Rafael; Vila, Carlos; Dechant, Kerry L

    2014-07-01

    In individuals with multiple sclerosis (MS) spasticity, associated symptoms such as spasms, pain, mobility restrictions and sleep disturbances can interfere with the ability to perform activities of daily living and reduce quality of life (QoL). Recent cross-sectional studies from Europe have confirmed that advancing severity of MS spasticity correlates directly with worsening QoL. The treatment effect of Sativex(®) (GW Pharmaceuticals PLC, Porton Down, UK; Laboratorios Almirall, SA, Barcelona, Spain) on QoL has been evaluated in randomized controlled trials, observational studies conducted under everyday clinical practice conditions and a survey in long-term users. Symptomatic relief of MS spasticity in responders to Sativex was associated with quantifiable improvements in QoL and activities of daily living that were maintained over time. Benefits were perceived by both patients and caregivers. PMID:25275238

  19. Factors affecting mobility milestones and activities of daily living after stroke

    Mobility milestones are elementary movements related to activities of daily living (ADL) and have a significant influence on functional recovery after stroke. This study aimed to identify the factors affecting mobility milestones and to clarify the relationships between mobility milestones and ADL. Participants were in the acute phase after first-ever strokes (ischemic, n=77; hemorrhagic, n=84). Clinical and radiological factors within the first week were determined and their effects on mobility milestones after 4 weeks were analyzed using logistic regression analysis. After 4 weeks the patients were divided into four groups on the basis of sitting balance, standing balance, and walking ability. Then total ADL score was calculated using the Barthel index (BI), and percentage of independent patients in each 10 items of BI was transition rate of ADL for each of the four groups. Patients with ischemic stroke showed the following findings. Sitting balance was affected by severity of lower limb paralysis, consciousness level, and presence of an internal capsule lesion on computed tomography (CT) (R2=0.86); standing balance was influenced by severity of lower limb paralysis and consciousness level (R2=0.72); and walking ability was affected by severity of lower limb paralysis (R2=0.64). Patients with hemorrhagic stroke showed the following findings. Sitting balance was influenced by severity of lower limb paralysis, intraventricular hemorrhage on CT, blood pressure instability, and fever (R2=0.75); standing balance was affected by severity of lower limb paralysis, consciousness level, and presence of an internal capsule lesion (R2=0.58); and walking ability was influenced by severity of lower limb paralysis and presence of an internal capsule lesion (R2=0.70). In both types of stroke, sitting and standing balance and walking ability were directly associated with total ADL score, and sitting and standing balance became independent earlier than ADL. Severity of lower limb

  20. Association of sarcopenia with swallowing problems, related to nutrition and activities of daily living of elderly individuals

    Shiozu, Hiroyasu; Higashijima, Misako; Koga, Tomoshige

    2015-01-01

    [Purpose] The purpose of the current study was to clarify problems associated with swallowing, related to nutrition and activities of daily living (ADL), in elderly individuals with sarcopenia. [Subjects and Methods] Seventy-seven subjects were assigned to a sarcopenia or a non-sarcopenia group according to a definition used by the European Working Group on Sarcopenia in Older People. Analyses were conducted including and excluding subjects with a central nervous system disorders in order to ...

  1. Is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?

    Conradsson, Mia; Littbrand, Håkan; Boström, Gustaf; Lindelöf, Nina; Gustafson, Yngve; Rosendahl, Erik

    2013-01-01

    Aim: Functional capacity and dependency in activities of daily living (ADL) could be important mediators for an association between physical exercise and mental health. The aim of this study was to investigate whether a change in functional capacity or dependency in ADL is associated with a change in depressive symptoms and psychological well-being among older people living in residential care facilities, and whether dementia can be a moderating factor for this association. Methods: A prospec...

  2. Effectiveness of Pain, Disease Severity and Radiological Grading on Disability of Daily Living Activities in Knee Osteoarthritis

    Deniz Evcik; Saime Ay

    2008-01-01

    Objective: In this study we planned to investigate the effects of pain, disease severity, and radiological grading on the disability of daily living activities in knee osteoarthritis (OA) patients, and to find out the determinative factors. Patients and Methods: A total of 50 knee OA patients who were admitted to the outpatient clinic of Physical Medicine and Rehabilitation clinic were included this study. The diagnosis was based on the American College of Rheumatology (ACR) criteria. Pati...

  3. Effects of the six-minute walking test on dyspnea and activities of daily living in pneumoconiosis patients

    Kim, Eun-Jin; Kim, Hye-Soon; Lee, Myung-Hee

    2014-01-01

    The purpose of this study was to examine the effects of walking exercise through a 6-min walking test on subjective dyspnea, pulmonary function test, arterial blood gas analysis, and activities of daily living to provide base data for the nursing intervention of pneumoconiosis patients. The subjects were pneumoconiosis patients men aged over 60. This quasi-experimental study was designed with a non-equivalent control group pre- and post-test design, and the study period was September to Decem...

  4. The effect of mirror therapy on upper-extremity function and activities of daily living in stroke patients

    Park, Jin-Young; Chang, Moonyoung; Kim, Kyeong-Mi; Kim, Hee-Jung

    2015-01-01

    The purpose of this study was to examine the effects of mirror therapy on upper-extremity function and activities of daily living in chronic stroke patients. [Subjects and Methods] Fifteen subjects were each assigned to a mirror therapy group and a sham therapy group. The Fugl-Meyer Motor Function Assessment and the Box and Block Test were performed to compare paretic upper-extremity function and hand coordination abilities. The functional independence measurement was conducted to compare abi...

  5. Effects of mild and severe knee joint pain on various activities of daily living in the female elderly

    Sugiura, Hiroki; Demura, Shinichi

    2013-01-01

    This study aimed to examine the differences in the ability to perform various activities of daily living (ADLs) among groups with various knee problems. The participants consisted of 328 elderly females (age 60-94; mean age 76.1 years; standard deviation 6.2). The subjects were classified into three groups: those without knee pain, those with mild knee pain, and those with severe knee pain. ADLs with markedly higher (>97%) and lower (

  6. Effects of Mild and Severe Knee Joint Pain on Various Activities of Daily Living in the Female Elderly

    Hiroki Sugiura; Shinichi Demura

    2013-01-01

    This study aimed to examine the differences in the ability to perform various activities of daily living (ADLs) among groups with various knee problems. The participants consisted of 328 elderly females (age 60–94; mean age 76.1 years; standard deviation 6.2). The subjects were classified into three groups: those without knee pain, those with mild knee pain, and those with severe knee pain. ADLs with markedly higher (>97%) and lower (

  7. Comparative study of active and inactive elderly persons through the assessment of activities of daily living and quality of life

    Sarah Caporicci

    2011-06-01

    Full Text Available This study aimed at evaluating the activities of daily living and quality of active and inactive seniors’ life. This is a descriptive research of a quantitative nature. Participants were 24 seniors, 12 physical activity practitioners (PPA and 12 non-practitioners (NPPA. The instrument was a demographic questionnaire and SF-36 for measuring the quality of life and tests proposed by GDLAM. SPSS 15.0 was used for data analysis. The results obtained by the sociodemographic questionnaire for PPA and NPPA groups were, respectively: age − 69.5 and 70.0 years, marital status − 50.0% widower and 41.7% were married; education − 50.0% with complete elementary school and 58.3% with incomplete elementary school; health problems − 25.0% and 58.33% hypertension. In functional autonomy tests, the PPA group had shorter execution time when compared with the NPPA group; however, both groups found themselves in the rating of "weak" according to the protocol GDLAM. We concluded that there was no statistical difference between groups.

  8. Comparative study of active and inactive elderly persons through the assessment of activities of daily living and quality of life

    S. Caporicci

    2011-01-01

    Full Text Available This study aimed at evaluating the activities of daily living and quality of active and inactive seniors’ life. This is a descriptive research of a quantitative nature. Participants were 24 seniors, 12 physical activity practitioners (PPA and 12 non-practitioners (NPPA. The instrument was a demographic questionnaire and SF-36 for measuring the quality of life and tests proposed by GDLAM. SPSS 15.0 was used for data analysis. The results obtained by the sociodemographic questionnaire for PPA and NPPA groups were, respectively: age − 69.5 and 70.0 years, marital status − 50.0% widower and 41.7% were married; education − 50.0% with complete elementary school and 58.3% with incomplete elementary school; health problems − 25.0% and 58.33% hypertension. In functional autonomy tests, the PPA group had shorter execution time when compared with the NPPA group; however, both groups found themselves in the rating of "weak" according to the protocol GDLAM. We concluded that there was no statistical difference between groups.

  9. Variability in measuring (instrumental) activities of daily living functioning and functional decline in hospitalized older medical patients: a systematic review.

    Buurman, B.M.; Munster, B.C.; Korevaar, J.C.; Haan, R.J. de; Rooij, S.E. de

    2011-01-01

    OBJECTIVE: To study instruments used and definitions applied in order to measure (instrumental) activities of daily living (I [ADL]) functioning and functional decline in hospitalized older medical patients. STUDY DESIGN: We systematically searched Medline, Embase, and the Cochrane Database of Systematic Reviews from 1990 to January 2010. Articles were included if they (1) focused on acute hospitalization for medical illness in older patients; (2) described the instrument used to measure func...

  10. Exploring Patterns of Activities of Daily Living in the Home Environment

    Thijs M. Tönis; Akker, op den, H.J.A.; Boerema, Simone T.; Polen, van, Freek; Hermens, Hermie J; Dimitrova, Desislava; Blom, Koen; Meratnia, Nirvana

    2011-01-01

    Background: Senior citizens tend to live longer and longer independently. Judging whether a senior person is still capable of living on his own is often based on the occurrence of incidents, with all consequences thereof. In the specific case of early dementia, the symptoms are not immediately apparent and the occurrence and severity of incidents progress gradually over time. In this case, the children or grandchildren are burdened by the question whether or not the elderly adult can still li...

  11. Examination of Children's Recess Physical Activity Patterns Using the Activities for Daily Living-Playground Participation (ADL-PP) Instrument

    Stellino, Megan Babkes; Sinclair, Christina

    2014-01-01

    Thorough assessment of children's physical activity is essential to efficacious interventions to reduce childhood obesity prevalence. The purpose of this study was to examine children's recess physical activity (RPA) patterns of behavior using the Activities of Daily Living-Playground Participation (ADL-PP: Watkinson et al., 2001)…

  12. Effects of mirror therapy combined with motor tasks on upper extremity function and activities daily living of stroke patients

    Kim, Kyunghoon; Lee, Sukmin; Kim, Donghoon; Lee, Kyoungbo; Kim, Youlim

    2016-01-01

    [Purpose] The objective of this study was to investigate the effects of mirror therapy combined with exercise tasks on the function of the upper limbs and activities of daily living. [Subjects and Methods] Twenty-five stroke patients who were receiving physical therapy at K Hospital in Gyeonggi-do, South Korea, were classified into a mirror therapy group (n=12) and a conventional therapy group (n=13). The therapies were applied for 30 minutes per day, five times per week, for a total of four ...

  13. Motor function and activities of daily living capacity of patients with fractures sustained during the Wenchuan earthquake

    ZHANG Jin-long; HE Hong-chen; LIN Hai-dan; LUO Qing-lu; XIA Lu; LI Sha-sha; HE Cheng-qi

    2011-01-01

    Background On the afternoon of May 12, 2008, a 8.0-magnitude earthquake hit Sichuan Province, a mountainous region in Western China, killing about 70 000 people and leaving over 18 000 missing. What about the survivors motor functions and activities of daily living (ADL) capacity, especially for fractures? We need the data to guide the rehabilitation for the seismic wounded and it' s important to collect the data for the future. We study the survivors to understand the motor functions and ADL capacity of patients with fractures sustained in the Wenchuan earthquake, to provide a basis for rehabilitation and treatment.Methods We used the Manual Muscle Testing method to evaluate muscle strength, the joint angle scale to measure joint range of motion (ROM), and the Barthel index to evaluate the activities of daily living status. SPSS 13.0 software was used to analyze the data and the results were tested using one-way analysis of variance (ANOVA).Results The number of seismic wounded amounted to 487; 81.1% of patients had fractures. Most of the injured had fractures in multiple regions (53.9% of all fracture patients), followed by fractures of the upper limb (34.0% of patients);cranial fractures were rare (2.3%). Totally 82.0% had restricted range of motion, 23.5% had decreased muscle force, and 72.2% of the patients had restricted activities of daily living capacities. With time the activities of daily living capacity of female increased (P <0.05), compared with the male fracture patients who did not show any relative improvement (P >0.05). The difference between the patients' ages and ADL capacities did not reach statistical significance (P>0.05), nor was there a significant difference between their ages and the numbers of days in hospital (P >0.05).Conclusions Fractures were the main issue in the seismic wounded, many of them had reductions in the ROM, muscle force and ADL capacities. The physicians involved in rehabilitation should pay greater attention to

  14. Early rehabilitation affects functional outcomes and activities of daily living after arthroscopic rotator cuff repair: a case report.

    Shimo, Satoshi; Sakamoto, Yuta; Tokiyoshi, Akinari; Yamamoto, Yasuhiro

    2016-01-01

    [Purpose] The effect of early rehabilitation protocols after arthroscopic rotator cuff repair is currently unknown. We examined short-term effects of early rehabilitation on functional outcomes and activities of daily living after arthroscopic rotator cuff repair. [Subject and Methods] An 82-year-old male fell during a walk, resulting in a supraspinatus tear. Arthroscopic rotator cuff repair was performed using a single-row technique. He wore an abduction brace for 6 weeks after surgery. [Results] From day 1 after surgery, passive range of motion exercises, including forward flexion and internal and external rotation were performed twice per day. Starting at 6 weeks after surgery, active range of motion exercises and muscle strengthening exercises were introduced gradually. At 6 weeks after surgery, his active forward flexion was 150°, UCLA shoulder rating scale score was 34 points, and Quick Disabilities of the Arm, Shoulder, and Hand questionnaire disability/symptom score was 36 points. At 20 weeks after surgery, his active forward flexion was 120°, UCLA shoulder rating scale score was 34 points, and Quick Disabilities of the Arm, Shoulder, and Hand questionnaire disability/symptom score was 0 points. [Conclusion] These protocols are recommended to physical therapists during rehabilitation for arthroscopic rotator cuff repair to support rapid reintegration into activities of daily living. PMID:27064886

  15. Early rehabilitation affects functional outcomes and activities of daily living after arthroscopic rotator cuff repair: a case report

    Shimo, Satoshi; Sakamoto, Yuta; Tokiyoshi, Akinari; Yamamoto, Yasuhiro

    2016-01-01

    [Purpose] The effect of early rehabilitation protocols after arthroscopic rotator cuff repair is currently unknown. We examined short-term effects of early rehabilitation on functional outcomes and activities of daily living after arthroscopic rotator cuff repair. [Subject and Methods] An 82-year-old male fell during a walk, resulting in a supraspinatus tear. Arthroscopic rotator cuff repair was performed using a single-row technique. He wore an abduction brace for 6 weeks after surgery. [Results] From day 1 after surgery, passive range of motion exercises, including forward flexion and internal and external rotation were performed twice per day. Starting at 6 weeks after surgery, active range of motion exercises and muscle strengthening exercises were introduced gradually. At 6 weeks after surgery, his active forward flexion was 150°, UCLA shoulder rating scale score was 34 points, and Quick Disabilities of the Arm, Shoulder, and Hand questionnaire disability/symptom score was 36 points. At 20 weeks after surgery, his active forward flexion was 120°, UCLA shoulder rating scale score was 34 points, and Quick Disabilities of the Arm, Shoulder, and Hand questionnaire disability/symptom score was 0 points. [Conclusion] These protocols are recommended to physical therapists during rehabilitation for arthroscopic rotator cuff repair to support rapid reintegration into activities of daily living. PMID:27064886

  16. Preliminary cognitive scale of basic and instrumental activities of daily living for dementia and mild cognitive impairment.

    Rodríguez-Bailón, María; Montoro-Membila, Nuria; Garcia-Morán, Tamara; Arnedo-Montoro, María Luisa; Funes Molina, María Jesús

    2015-01-01

    In the present study we explored cognitive and functional deficits in patients with multidomain mild cognitive impairment (MCI), patients with dementia, and healthy age-matched control participants using the Cognitive Scale for Basic and Instrumental Activities of Daily Living, a new preliminary informant-based assessment tool. This tool allowed us to evaluate four key cognitive abilities-task memory schema, error detection, problem solving, and task self-initiation-in a range of basic and instrumental activities of daily living (BADL and IADL, respectively). The first part of the present study was devoted to testing the psychometric adequateness of this new informant-based tool and its convergent validity with other global functioning and neuropsychological measures. The second part of the study was aimed at finding the patterns of everyday cognitive factors that best discriminate between the three groups. We found that patients with dementia exhibited impairment in all cognitive abilities in both basic and instrumental activities. By contrast, patients with MCI were found to have preserved task memory schema in both types of ADL; however, such patients exhibited deficits in error detection and task self-initiation but only in IADL. Finally, patients with MCI also showed a generalized problem solving deficit that affected even BADL. Studying various cognitive processes instantiated in specific ADL differing in complexity seems a promising strategy to further understand the specific relationships between cognition and function in these and other cognitively impaired populations. PMID:25805061

  17. Hierarchical Hidden Markov Model in Detecting Activities of Daily Living in Wearable Videos for Studies of Dementia

    Karaman, Svebor; Dovgalecs, Vladislavs; Mégret, Rémi; Pinquier, Julien; André-Obrecht, Régine; Gaëstel, Yann; Dartigues, Jean-François

    2011-01-01

    This paper presents a method for indexing activities of daily living in videos obtained from wearable cameras. In the context of dementia diagnosis by doctors, the videos are recorded at patients' houses and later visualized by the medical practitioners. The videos may last up to two hours, therefore a tool for an efficient navigation in terms of activities of interest is crucial for the doctors. The specific recording mode provides video data which are really difficult, being a single sequence shot where strong motion and sharp lighting changes often appear. Our work introduces an automatic motion based segmentation of the video and a video structuring approach in terms of activities by a hierarchical two-level Hidden Markov Model. We define our description space over motion and visual characteristics of video and audio channels. Experiments on real data obtained from the recording at home of several patients show the difficulty of the task and the promising results of our approach.

  18. Identification of the affected lower limb and unaffected side motor functions as determinants of activities of daily living performance in stroke patients using partial correlation analysis

    Fujita, Takaaki; Sato, Atsushi; Togashi, Yui; Kasahara, Ryuichi; Ohashi, Takuro; Tsuchiya, Kenji; Yamamoto, Yuichi; Otsuki, Koji

    2015-01-01

    [Purpose] This study aimed to clarify the independent impact of the affected upper and lower limb, trunk, and unaffected side motor functions on activities of daily living in stroke patients using partial correlation analysis. [Subjects and Methods] This retrospective study included 77 stroke patients. Motor functions were assessed using the Stroke Impairment Assessment Set, and the activities of daily living performance was assessed using the Barthel index or Functional Independence Measure....

  19. EFFECTS OF BURN ON THE MOBILITY OF UPPER LIMB/S, FUNCTIONS OF HAND /S & ACTIVITIES OF DAILY LIVING

    Perera M M N

    2015-02-01

    Full Text Available Background: Burn is an injury cause destruction of skin and underling tissue. Post burns complications are severe. Objective of this study is to identify the effects on the Active Range of Motion (AROM of upper limb/s, hand functions and Activities of Daily Living (ADL who attend the physical therapy department of burns unit. Methodology: It was a descriptive cross sectional study carried out at out-patient physical therapy department of burns unit of National Hospital of SriLanka (NHSL. Fifty subjects recruited into the study. Interviewer assisted self administered questionnaire Disabilities of Arm, Shoulder,Hand Questionnaire (DASH, AROM of nine movements of shoulder and elbow joints and hand function assessment Signals of Functional, Impairements of hand (SOFI was used to collect data. Results: Study results showed that Flame burns were the most common burn type and majority of the victims were females. Study population had affected AROM in almost all the movements at the joint, which had affected to the ADL significantly. “Keeping an object shelf above head” and “engaging in heavy work”, showed significant correlation with movements of shoulder. SOFI score for the right hand showed significant correlation with selected Activities of Daily Living (ADL (“writing”,” using knife to cut food” opening a jar” etc ;. Conclusion: patient with burn injury including upper limb joints may encounter disabilities. Even though it is mild AROM restrictions at a joint, This restriction affects to persons’ independency in ADL s. This emphasizes the need of intensive medical care as well as long term physical therapy rehabilitation programme for burns patients. Limitations: Each subject’s AROM was not measured at their discharge which was already stated to be a limitation.

  20. A 3-year follow-up of stroke patients: relationships between activities of daily living and personality characteristics.

    Elmståhl, S; Sommer, M; Hagberg, B

    1996-01-01

    The importance of some personality characteristics for improvement of activities of daily life (ADL) was studied in sixty-six stroke patients, initially admitted to geriatric rehabilitation (n=37) or the department of medicine (n=29), 3 years after stroke. Outcome measurements were activities of daily life and motor and mental functions assessed using the Activity Index (AI) by Hamrin and Wohlin (1982). Neuroticism and extroversion were measured with the Eysenck Personality Inventory Scale. Preferred coping strategies were assessed from interviews on how the patients handle difficult events. Major improvements of ADL and motor functions were seen the first year after stroke. There was no major differences between patients admitted, either to geriatric rehabilitation or traditional medical wards regarding the outcome measurements except for better eating ability in the former group 3 years later. Subjects living alone showed deteriorated ADL functions after 3 years. Extrovert personality and active coping strategy predicted improved ADL functions. Multiple regression analyses with AI as the dependent variable proved active coping to predict functional outcome. In conclusion; increased knowledge about personality characteristics can improve possibilities for a more individual rehabilitation program. PMID:15374173

  1. Association of BODE index to daily living activities and upper limb strength in chronic obstructive pulmonary disease

    Renukadevi Mahadevan

    2015-01-01

    Full Text Available Context: Chronic obstructive pulmonary disease (COPD is a progressive disease that reduces the functional capacity and the ability to perform activities of daily living (ADL. Aims: To determine the correlation between the BODE index (B - body mass index; O - airflow obstruction; D - dyspnea; and E - exercise capacity with ADL and grip strength in COPD patients. Settings and Design: The study was conducted at JSS Hospital, Mysore. It was a correlational study. Subjects and Methods: Sixty-six COPD subjects were recruited by convenience sampling. Forced expiratory volume, body mass index, Six-Minute Walk Test, and Medical Research Council scale were assessed. The BODE index was calculated. The total score of London Chest Activities of Daily Living (LCADL and grip strength were compared between the patients of the four quartiles of the BODE index. The association between LCADL and grip Strength with BODE index was analyzed. Statistical Analysis: Eta coefficient, Spearman's rank correlation coefficient and the analysis of variance were used. Results: The Eta coefficients showed the strength or the measure of associations of BODE index with age, grip strength, and LCADL. Spearman's correlation coefficient shows that there is an inverse association with grip strength and LCADL, and it was statistically significant as theP<0.05. Conclusions: ADL limitation and hand grip strength test have a strong association with the BODE index in patients with moderate to severe COPD.

  2. Daily activities and living at a Therapeutic Residential Care Center

    Luciane Prado Kantorki

    2014-12-01

    Full Text Available This study describes and analyzes day-to-day issues in a Therapeutic Residential Care Center and the daily life characteristics of its residents. This case study was conducted in Caxias do Sul, based on an evaluation of the fourth generation together with a Methodology for Analyzing Everyday Life Networks. The following categories emerged: possibilities in the territory, participation and flexibility in household tasks, situations that mark living, employees who are mediators in conflict resolution, staff committed to the resident, freedom as a therapeutic tool, difficulties in daily life, and building of alliances. This study helped to get to know the structure of everyday life experienced by the residents, identifying some difficulties they face and the mechanisms used to overcome them, in addition to noticing that the professionals can be instrumental in strengthening a daily living that can be pluralized, busy, and enriched, while still respecting the uniqueness of each resident. doi: 10.5216/ree.v16i4.22923.

  3. Level of asthma control and its impact on activities of daily living in asthma patients in Brazil

    Mariana Rodrigues Gazzotti

    2013-09-01

    Full Text Available OBJECTIVE: To evaluate the impact of asthma on activities of daily living and on health status in patients with controlled, partially controlled, or uncontrolled asthma in Brazil. METHODS: We used data related to 400 patients in four Brazilian cities (São Paulo, Rio de Janeiro, Salvador, and Curitiba, obtained in a survey conducted throughout Latin America in 2011. All study subjects were > 12 years of age and completed a standardized questionnaire in face-to-face interviews. The questions addressed asthma control, hospitalizations, emergency room visits, and school/work absenteeism, as well as the impact of asthma on the quality of life, sleep, and leisure. The level of asthma control was determined in accordance with the Global Initiative for Asthma criteria. RESULTS: Among the 400 respondents, asthma was controlled in 37 (9.3%, partially controlled in 226 (56.5%, and uncontrolled in 137 (34.2%. The numbers of patients with uncontrolled or partially controlled asthma who visited the emergency room, who were hospitalized, and who missed school/work were higher than were those of patients with controlled asthma (p = 0.001, p = 0.05, and p = 0.01, respectively. Among those with uncontrolled asthma, the impact of the disease on activities of daily living, sleep, social activities, and normal physical exertion was greater than it was among those with controlled or partially controlled asthma (p < 0.001. CONCLUSIONS: In Brazil, asthma treatment should be monitored more closely in order to increase treatment adherence and, consequently, the level of asthma control, which can improve patient quality of life and minimize the negative impact of the disease.

  4. Is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?

    Conradsson M; Littbr; H.; Boström G; Lindelöf N; Gustafson Y; Rosendahl E

    2013-01-01

    Mia Conradsson,1 Håkan Littbrand,1,2 Gustaf Boström,1 Nina Lindelöf,1 Yngve Gustafson,1 Erik Rosendahl1,2 1Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden; 2Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden Aim: Functional capacity and dependency in activities of daily living (ADL) could be important mediators for an association between physical exerci...

  5. Script Generation of Activities of Daily Living in HIV-associated Neurocognitive Disorders

    Scott, J. Cobb; Woods, Steven Paul; Vigil, Ofilio; Heaton, Robert K.; Grant, Igor; Ellis, Ronald J.; Marcotte, Thomas D.

    2011-01-01

    Script generation describes one’s ability to produce complex, sequential action plans derived from mental representations of everyday activities. The aim of this study was to assess the effect of HIV infection on script generation performance. Sixty HIV+ individuals (48% of whom had HIV-associated neurocognitive disorders [HAND]) and 26 demographically comparable HIV− participants were administered a novel, standardized test of script generation, which required participants to verbally genera...

  6. Shoulder Electromyography Measurements During Activities of Daily Living and Routine Rehabilitation Exercises.

    Gurney, A Burke; Mermier, Christine; LaPlante, Michael; Majumdar, Aditi; O'Neill, Kathleen; Shewman, Todd; Gurney, James G

    2016-05-01

    Study Design Controlled laboratory study. Background The activity of the rotator cuff muscles has not previously been measured with indwelling electromyography (EMG) comparing ambulation and other movements. Knowledge of the relative contribution of these muscles during various tasks may help to guide rehabilitation progression. Objective To measure activity of the rotator cuff muscles and other shoulder muscles during normal ambulation, shirt and sling donning and doffing, and rehabilitation tasks commonly performed after rotator cuff surgery. Methods In 28 volunteers (15 men, 13 women; mean age, 32.2 years), indwelling EMG activity was measured in the supraspinatus, infraspinatus, teres minor, and subscapularis muscles during various tasks; and surface EMG activity was measured in the middle deltoid, biceps, and upper trapezius muscles. Results Using median EMG activity, in general, donning and doffing a shirt or sling recruited the rotator cuff muscles more than the other 7 tasks tested. Self-ranging motion using pulleys, especially in the scapular plane, was also consistently associated with greater recruitment of the shoulder muscles. Pendulum exercises, passive range of motion by a physical therapist, and self-ranging motion with a dowel recruited the shoulder muscles to a lesser extent. Conclusion Our results demonstrate that rehabilitation tasks such as pendulum exercises, passive range of motion by a physical therapist, and self-ranging motion with a dowel show low EMG activity, whereas pulleys in the sagittal plane and scapular plane show greater activity. Scapular plane activity was consistently higher than sagittal plane activity. Of all the tasks assessed, ambulation without a sling and donning and doffing a sling and a shirt consistently showed the highest activity. J Orthop Sports Phys Ther 2016;46(5):375-383. Epub 6 Apr 2016. doi:10.2519/jospt.2016.6090. PMID:27049599

  7. IMPROVING SUPERVISED CLASSIFICATION OF DAILY ACTIVITIES LIVING USING NEW COST SENSITIVE CRITERION FOR C-SVM

    M’hamed Bilal Abidine; Belkacem Fergani

    2013-01-01

    The growing population of elders in the society calls for a new approach in care giving. By inferring what activities elderly are performing in their houses it is possible to determine their physical and cognitive capabilities. In this paper we show the potential of important discriminative classifiers namely the Soft-Support Vector Machines (C-SVM), Conditional Random Fields (CRF) and k-Nearest Neighbors (k-NN) for recognizing activities from sensor patterns in a smart home en...

  8. IMPROVING SUPERVISED CLASSIFICATION OF DAILY ACTIVITIES LIVING USING NEW COST SENSITIVE CRITERION FOR C-SVM

    M’hamed Bilal Abidine

    2013-11-01

    Full Text Available The growing population of elders in the society calls for a new approach in care giving. By inferring what activities elderly are performing in their houses it is possible to determine their physical and cognitive capabilities. In this paper we show the potential of important discriminative classifiers namely the Soft-Support Vector Machines (C-SVM, Conditional Random Fields (CRF and k-Nearest Neighbors (k-NN for recognizing activities from sensor patterns in a smart home environment. We address also the class imbalance problem in activity recognition field which has been known to hinder the learning performance of classifiers. Cost sensitive learning is attractive under most imbalanced circumstances, but it is difficult to determine the precise misclassification costs in practice. We introduce a new criterion for selecting the suitable cost parameter C of the C-SVM method. Through our evaluation on four real world imbalanced activity datasets, we demonstrate that C-SVM based on our proposed criterion outperforms the state-of-the-art discriminative methods in activity recognition.

  9. Detection of activities of daily living impairment in Alzheimer's disease and mild cognitive impairment using information and communication technology

    Sacco G

    2012-12-01

    Full Text Available Guillaume Sacco,1–3 Véronique Joumier,1,4 Nelly Darmon,1 Arnaud Dechamps,1,5 Alexandre Derreumaux,1,3 Ji-Hyun Lee,2 Julie Piano,2 Nathalie Bordone,2 Alexandra Konig,1,6 Bernard Teboul,3 Renaud David,1,2 Olivier Guerin,1,3 François Bremond,1,4 Philippe Robert1,21EA CoBTeK, Université de Nice Sophia-Antipolis, 2Centre Mémoire de Ressource et de Recherche, CHU de Nice, 3Plateforme Patient du Centre d'Innovation et d'Usage en Santé, CHU de Nice, 4Equipe Stars, Institut National de Recherche en Informatique et en Automatique (INRIA, Sophia-Antipolis, France; 5University of Pancasila, Department of Psychology, Jakarta, Indonesia; 6University of Maastricht, Faculty of Psychology and Neuropsychology, Department of Psychiatry and Neuropsychology, Maastricht, The NetherlandsBackground: One of the key clinical features of Alzheimer's disease (AD is impairment in daily functioning. Patients with mild cognitive impairment (MCI also commonly have mild problems performing complex tasks. Information and communication technology (ICT, particularly techniques involving imaging and video processing, is of interest in order to improve assessment. The overall aim of this study is to demonstrate that it is possible using a video monitoring system to obtain a quantifiable assessment of instrumental activities of daily living (IADLs in AD and in MCI.Methods: The aim of the study is to propose a daily activity scenario (DAS score that detects functional impairment using ICTs in AD and MCI compared with normal control group (NC. Sixty-four participants over 65 years old were included: 16 AD matched with 10 NC for protocol 1 (P1 and 19 MCI matched with 19 NC for protocol 2 (P2. Each participant was asked to undertake a set of daily tasks in the setting of a “smart home” equipped with two video cameras and everyday objects for use in activities of daily living (8 IADLs for P1 and 11 for P2, plus 4 temporal execution constraints. The DAS score was then computed

  10. Physical performance as long-term predictor of onset of activities of daily living (ADL) disability

    Idland, Gro; Pettersen, Renate; Avlund, Kirsten;

    2013-01-01

    Disability in ADL of aging women is an important public health concern. It is thus of interest to identify modifiable factors underlying onset of ADL disability. We assessed whether three physical performance-based measurements could predict ADL disability 9 years later. The participants were 113...... non-disabled community-dwelling women with a mean age of 79.5 years at baseline. The baseline examinations of physical performance were: functional reach, climbing steps and comfortable walking speed. ADL disability was defined as need of personal assistance in at least one of five basic ADL items....... The participants were followed for 9 years. Logistic regression models were fitted for each of the physical performance measurements together with the covariates in relation to ADL disability. At follow-up 25.7% were disabled in ADL. All three performance measurements were significantly associated...

  11. Intermonitor reliability of the GT3X+ accelerometer at hip, wrist and ankle sites during activities of daily living

    The triaxial GT3X+ accelerometer can measure activity counts in the vertical, horizontal right to left, horizontal front to back planes, and can generate a summative score of the three axes represented by vector magnitude (VM). Information on the reliability of the GT3X+ at the hip, wrist and ankle sites, over all axes and VM during activities of daily living (ADL) is lacking in the literature. Forty healthy adults (14 men and 26 women) were randomly assigned to perform 10 of 20 ADL (consisting of sedentary, housework, yard work, locomotive and recreational activities) while wearing two monitors on the hip, wrist and ankle. Subjects performed each ADL over 7 min and the mean activity counts during the last 4 min were used for analyses. Average intraclass correlations between monitors were high for the three sites for each axis and VM (hip: 0.943, 0.857, 0.864 and 0.966, respectively; wrist: 0.994, 0.963, 0.961 and 0.989, respectively; ankle: 0.977, 0.979, 0.927 and 0.986, respectively). These data suggest that GT3X+ accelerometers measurements made from the hip, wrist and ankle sites are reliable during ADL across all axes and VM. (paper)

  12. Evaluation of effects of shoulder girdle training on strength and performance of activities of daily living in patients with chronic obstructive pulmonary disease

    Velloso M

    2013-04-01

    Full Text Available Marcelo Velloso, Nilce Helena do Nascimento, Mariana R Gazzotti, José R Jardim Pulmonary Rehabilitation Center, Federal University of São Paulo/Associação de Assistência à Criança Deficiente (Unifesp/AACD, Brazil Background: Patients with chronic obstructive pulmonary disease (COPD have some limitations during activities of daily living that involve the arms. There is little information on the benefits of shoulder girdle training and its repercussions for activities of daily living in patients with COPD. The purpose of this study was to investigate whether shoulder girdle training with diagonal movements increases upper limb muscle strength and improves performance of activities of daily living in patients with COPD. Methods: Thirty-five patients with moderate to severe COPD (forced expiratory volume in one second 1.22 ± 0.49 L and aged 36–80 years were recruited. Endurance time, maximal sustained weight, oxygen saturation, heart rate, respiratory rate, dyspnea, and arm fatigue were evaluated during an incremental upper limb test and eight simulated activities of daily living before and after an 8-week exercise training program. Results: A significant gain was observed for upper limb strength (P < 0.05. At the peak of the upper limb incremental test, the respiratory rate dropped from 33 to 27 breaths per minute, the Borg dyspnea score decreased from 2 to 0.5, and the upper limb fatigue score decreased from 3 to 2 (P < 0.05. No change was seen in any of these parameters during performance of activities of daily living. Conclusion: Although shoulder girdle training increased upper limb strength, no improvement was detected in performance of activities of daily living. Keywords: pulmonary disease, rehabilitation, upper limb training

  13. Evaluation of Psychometric Aspects of Cleveland Scale of Activity Daily Living in the Diagnosis of Dementia in Iran

    Maryam Noroozian

    2013-04-01

    Full Text Available Background: The purpose of this study was to design a valid questionnaire to the Iranian culture for dementia diagnosis and more specifically in its early stage.Methods: A cross-sectional study was conducted in 2012 in Memory Clinic of Roozbeh Hospital and Iranian Alzheimer Association in Tehran in 2012. Among 235 subjects, there were 72 patients with Alzheimer's disease (AD, 137 patients with other types of dementia, and 26 subjects with Mild Cognitive Impairment (MCI, which 107 of them were male. Moreover, 42 healthy subjects were selected as control group. We considered psychometric properties of the Cleveland Scale of Activity Daily Living (CSADL questionnaire and used standard making operations according to exploratory factor analysis.Results: Three factors were extracted: self-care (21 items, language skills (14 items, and planning (7 items. Convergent validity was 0.86 and cut off point for total, basic and instrumental scores respectively was 20, 3 and 20.Conclusion: It can be claimed that Persian Version of CSADL psychometric questionnaire has appropriate indicators and can serve as a useful tool for research in dementia and in its early stage. It can also enable the implementation of scientific research in academic and medical centers on dementia in general and Alzheimer's disease specifically in Iran.

  14. Is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?

    Conradsson M

    2013-11-01

    Full Text Available Mia Conradsson,1 Håkan Littbrand,1,2 Gustaf Boström,1 Nina Lindelöf,1 Yngve Gustafson,1 Erik Rosendahl1,2 1Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden; 2Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden Aim: Functional capacity and dependency in activities of daily living (ADL could be important mediators for an association between physical exercise and mental health. The aim of this study was to investigate whether a change in functional capacity or dependency in ADL is associated with a change in depressive symptoms and psychological well-being among older people living in residential care facilities, and whether dementia can be a moderating factor for this association. Methods: A prospective cohort study was undertaken. Participants were 206 older people, dependent in ADL, living in residential care facilities, 115 (56% of whom had diagnosed dementia. Multivariate linear regression, with comprehensive adjustment for potential confounders, was used to investigate associations between differences over 3 months in Berg Balance Scale (BBS and Geriatric Depression Scale (GDS-15 scores, and in BBS and Philadelphia Geriatric Center Morale Scale (PGCMS scores. Associations were also investigated between differences in Barthel ADL Index and GDS-15 scores, and in Barthel ADL Index and PGCMS scores. Results: There were no significant associations between changes in scores over 3 months; the unstandardized β for associations between BBS and GDS-15 was 0.026 (P=0.31, BBS and PGCMS 0.045 (P=0.14, Barthel ADL Index and GDS-15 0.123 (P=0.06, and Barthel ADL Index and PGCMS -0.013 (P=0.86. There were no interaction effects for dementia. Conclusion: A change in functional capacity or dependency in ADL does not appear to be associated with a change in depressive symptoms or psychological well-being among older people living in residential care

  15. Evaluation of properties of the Vestibular Disorders Activities of Daily Living Scale (Brazilian version in an elderly population

    Natalia A. Ricci

    2014-05-01

    Full Text Available Background: The Vestibular Disorders Activities of Daily Living Scale (VADL is considered an important subjective assessment to evaluate patients suffering from dizziness and imbalance. Although frequently used, its metric characteristics still require further investigation. Objective: This paper aims to analyze the psychometric properties of the Brazilian version of the VADL in an elderly population. Method: The sample comprises patients (≥65 years old with chronic dizziness resulting from vestibular disorders. For discriminant analysis, patients were compared to healthy subjects. All subjects answered the VADL-Brazil by interview. To examine the VADL validity, patients filled out the Dizziness Handicap Inventory (DHI and the ABC scale and were tested on the Dynamic Gait Index (DGI. To evaluate the VADL responsiveness, 20 patients were submitted to rehabilitation. Results: Patients (n=140 had a VADL total score of 4.1±1.6 points. Healthy subjects scored significantly less than patients in all the subscales and in the VADL total score. The VADL-Brazil was weakly correlated with the DHI and moderately to the ABC scale and the DGI. Instead of the original 3 subscales, factor analysis resulted in 6 factors. The VADL was capable of detecting changes after rehabilitation, which means that the instrument has responsiveness. Conclusions: This study provided more data about the psychometric properties and usefulness of the VADL-Brazil. The use of such a reliable and valid instrument increases the knowledge about disability in patients with vestibular disorders.

  16. Elders' perceptions of formal and informal care: aspects of getting and receiving help for their activities of daily living.

    Roe, B; Whattam, M; Young, H; Dimond, M

    2001-05-01

    A purposive and convenience sample of 16 women and four men receiving informal and formal care for their activities of daily living either at home or institutions in Southeast Washington, USA was interviewed. Qualitative findings related to asking for help, getting and receiving help, interpersonal aspects of receiving help, and met and unmet needs are reported. Some seniors found it more difficult to ask for and accept help and there were gender differences, with men tending to adopt a more logical and pragmatic approach while women viewed receiving help as a loss of independence and an invasion of privacy. Intimacy and nudity were also threats for women. Three styles of adjustment and acceptance were identified within the data and related to positive acceptance, resigned acceptance and passive acceptance. There appeared to be a relationship between independence and control, with elders losing some independence but retaining control through choice, payment and involvement in decision making. Reciprocity was found to bring added value to relationships between care providers and elders, with a rhythm and symmetry developing in relationships where needs were known, anticipated and met. Seniors should be encouraged to plan for their future and to find out about local help and services available to them in advance of their requiring any assistance. PMID:11820550

  17. Effect of six-month standardized tertiary rehabilitation program on the activities of daily living in stroke patients with hemiplegia

    2007-01-01

    BACKGROUND: At present, there are many studies on the rehabilitation therapy of stroke patients with hemiplegia, but there is deficiency of corresponding standardized rehabilitation program.OBJECTIVE: To explore the effects of standardized tertiary rehabilitation on the activities of daily living in stroke patients with hemiplegia within 6 months after attack.DESIGN: A clinical observation.SETTING: Department of Rehabilitation Medicine, Huashan Hospital of Fudan University.PARTICIPANTS: Eighty-two outpatients and inpatients with acute stroke were selected from the Department of Neurology, Shanghai Huashan Hosptial from January 1999 to June 2003, including 49 males and 33 females, 40 - 80 years of age, with a mean age of (65 ± 11) years old. Inclusive criteria: According to the diagnostic standards for cerebrovascular diseases set by Fourth National Academic Meeting for Cerebrovascular Disease in 1995, the patients were diagnosed as new attack of cerebral infarction or cerebral hemorrhage, and confirmed by CT or MRI to be initial patients; They should be accorded with the following conditions, including within 1 week after stabilization of life signs, Glasgow coma score > 8 points, 40 - 80 years of age, with disturbance of limb function. Informed consents were obtained from all the patients or their relatives. Exclusive criteria: Patients were excluded due to active liver disease, liver and kidney malfunction, congestive heart failure, malignant tumor, history of dementia, failure in respiratory function,tetraplegia; cerebral infarction or cerebral hemorrhage for more than 3 weeks; unable to be followed up due to in other cities and provinces; psychiatric history; deafness and muteness. According to the will of the patients or their relatives, the patients who accepted the standardized rehabilitation program were enrolled as the treatment group (n =42), and the others as the control group (n =40). Approval was obtained from the ethical committee of the hospital

  18. Adaptation Strategies, Well-Being, and Activities of Daily Living among People with Low Vision.

    Lindo, Gunnel; Nordholm, Lena

    1999-01-01

    A study compared positive and negative adaptation strategies used by people with low vision (25 working-age and 23 elderly people) who had participated in a rehabilitation program with 335 persons with neurological disabilities and 112 controls. Results indicate that the participants used a variety of positive and negative adaptation strategies.…

  19. Relationships of Community and Individual Level Social Capital with Activities of Daily Living and Death by Gender.

    Imamura, Haruhiko; Hamano, Tsuyoshi; Michikawa, Takehiro; Takeda-Imai, Fujimi; Nakamura, Takahiro; Takebayashi, Toru; Nishiwaki, Yuji

    2016-01-01

    This study determined whether there is an association between social capital and a composite outcome of decline in Activities of Daily Living (ADL) and death by gender. A prospective 3.5 year cohort study was conducted in a rural town in Japan. The study participants were 984 individuals aged 65 years and older with not impaired on ADL at 2010 baseline survey. Social participation and generalized trust were measured as social capital. The individual level responses were dichotomized and aggregated into the community level (eight areas). Multilevel logistic regression adjusting for covariates revealed that social participation at the individual level was significantly associated with higher odds of composite outcome (OR of "not participate" = 1.97, 95% CI = 1.38-2.81). Regarding generalized trust, only in men, there was an inverse association at the community level (OR of "low" = 0.55, 95% CI = 0.32-0.96), and a positive association at the individual level (OR of "tend to be careful" = 2.22, 95% CI = 1.27-3.90). These results suggest that social capital were associated with a decline in ADL and death and that the association may differ by gender. PMID:27589773

  20. Awareness of Daily Life Activities

    Metaxas, Georgios; Metin, Barbaros; Schneider, Jutta; Markopoulos, Panos; De Ruyter, Boris

    The well-publicized aging of Western societies has prompted a growing interest into technologies that support awareness in cross-generational families. The idea of supporting continual and partly automated flow of information between seniors living alone and their social intimates has been gaining ground among researchers but even among industries. It is anticipated that such an information flow can help bridge geographical distance, discrepant lifestyles, and daily routines, potentially providing peace of mind to both parties and feelings of being connected.

  1. Effects of donepezil on activities of daily living: integrated analysis of patient data from studies in mild, moderate and severe Alzheimer's disease

    Gauthier, Serge; Lopez, Oscar Lopez; Waldemar, Gunhild; Jones, Roy W; Cummings, Jeffrey; Zhang, Richard; Schindler, Rachel; Schwam, Elias

    2010-01-01

    We aimed to develop a standardization method to pool data recorded on different activities of daily living (ADL) scales in order to reduce variability of functional outcome data from Alzheimer's disease (AD) clinical trials and to better evaluate the effect of donepezil treatment on function in p...

  2. Comparison of Effect of Two Exercise Programs on Activities of Daily Living in Individuals with Dementia : A 9-Week Randomized, Controlled Trial

    Bossers, Willem J R; van der Woude, Lucas H V; Boersma, Froukje; Hortobágyi, Tibor; Scherder, Erik J A; van Heuvelen, Marieke J G

    2016-01-01

    OBJECTIVES: To compare the effects of two exercise programs on proxy- and performance-based measures of activities of daily living (ADLs) and to explore potential motor and cognitive mediators underlying ADL improvements in individuals with dementia. DESIGN: A parallel, three-group, single-blind, ra

  3. Effects of training using video games on the muscle strength, muscle tone, and activities of daily living of chronic stroke patients.

    Lee, Gyuchang

    2013-05-01

    [Purpose] The purpose of this study was to investigate the effects of training using video games played on the Xbox Kinect on the muscle strength, muscle tone, and activities of daily living of post-stroke patients. [Subjects] Fourteen stroke patients were recruited. They were randomly allocated into two groups; the experimental group (n=7) and the control group (n=7). [Methods] The experimental group performed training using video games played on the Xbox Kinect together with conventional occupational therapy for 6 weeks (1 hour/day, 3 days/week), and the control group received conventional occupational therapy only for 6 weeks (30 min/day, 3 days/week). Before and after the intervention, the participants were measured for muscle strength, muscle tone, and performance of activities of daily living. [Results] There were significant differences pre- and post-test in muscle strength of the upper extremities, except the wrist, and performance of activities of daily living in the experimental group. There were no significant differences between the two groups at post-test. [Conclusion] The training using video games played on the Xbox Kinect had a positive effect on the motor function and performance of activities of daily living. This study showed that training using video games played on the Xbox Kinect may be an effective intervention for the rehabilitation of stroke patients. PMID:24259810

  4. Development and community-based validation of the IDEA study Instrumental Activities of Daily Living (IDEA-IADL questionnaire

    Cecilia Collingwood

    2014-12-01

    Full Text Available Background: The dementia diagnosis gap in sub-Saharan Africa (SSA is large, partly due to difficulties in assessing function, an essential step in diagnosis. Objectives: As part of the Identification and Intervention for Dementia in Elderly Africans (IDEA study, to develop, pilot, and validate an Instrumental Activities of Daily Living (IADL questionnaire for use in a rural Tanzanian population to assist in the identification of people with dementia alongside cognitive screening. Design: The questionnaire was developed at a workshop for rural primary healthcare workers, based on culturally appropriate roles and usual activities of elderly people in this community. It was piloted in 52 individuals under follow-up from a dementia prevalence study. Validation subsequently took place during a community dementia-screening programme. Construct validation against gold standard clinical dementia diagnosis using DSM-IV criteria was carried out on a stratified sample of the cohort and validity assessed using area under the receiver operating characteristic (AUROC curve analysis. Results: An 11-item questionnaire (IDEA-IADL was developed after pilot testing. During formal validation on 130 community-dwelling elderly people who presented for screening, the AUROC curve was 0.896 for DSM-IV dementia when used in isolation and 0.937 when used in conjunction with the IDEA cognitive screen, previously validated in Tanzania. The internal consistency was 0.959. Performance on the IDEA-IADL was not biased with regard to age, gender or education level. Conclusions: The IDEA-IADL questionnaire appears to be a useful aid to dementia screening in this setting. Further validation in other healthcare settings in SSA is required.

  5. Identification of the affected lower limb and unaffected side motor functions as determinants of activities of daily living performance in stroke patients using partial correlation analysis

    Fujita, Takaaki; Sato, Atsushi; Togashi, Yui; Kasahara, Ryuichi; Ohashi, Takuro; Tsuchiya, Kenji; Yamamoto, Yuichi; Otsuki, Koji

    2015-01-01

    [Purpose] This study aimed to clarify the independent impact of the affected upper and lower limb, trunk, and unaffected side motor functions on activities of daily living in stroke patients using partial correlation analysis. [Subjects and Methods] This retrospective study included 77 stroke patients. Motor functions were assessed using the Stroke Impairment Assessment Set, and the activities of daily living performance was assessed using the Barthel index or Functional Independence Measure. Further, simple and partial correlation analyses were conducted between each motor function and activities of daily living parameter. [Results] Simple correlation analysis identified significant positive correlations for each pair. In contrast, partial correlation analysis only identified significant positive correlations between the affected lower limb or unaffected side functions and the Barthel index or Functional Independence Measure. This discrepancy between the two tests was explained by the significant interaction between the affected upper and lower limb functions and between the trunk and unaffected side functions. [Conclusion] The present study identified the affected lower limb and unaffected side motor functions as the major determinants of activities of daily living performance in stroke patients. These findings suggest that rehabilitation programs can be improved by targeting these areas. PMID:26311957

  6. Effect of Cognitive Rehabilitation on Improving Cognitive Function and Activities of Daily Living among Elderly Patients with Stroke at Assiut University Hospital

    Abd-Elaziz, Saieda Abd-Elhameed; Khedr, Eman M.; Ahmed, Hanaa Abd Elhakiem; Ibrahim, Hoda Diab Fahmy

    2015-01-01

    Cognitive impairment is a frequent consequence of stroke. The study aimed to measure the effect of cognitive rehabilitation of elderly patients with stroke on their cognitive function and activities of daily living. Quasi experimental research design were used in this study. This study was conducted at neuropsychiatric, physical medicine and…

  7. Frail Institutionalized Older Persons A Comprehensive Review on Physical Exercise, Physical Fitness, Activities of Daily Living, and Quality-of-Life

    Weening-Dijksterhuis, Elizabeth; de Greef, Mathieu H. G.; Scherder, Erik J. A.; Slaets, Joris P. J.; van der Schans, Cees P.

    2011-01-01

    Weening-Dijksterhuis E, de Greef MHG, Scherder EJA, Slaets JPJ, van der Schans CP: Frail institutionalized older persons: A comprehensive review on physical exercise, physical fitness, activities of daily living, and quality-of-life. Am J Phys Med Rehabil 2011;90:156Y168. The objective of this study

  8. The Combined Effect of Neuropsychological and Neuropathological Deficits on Instrumental Activities of Daily Living in Older Adults: a Systematic Review.

    Overdorp, Eduard J; Kessels, Roy P C; Claassen, Jurgen A; Oosterman, Joukje M

    2016-03-01

    To date, studies have consistently demonstrated associations between either neuropsychological deficits or neuroanatomical changes and instrumental activities of daily living (IADL) in aging. Only a limited number of studies have evaluated morphological brain changes and neuropsychological test performance concurrently in relation to IADL in this population. As a result, it remains largely unknown whether these factors independently predict functional outcome. The current systematic review intended to address this lack of information by reviewing the literature on older adults, incorporating studies that examined e.g., normal aging, but also stroke or dementia patients. A comprehensive search of databases (Pubmed, Embase, Medline, Web of Science, PsycINFO) and reference lists was performed, focusing on papers in the English language that examined the combined effect of neuropsychological and neuroanatomical factors on IADL in samples of adults with an average age above 50. In total, 58 potential articles were identified; 20 were included in the review. The results show that especially neuropsychological variables (primarily memory and executive functions) independently predict IADL. Although some unique predictive value of brain morphological changes, such as hippocampal atrophy, was found, support for the importance of white matter changes was limited. However, the results of the studies reviewed are diverse, and appear to be at least partially determined by the variables included. For example, studies were less likely to find an independent effect of cognition if they solely employed a cognitive screening instrument. This indicates that a structured examination of neuroanatomical and neuropsychological correlates of IADL in different patient populations is warranted. PMID:26732392

  9. Impact of estradiol-valerate dienogest on work productivity and activities of daily living in European and Australian women with heavy menstrual bleeding

    Wasiak R

    2012-07-01

    Full Text Available Radoslaw Wasiak,1 Anna Filonenko,2 David J Vanness,3 Kim U Wittrup-Jensen,2 Donald E Stull,1 Steven Siak,1 Ian Fraser41Centre for Health Economics and Science Policy, United BioSource Corporation, London, United Kingdom; 2Global Health Economics and Outcomes Research, Bayer Healthcare Pharmaceuticals, Berlin, Germany; 3University of Wisconsin, Madison, WI, USA; 4Department of Obstetrics and Gynaecology, University of Sydney, Sydney, NSW, AustraliaBackground: The purpose of this study was to quantify the impact of estradiol valerate-dienogest (E2V/DNG; Qlaira®/Natazia® on work productivity and activities of daily living in European and Australian women with heavy menstrual bleeding.Methods: Women aged 18–54 years with a confirmed diagnosis of heavy menstrual bleeding and no recognizable pathology were recruited across nine European countries (the Czech Republic, Finland, Germany, Hungary, The Netherlands, Poland, Sweden, UK, and Ukraine and Australia. The women were randomized to receive either E2V/DNG (n = 149 or placebo (n = 82 for seven treatment cycles (196 days. The outcomes assessed included work productivity (ie, productivity while at work and activities of daily living, measured on a Likert scale from 0 to 10 (with higher values denoting higher impairment levels at baseline and at the end of the third and seventh cycles (days 84 and 196. The equivalent monetary value associated with the changes in work productivity and activities of daily living was also calculated.Results: Across all the countries, greater improvements from baseline to the end of treatment were observed with E2V/DNG treatment than placebo in work productivity (46.0% versus 15.1% and activities of daily living (55.6% versus 30.8%. In 2008, savings associated with improvements in work productivity and activities of daily living due to E2V/DNG treatment (net of placebo improvement were estimated to be between US$22–62 and US$18–56 per month (in purchasing power

  10. Older Asian Americans and Pacific Islanders with Activities of Daily Living (ADL Limitations: Immigration and Other Factors Associated with Institutionalization

    Esme Fuller-Thomson

    2012-09-01

    Full Text Available This study determined the national prevalence and profile of Asian Americans with Activities of Daily Living (ADL limitations and identified factors associated with institutionalization. Data were obtained from 2006 American Community Survey, which replaced the long-form of the US Census. The data are nationally representative of both institutionalized and community-dwelling older adults. Respondents were Vietnamese (n = 203, Korean (n = 131, Japanese (n = 193, Filipino (n = 309, Asian Indian (n = 169, Chinese (n = 404, Hawaiian/Pacific Islander (n = 54, and non-Hispanic whites (n = 55,040 aged 55 and over who all had ADL limitations. The prevalence of institutionalized among those with ADL limitations varies substantially from 4.7% of Asian Indians to 18.8% of Korean Americans with ADL limitations. Every AAPI group had a lower prevalence of institutionalization than disabled Non-Hispanic whites older adults (23.8% (p < 0.001. After adjustment for socio-demographic characteristics, Asian Indians, Vietnamese, Japanese, Filipino, and Chinese had significantly lower odds of institutionalization than non-Hispanic whites (OR = 0.29, 0.31, 0.58, 0.51, 0.70, respectively. When the sample was restricted to AAPIs, the odds of institutionalization were higher among those who were older, unmarried, cognitively impaired and those who spoke English at home. This variation suggests that aggregating data across the AAPI groups obscures meaningful differences among these subpopulations and substantial inter-group differences may have important implications in the long-term care setting.

  11. Disability in activities of daily living, depression, and quality of life among older medical ICU survivors: a prospective cohort study

    Pisani Margaret A

    2011-02-01

    Full Text Available Abstract Background Accurate measurement of quality of life in older ICU survivors is difficult but critical for understanding the long-term impact of our treatments. Activities of daily living (ADLs are important components of functional status and more easily measured than quality of life (QOL. We sought to determine the cross-sectional associations between disability in ADLs and QOL as measured by version one of the Short Form 12-item Health Survey (SF-12 at both one month and one year post-ICU discharge. Methods Data was prospectively collected on 309 patients over age 60 admitted to the Yale-New Haven Hospital Medical ICU between 2002 and 2004. Among survivors an assessment of ADL's and QOL was performed at one month and one-year post-ICU discharge. The SF-12 was scored using the version one norm based scoring with 1990 population norms. Multivariable regression was used to adjust the association between ADLs and QOL for important covariates. Results Our analysis of SF-12 data from 110 patients at one month post-ICU discharge showed that depression and ADL disability were associated with decreased QOL. Our model accounted for 17% of variability in SF12 physical scores (PCS and 20% of variability in SF12 mental scores (MCS. The mean PCS of 37 was significantly lower than the population mean whereas the mean MCS score of 51 was similar to the population mean. At one year mean PCS scores improved and ADL disability was no longer significantly associated with QOL. Mortality was 17% (53 patients at ICU discharge, 26% (79 patients at hospital discharge, 33% (105 patients at one month post ICU admission, and was 45% (138 patients at one year post ICU discharge. Conclusions In our population of older ICU survivors, disability in ADLs was associated with reduced QOL as measured by the SF-12 at one month but not at one year. Although better markers of QOL in ICU survivors are needed, ADLs are a readily observable outcome. In the meantime, clinicians

  12. 長寿者の居住地の特性と日常生活動作能力 (Activities of Daily Living : ADL)

    荒木, 英俊

    1997-01-01

    A study on relationship between the living environment and activities of daily living (ADL) was conducted to all eldery persons of more than 100 years old in 1993. The response was received from 840 males (73.6%) of 100-107 years of ages. Living environment was devided into three areas according to the geographical areas (Hokkaido-Tohoku-Hokuriku-Sanin, Kanto-Tokai-Kinki, and Sanyo-Shikoku-Kyushu), two community types according to an urban or an agricultural or fishing village, and four commu...

  13. THE RELATIONSHIP BETWEEN SARCOPENIA,UNDERNUTRITION, PHYSICAL MOBILITY AND BASIC ACTIVITIES OF DAILY LIVING IN A GROUP OF ELDERLY WOMEN OF MEXICO CITY

    María del Consuelo Velázquez Alva; María Esther Irigoyen Camacho; Jaime Delgadillo Velázquez; Irina Lazarevich

    2013-01-01

    Background: Sarcopenia is a geriatric syndrome, which affects the functional status and mobility of individuals. Objective: To identify the prevalence of sarcopenia and undernutrition, and to assess the association between sarcopenia and mobility, and sarcopenia and basic activities of daily living (ADL) in a group of elderly women. Subjects and methods: A cross-sectional study was performed in patients attending a geriatric service at a government hospital in Mexico City. Sarcopenia was iden...

  14. Effects of Training Using Video Games on the Muscle Strength, Muscle Tone, and Activities of Daily Living of Chronic Stroke Patients

    Lee, GyuChang

    2013-01-01

    [Purpose] The purpose of this study was to investigate the effects of training using video games played on the Xbox Kinect on the muscle strength, muscle tone, and activities of daily living of post-stroke patients. [Subjects] Fourteen stroke patients were recruited. They were randomly allocated into two groups; the experimental group (n=7) and the control group (n=7). [Methods] The experimental group performed training using video games played on the Xbox Kinect together with conventional oc...

  15. Reiki efficacy of therpy in improving pain, fatigue, quiality of life and its impact on activities´s of women daily living suffering from fibromyalgia

    Lourdes Casillas Santamaría; Pilar Palazuelos Puerta; Irene de Blas Gómez; Ana Asenjo Montoro; Patricia Latorre Marco; Isabel Díaz Espinos

    2013-01-01

    Objective: The evaluation the Reiki therapy effectiveness to relieve pain, fatigue and its impact on activities´s of women daily living suffering from fibromyalgia.Methods: A controlled clinical trial, randomized to three groups (Reiki therapy, placebo and control) and hiding of random distribution. Subjects: 150 women, over 18 years, diagnosed with fibromyalgia, according to the American College of Rheumatology (ACR), diagnosed for more than a year and signing the informed consent. It will e...

  16. Possibility of Independence in ADL (Activities of Daily Living) for Patients with Cervical Spinal Cord Injuries : An Evaluation based on the Zancolli Classification of Residual Arm Functions

    Yoshimura, Osamu; Takayanagi, Kiyomi; Kobayashi, Ryuji; Hosoda, Masataka; Minematsu, Akira; Sasaki, Hisato; Maejima, Hiroshi; Matsuda, Yuiti; Tanaka, Satiko; Matsuo, Akihisa; Kanemura, Naohiko

    1998-01-01

    For patients with cervical spinal cord injuries to become independent in their ADL (Activities of Daily Living), residual arm function is very important. Also, age, sex, physical strength, obesity, spasticity, pain, contracture and motivation are related. We investigated the possibility of independence in ADL for patients with cervical spinal cord injuries, carrying out our evaluation based on the Zancolli Classification of Residual Arm Functions. Zancolli classification C6BII is taken as the...

  17. Tiredness in daily activities: a subjective measure for the identification of frailty among non-disabled community-living older adults

    Schultz-Larsen, Kirsten; Avlund, Kirsten

    2006-01-01

    The objective of this study was to determine whether the responses to questions about tiredness in daily activities is an early subjective sign of frailty indicating older community-living adults at increased risk for disability and mortality. Tiredness in daily activities as measured by the Mob......-T Scale, maximal power in sustained work, and comorbid diseases were assessed together with sociodemographic variables in a sample of 705 non-disabled, 70-year old men and women surveyed in 1984. Vital status of members was determined prospectively over the next 15 years. Onset of disability was measured...... in daily activities is suggested as a basis for identifying vulnerable frail subsets of older adults requiring targeted strategies for prevention....

  18. Ventilatory and muscular assessment in healthy subjects during an activity of daily living with unsupported arm elevation

    Giselle F. L. Panka

    2010-08-01

    Full Text Available INTRODUCTION: Patients with chronic obstructive pulmonary disease (COPD report dyspnea when performing activities of daily living (ADLs with elevated upper limbs. To elucidate the determinants of dyspnea, it is important to study the changes in the respiratory pattern of these patients and the electromyographic activity of their accessory muscles of respiration during ADLs. In the literature, there are no reports of a normative parameter, therefore it is necessary to study how these variables behave in healthy subjects. OBJECTIVES: To verify, in healthy subjects, the existence of changes in the respiratory pattern and activation of the sternocleidomastoid (SCM muscle during an ADL with unsupported arm elevation. METHODS: Thirteen male subjects, 60.57 (±6.42 years old, with normal spirometry values for age and sex, were evaluated using surface electromyography (EMG and respiratory inductive plethysmography (RIP collected at rest and during the activity of combing their hair with elevated and unsupported upper limbs. The data distribution was assessed using Shapiro-Wilk's test. ANOVA was used to compare the phases, and when the difference was significant (pINTRODUÇÃO: Pacientes com doença pulmonar obstrutiva crônica (DPOC relatam dispneia quando realizam atividades da vida diária (AVD com membros superiores (MMSS elevados. Estudar as alterações do padrão respiratório e a atividade eletromiográfica dos músculos acessórios da respiração desses pacientes nas AVD pode contribuir para esclarecer os determinantes de dispneia. Entretanto, não se encontrou, na literatura, um padrão de normalidade, fazendo-se necessário estudar, primeiramente, o comportamento dessas variáveis em saudáveis. OBJETIVOS: Verificar, em indivíduos saudáveis, a existência de mudanças no padrão respiratório e na ativação do músculo esternocleidomastoideo (ECM durante a realização de uma AVD com os MMSS elevados e sem apoio. MÉTODOS: Treze volunt

  19. A study on the effect of self bedside exercise program on resilience and activities of daily living for patients with hemiplegia

    Lee, Yang-Chool; Yi, Eun-Surk; Choi, Won-Ho; Lee, Byung-Mun; Cho, Sung-Bo; Kim, Ji-Youn

    2015-01-01

    The purpose of this study was to design a repeatable universal rehabilitation program in which patients with hemiplegia can participate voluntarily, complementing physical and occupational therapies to increase voluntary exercise practice rate. Also, this study attempted to identify the relationship between psychological resilience due to the implementation of self-bedside exercise and functional recovery of activity of daily living (ADL). 12 patients with hemiplegia voluntarily participated ...

  20. Daily life after Subarachnoid Haemorrhage : Identity construction, patients’ and relatives’ statements about patients’ memory, emotional status and activities of living

    Berggren, Elisabeth

    2012-01-01

    The overall aim of this thesis was to describe patients’ experience and reconstruction regarding the onset of, and events surrounding being struck by a Subarachnoid Haemorrhage (SAH), and to describe patients’ and relatives’ views of patients’ memory ability, emotional status and activities of living, in a long-term perspective. Methods: Both inductive and deductive approaches were used. Nine open interviews were carried out in home settings, in average 1 year and 7 seven months after the pat...

  1. Adding delayed recall to the ADAS-cog improves measurement precision in mild Alzheimer's disease: Implications for predicting instrumental activities of daily living.

    Lowe, Deborah A; Balsis, Steve; Benge, Jared F; Doody, Rachelle S

    2015-12-01

    As research increasingly focuses on preclinical stages of Alzheimer's disease (AD), instruments must be retooled to identify early cognitive markers of AD. A supplemental delayed recall subtest for the Alzheimer's Disease Assessment Scale-cognitive (ADAS-cog; Mohs, Rosen, & Davis, 1983; Rosen, Mohs, & Davis, 1984) is commonly implemented, but it is not known precisely where along the spectrum of cognitive dysfunction this subtest yields incremental information beyond what is gained from the standard ADAS-cog, or whether it can improve prediction of functional outcomes. An item response theory approach can analyze this in a psychometrically rigorous way. Seven hundred eighty-eight patients with AD or amnestic complaints or impairment completed a battery including the ADAS-cog and 2 activities of daily living measures. The delayed recall subtest slightly improved the ADAS-cog's measurement precision in the mild range of cognitive dysfunction and increased prediction of instrumental activities of daily living for individuals with subjective memory impairment. PMID:25938338

  2. The Manchester Respiratory Activities of Daily Living questionnaire for use in COPD patients: translation into Portuguese and cross-cultural adaptation for use in Brazil

    Junkes-Cunha, Maíra; Mayer, Anamaria Fleig; Reis, Cardine; Yohannes, Abebaw M; Maurici, Rosemeri

    2016-01-01

    Objective : To translate The Manchester Respiratory Activities of Daily Living (MRADL) questionnaire into Portuguese and to create a version of the MRADL that is cross-culturally adapted for use in Brazil. Methods : The English-language version of the MRADL was translated into Portuguese by two health care researchers who were fluent in English. A consensus version was obtained by other two researchers and a pulmonologist. That version was back-translated into English by another translator wh...

  3. The Manchester Respiratory Activities of Daily Living questionnaire for use in COPD patients: translation into Portuguese and cross-cultural adaptation for use in Brazil

    Maíra Junkes-Cunha; Anamaria Fleig Mayer; Cardine Reis; Yohannes, Abebaw M; Rosemeri Maurici

    2016-01-01

    Objective : To translate The Manchester Respiratory Activities of Daily Living (MRADL) questionnaire into Portuguese and to create a version of the MRADL that is cross-culturally adapted for use in Brazil. Methods : The English-language version of the MRADL was translated into Portuguese by two health care researchers who were fluent in English. A consensus version was obtained by other two researchers and a pulmonologist. That version was back-translated into English by another translator w...

  4. Airflow limitation or static hyperinflation: which is more closely related to dyspnea with activities of daily living in patients with COPD?

    Nishimura Takashi; Yasui Maya; Nishimura Koichi; Oga Toru

    2011-01-01

    Abstract Background Dyspnea while performing the activities of daily living has been suggested to be a better measurement than peak dyspnea during exercise. Furthermore, the inspiratory capacity (IC) has been shown to be more closely related to exercise tolerance and dyspnea than the FEV1, because dynamic hyperinflation is the main cause of shortness of breath in patients with COPD. However, breathlessness during exercise is measured in most studies to evaluate this relationship. Purpose To e...

  5. From Data Acquisition to Data Fusion: A Comprehensive Review and a Roadmap for the Identification of Activities of Daily Living Using Mobile Devices

    Ivan Miguel Pires

    2016-02-01

    Full Text Available This paper focuses on the research on the state of the art for sensor fusion techniques, applied to the sensors embedded in mobile devices, as a means to help identify the mobile device user’s daily activities. Sensor data fusion techniques are used to consolidate the data collected from several sensors, increasing the reliability of the algorithms for the identification of the different activities. However, mobile devices have several constraints, e.g., low memory, low battery life and low processing power, and some data fusion techniques are not suited to this scenario. The main purpose of this paper is to present an overview of the state of the art to identify examples of sensor data fusion techniques that can be applied to the sensors available in mobile devices aiming to identify activities of daily living (ADLs.

  6. Impact of the S.W.E.A.T.™ Water-Exercise Method on Activities of Daily Living for Older Women

    Sanders, Mary E.; Nobuo Takeshima; Michael E. Rogers; Colado, Juan C.; Sebastien Borreani

    2013-01-01

    Older women may have chronic or age-related conditions that increase the risk of falls or that limit their ability to remain active. It is unclear if a water-based exercise program provides a safe and effective alternative to land-based exercise. The purpose of this study was to evaluate the impact of a water-based exercise program method on land-based functional activities of daily living (ADL) for women 60 years and older. This study used a quasi- experimental, nonequivalent control group d...

  7. Impact of Gait Speed and Instrumental Activities of Daily Living on All-Cause Mortality in Adults ≥65 Years of Age with Heart Failure

    Lo, Alexander X.; Donnelly, John P.; McGwin, Gerald; Bittner, Vera; Ahmed, Ali; Brown, Cynthia J.

    2015-01-01

    Mobility and function are important predictors of survival. However, their combined impact on mortality in adults ≥65 years of age with heart failure (HF) is not well understood. This study examined the role of gait speed and instrumental activities of daily living (IADL) in all-cause mortality in a cohort of 1,119 community-dwelling Cardiovascular Health Study participants ≥65 years of age with incident HF. Data on HF and mortality were collected through annual examinations or contact during...

  8. The association between high recreational physical activity and physical activity as a part of daily living in adolescents and availability of local indoor sports facilities and sports clubs

    Niclasen, B.; Petzold, M.; Schnohr, Christina Warrer

    2012-01-01

    Aim: The aim of this study was to examine how vigorous physical activity (recreational physical activity) (VPA) and moderate to vigorous physical activity as a part of daily life (MVPA) is associated with structural characteristics (availability of sports facilities and sports clubs with child...

  9. Effect of post-stroke sensory disorders on the recovery processes of motor function and activity of daily living A non-randomized synchroniesl controlled trial

    2007-01-01

    BACKGROUND:In the rehabilitation of stroke patients,clinicians usually concentrate on motor problems,such as spasm of limbs and restriction of joint motion,while sensory and perceptive problems are almost always neglected,although they are just as important.One such area is the sensory disorder. OBJECTIVE:To evaluate the motor function and activities of daily living in stroke patients with and without sensory disorders after treatment of integrated western and Chinese medicine.DESIGN:A non-randomized synchronically controlled trial.SETTING:First Affiliated Hospital of Tianjin College of Traditional Chinese Medicine.PARTICIPANTS:Totally 500 stroke inpatients were selected from the Department of Acupuncture and Massage,the First Affiliated Hospital of Tianjin College of Traditional Chinese Medicine from January 2003 to December 2004.They all had suffered from stroke in the last 4 weeks and accompanied by sensory disorder of the ipsilateral limb to different severity.The patients were all accorded with the Diagnostic and Efficacy Evaluative Standards for Stroke (in trial)set by the Encephalopathy Emergency Assistant Group,the State Administration of Traditional Chinese Medicine in 1995,and they were diagnosed by imaging examination.The patients were stratified into sensory disorder group (n =220) and normal sense group (n=280).Informed consent for the detected items and therapeutic program was obtained from the relatives of all the participants.The study was approved by the hospital ethical committee.METHODS:All the patients were treated with acupuncture of Xing Nao Kai Qiao for restoring consciousness and inducing resuscitation,assisted by traditional Chinese medicine and western medicine specific to corresponding symptoms.The therapeutic principles were restoring consciousness and inducing resuscitation,nourishing liver and kidney,and dredging meridian.In addition,the patients were given western medical treatments for decreasing intracranial pressure

  10. Reiki efficacy of therpy in improving pain, fatigue, quiality of life and its impact on activities´s of women daily living suffering from fibromyalgia

    Lourdes Casillas Santamaría

    2013-01-01

    Full Text Available Objective: The evaluation the Reiki therapy effectiveness to relieve pain, fatigue and its impact on activities´s of women daily living suffering from fibromyalgia.Methods: A controlled clinical trial, randomized to three groups (Reiki therapy, placebo and control and hiding of random distribution. Subjects: 150 women, over 18 years, diagnosed with fibromyalgia, according to the American College of Rheumatology (ACR, diagnosed for more than a year and signing the informed consent. It will exclude those with mental or cognitive impairment that could impede their participation. Scope: Fibromyalgia Association of Madrid, with a record 2,500 members, with headquarters in downtown Madrid. Intervention: Standardization of Reiki therapy’s interventions, and placebo control. Reiki therapy will be applied by a solo Reiki Master, the placebo group will be attended by one solo nurse with no experience of touch therapy, simulating touches points of energy in the body; the control group receive no intervention. It will be 4 weekly sessions of 60 minutes in the case of Reiki and placebo groups. Participants in the control group will have to go to school to complete the questionnaires in the same periods of time. Variables (measuring instruments: main outcome variable: pain. It will be collected data on pain throughout the study (VAS, fatigue (VAS, quality of life (SF-36 and disease impact on activities of daily living (FIQ at various times: at the studio’s beginning (baseline, after a month and 3 months later. Sociodemographic and clinical variables will be collected also. Analysis: It will be made by allocated treatment (intention to treat. Comparisons shall be made of pain, fatigue, quality of life and disease’s impact on daily life activities among the three groups. Statistical analysis was done by analysis of variance.

  11. Designing and testing lightweight shoulder prostheses with hybrid actuators for movements involved in typical activities of daily living and impact absorption

    Sekine M

    2015-07-01

    Full Text Available Masashi Sekine,1,2 Kahori Kita,1 Wenwei Yu1 1Center for Frontier Medical Engineering, 2Graduate School of Engineering, Chiba University, Chiba, Japan Abstract: Unlike forearm amputees, transhumeral amputees have residual stumps that are too small to provide a sufficient range of operation for their prosthetic parts to perform usual activities of daily living. Furthermore, it is difficult for small residual stumps to provide sufficient impact absorption for safe manipulation in daily living, as intact arms do. Therefore, substitution of upper limb function in transhumeral amputees requires a sufficient range of motion and sufficient viscoelasticity for shoulder prostheses under critical weight and dimension constraints. We propose the use of two different types of actuators, ie, pneumatic elastic actuators (PEAs and servo motors. PEAs offer high power-to-weight performance and have intrinsic viscoelasticity in comparison with motors or standard industrial pneumatic cylinder actuators. However, the usefulness of PEAs in large working spaces is limited because of their short strokes. Servo motors, in contrast, can be used to achieve large ranges of motion. In this study, the relationship between the force and stroke of PEAs was investigated. The impact absorption of both types of actuators was measured using a single degree-of-freedom prototype to evaluate actuator compliance for safety purposes. Based on the fundamental properties of the actuators identified, a four degree-of-freedom robotic arm is proposed for prosthetic use. The configuration of the actuators and functional parts was designed to achieve a specified range of motion and torque calculated from the results of a simulation of typical movements performed in usual activities of daily living. Our experimental results showed that the requirements for the shoulder prostheses could be satisfied. Keywords: shoulder prosthesis, hybrid actuation, pneumatic elastic actuator, antagonistic

  12. A Longitudinal Study of Changes in Asylum Seekers Ability Regarding Activities of Daily Living During Their Stay in the Asylum Center

    Morville, Anne-Le; Amris, Kirstine; Eklund, Mona; Danneskiold-Samsøe, Bente; Erlandsson, Lena-Karin

    2015-01-01

    The aim was to assess change in activities of daily living (ADL) ability amongst asylum seekers and if there were any difference between tortured and non-torture following a 10 months post-arrival period, and if self-reported health and exposure to torture were factors related to change in ADL......-ability. The study was a combined baseline, follow-up correlational study amongst individuals from Afghanistan, Iran and Syria, living in Danish asylum centers. Forty-three persons aged 20-50, were invited and participated in the baseline study. Twenty-two were still in asylum center at the follow-up and 17 of...... depression increased. Exposure to physical torture and change in ADL motor (r = 0.525) measures were associated, as well as change in current pain and change in ADL process (r = 0.525) measures. Due to preponderance of torture survivors analysis of group difference was not applicable. Health care workers...

  13. Cement Vertebroplasty In The Elderly With Osteoporotic Vertebral Fractures. A Preliminary Study On The Change In Activity Of Daily Living After Treatment

    Collin Looi Seng-Kim

    2009-12-01

    Full Text Available Background: To assess the effect of cementvertebroplasty on the activity of daily living of elderlypatients who have sustained a vertebral osteoporoticfracture.Patients and Methods: Seven patients with clinicallysignificant and radiologically proven osteoporoticvertebral compression fractures suitable to be treatedwith percutaneous cement vertebroplasty wererecruited. Evaluation was based on pre- and postprocedureactivity by clinical documentation (includinginterview and by a self-developed questionnaire(including quality of life.Results: Following the procedure, 54% of patientsresumed their activities of daily living with minimalpain while 46% of patients were able to do so withoutany pain (p<0.05. Up to 85% of patients did notrequire any form of medication (p<0.05 and 77% ofpatients were found to have no pain. In addition to that,almost 62% of patients were able to ambulate normally.Conclusion: Percutaneous cement vertebroplastyappears to significantly improve the activities of dailyliving of elderly patients who have sustained vertebralosteoporotic fractures. It is also found to be a safeprocedure which contributes to reduced usage ofmedication, immediate pain reduction andimprovement in functional status of the patient.

  14. Esclerosis múltiple: alteraciones cognitivas y actividades de la vida diaria = Multiple sclerosis : cognitive impairments and activities of daily living

    Alegre Ayala, Jorge

    2008-02-01

    Full Text Available RESUMENLas alteraciones cognitivas ocasionadas por la Esclerosis Múltiple (EM dificultan el desempeño ocupacional de estos pacientes. No existe un patrón específico de deterioro cognitivo aunque son comunes las afectaciones de la memoria, los procesos atencionales, la velocidad de procesamiento de la información, las funciones ejecutivas, la fluidez verbal y la capacidad visuoespacial. Pese a no ser tan conocidos como los problemas físicos, los déficit cognitivos provocan limitaciones en la capacidad de estas personas para realizar sus actividades de la vida diaria (AVD. El artículo muestra explicaciones sobre las principales alteraciones cognitivas de la enfermedad y ejemplos de actividades de la vida diaria dañadas por éstas. SUMMARY Cognitive impairments caused by Multiple Sclerosis make these patients´ occupational performance difficult. It is not exist a specific pattern of cognitive injury although they are usual the affections in memory, attention process, speed of information processing, executive functions, verbal fluency and visual and spatial skills. Though are not so known like physical problems, the cognitive deficits provokes limitations in the ability of these persons to realize their activities of daily living. Article shows explains about principal cognitive impairments and examples of damage in the activities of daily living caused by Multiple Sclerosis.

  15. Airflow limitation or static hyperinflation: which is more closely related to dyspnea with activities of daily living in patients with COPD?

    Nishimura Takashi

    2011-10-01

    Full Text Available Abstract Background Dyspnea while performing the activities of daily living has been suggested to be a better measurement than peak dyspnea during exercise. Furthermore, the inspiratory capacity (IC has been shown to be more closely related to exercise tolerance and dyspnea than the FEV1, because dynamic hyperinflation is the main cause of shortness of breath in patients with COPD. However, breathlessness during exercise is measured in most studies to evaluate this relationship. Purpose To evaluate the correlation between breathlessness during daily activities and airflow limitation or static hyperinflation in COPD. Methods We examined 167 consecutive outpatients with stable COPD. The Baseline Dyspnea Index (BDI was used to evaluate dyspnea with activities of daily living. The relationship between the BDI score and the clinical measurements of pulmonary function was then investigated. Results The Spearman rank correlation coefficients (Rs between the BDI score and the FEV1(L, FEV1(%pred and FEV1/FVC were 0.60, 0.56 and 0.56, respectively. On the other hand, the BDI score also correlated with the IC, IC/predicted total lung capacity (TLC and IC/TLC (Rs = 0.45, 0.46 and 0.47, respectively. Although all of the relationships studied were strongly correlated, the correlation coefficients were better between dyspnea and airflow limitation than between dyspnea and static hyperinflation. In stepwise multiple regression analyses, the BDI score was most significantly explained by the FEV1 (R2 = 26.2% and the diffusion capacity for carbon monoxide (R2 = 14.4% (Cumulative R2 = 40.6%. Static hyperinflation was not a significant factor for clinical dyspnea on the stepwise multiple regression analysis. Conclusion Both static hyperinflation and airflow limitation contributed greatly to dyspnea in COPD patients.

  16. High-level activities of daily living and disease-specific mortality during a 12-year follow-up of an octogenarian population

    Takata Y

    2013-06-01

    Full Text Available Yutaka Takata,1 Toshihiro Ansai,2 Inho Soh,2 Shuji Awano,2 Ikuo Nakamichi,1 Sumio Akifusa,3 Kenichi Goto,1 Akihiro Yoshida,2 Hiroki Fujii,1 Ritsuko Fujisawa,1 Kazuo Sonoki31Division of General Internal Medicine, 2Division of Community Oral Health Science, 3Department of Oral Health and Environment, School of Oral Health Science, Kyushu Dental University, Kitakyushu, JapanBackground: Little is known about the relationship between disease-specific mortality and high-level activities of daily living in the elderly. We examined whether mortality is associated with high-level activities of daily living in an octogenarian population.Methods: We conducted a population-based cross-sectional and prospective cohort study in 693 older persons aged 80 years and living in Japan’s Fukuoka Prefecture. We then evaluated the association between 12-year disease-specific mortality and high-level functional capacity as measured by the Tokyo Metropolitan Institute of Gerontology Index of Competence, which is a standardized multidimensional 13-item instrument; items 1 through 5 are classified as instrumental self-maintenance activity, items 6 through 9 as intellectual activity, items 10 through 13 as social roles activity, and all 13 items together yield total functional capacity.Results: By the 12-year follow-up of the 693 participants, 413 had died, 242 survived, and 38 were unable to be located. Of the 413 who died, 105 died of cardiovascular disease, 73 of respiratory tract disease, 71 of cancer, and 39 of senility. Of the other 125 deaths, 59 were due to other diseases, and the cause of death for 66 participants is not known. The hazard ratio (HR for all-cause mortality, adjusted for confounding factors with multivariate Cox analyses, fell by 6% (HR 0.937, 95% confidence interval [CI] 0.899–0.978, P = 0.003 with each one-point increase in participants’ scores on the Tokyo Metropolitan Institute of Gerontology Index of total functional capacity. With one

  17. Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities

    Horikawa A

    2014-10-01

    Full Text Available Akira Horikawa,1 Naohisa Miyakoshi,2 Yoichi Shimada,2 Hiroyuki Kodama1 1South Akita Orthopedic Clinic, Katagami, 2Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan Abstract: With the population and proportion of the elderly increasing each year, ­difficulties with postoperative treatment outcomes after osteoporotic hip fracture are increasing. This study focused on activities of daily living (ADL in patients who underwent surgery for hip fracture through an investigation of living arrangements, the presence of dementia, and other complications of aging. Information from 99 patients who lived either at home or in geriatric health service facilities was collected for this trial. Most patients were over 65 years of age and female, and about half of them had dementia. The postoperative ADL score (focusing on patients’ walking ability was significant for those living at home than for those living in facilities. In addition, patients with dementia were divided into the following two categories: an early-rising group, comprising patients who were able to use a wheelchair within 48 hours of their operation; and a late-rising group, who did not start using a wheelchair until more than 48 hours after surgery. The ADL scores for the two groups were compared. Although the preoperative ADL scores were not significantly different between the two groups, postoperative ADL scores were significantly higher in the early-rising group than in the late-rising group, especially in patients who had undergone hemiarthroplasty. These data suggest that ADL in dementia patients following hip fracture depends on the surgical procedure performed and whether they are late or early risers after surgery. Keywords: delirium, dementia, rehabilitation, elderly

  18. Exercise therapy, quality of life, and activities of daily living in patients with Parkinson disease: a small scale quasi-randomised trial

    Khoei Ali

    2009-08-01

    Full Text Available Abstract Background The purpose of this study was to examine the effect of a 10-week exercise therapy regimen on activities of daily living (ADL and perceived health status in patients with Parkinson disease. Methods Twenty-four Parkinson's disease patients entered into the study. Participants were allocated into the experimental (n = 12 or control group (n = 12. ADL was assessed using the Short Parkinson Evaluation Scale/Scale for Outcomes in Parkinson Disease (SPES/SCOPA and perceived health status was measured using the Parkinson's Disease Quality of Life (PDQL questionnaire. Patients in the experimental group received pharmacological therapy plus a 1-hour exercise therapy session 4 times a week, while patients in the control group received pharmacological therapy only. The Mann-Whitney U test was used for comparison. Results The mean age of participants was 59.8 (SD = 3.0 and 58.2 (SD = 3.4 years in the experimental and control groups, respectively. The median Hoehn and Yahr stage was 3.0 for both groups. There were no significant differences in all subscales and overall scores between two groups at baseline. However, after the intervention, except for the emotional functioning (P = 0.27, there were significant differences between the two groups for Parkinson symptoms, systemic symptoms, social functioning, and overall scores of the PDQL (all P values Conclusion The findings from this small scale quasi-randomised trial showed that exercise therapy was effective in improving activities of daily living and perceived health status in patients with Parkinson's disease. Indeed, exercise therapy could be offered to patients with Parkinson disease, considering that it is low in cost and usually has no negative side effects. Trial registration Current Controlled Trials ISRCTN98825027

  19. A longitudinal study of change in asylum seekers Activities of Daily Living ability while in asylum centre

    Morville, Anne-Le; Amris, Kirstine; Eklund, Mona;

    2014-01-01

    questionnaire about exposure to torture and trauma. Ten months later, 17 participants were accessible for re-assessment, based on the same instruments as above. The participants took part in the usual activities in a centre during the time between baseline and follow-up. Results: At entrance, the asylum seekers...... impairment that increased during time spent in a centre, and that the increase may be associated with exposure to number of applied torture methods. Contribution to practice/evidence base of occupational therapy: The knowledge contributes to the planning and execution of preventive and rehabilitation...

  20. Translating the Dutch Walking Stairs, Walking Ability and Rising and Sitting Questionnaires into German and assessing their concurrent validity with VAS measures of pain and activities in daily living

    Perez Roberto SGM

    2010-06-01

    Full Text Available Abstract Background The Dutch Walking Stairs, Walking Ability and Rising and Sitting Questionnaires are three validated instruments to measure physical activity and limitations in daily living in patients with lower extremity disorders living at home of which no German equivalents are available. Our scope was to translate the Walking Stairs, Walking Ability and Rising and Sitting Questionnaires into German and to verify its concurrent validity in the two domains pain and activities in daily living by comparing them with the corresponding measures on the Visual Analogue Scale. Methods We translated the Walking Stairs, Walking Ability and Rising and Sitting Questionnaires according to published guidelines. Demographic data and validity were assessed in 52 consecutive patients with Complex Regional Pain Syndrome 1 of the lower extremity. Information on age, duration of symptoms, type of Complex Regional Pain Syndrome 1 and type of initiating event were obtained. We assessed the concurrent validity in the two domains pain and activities in daily living by comparing them with the corresponding measures on the Visual Analogue Scale. Results We found that variability in the German Walking Stairs, Walking Ability and Rising and Sitting Questionnaires was largely explained by measures of pain and activities in daily living on the Visual Analogue Scale. Conclusion Our study shows that the domains pain and activities in daily living are properly represented in the German versions of the Walking Stairs, Walking Ability and Raising and Sitting Questionnaires. We would like to propagate their use in clinical practice and research alike.

  1. Ability to perform activities of daily living is the main factor affecting quality of life in patients with dementia

    Andersen, Christian; Wittrup-Jensen, Kim U; Lolk, Anette;

    2004-01-01

    Dementia is a chronic illness associated with a progressive loss of cognitive and intellectual abilities, such as memory, judgment and abstract thinking. The objective of this study was to assess the health utilities of patients with dementia in Europe and identify the key factors influencing their...

  2. A longitudinal study of change in asylum seekers Activities of Daily Living ability while in asylum centre

    Morville, Anne-Le; Amris, Kirstine; Eklund, Mona;

    2015-01-01

    them participated. ADL-ability was measured using Assessment of Motor and Process Skills and questionnaires about exposure to torture, self-reported mental health and pain. ADL motor and process measures, well-being and self-rated health declined from baseline to follow-up. Measures of pain and...... depression increased. Exposure to physical torture and change in ADL motor (r=0.525) measures were associated, as well as change in current pain and change in ADL process (r=0.525) measures. Due to preponderance of torture survivors analysis of group difference was not applicable. Health care workers should...

  3. Evaluation of Three State-of-the-Art Classifiers for Recognition of Activities of Daily Living from Smart Home Ambient Data.

    Nef, Tobias; Urwyler, Prabitha; Büchler, Marcel; Tarnanas, Ioannis; Stucki, Reto; Cazzoli, Dario; Müri, René; Mosimann, Urs

    2015-01-01

    Smart homes for the aging population have recently started attracting the attention of the research community. The "health state" of smart homes is comprised of many different levels; starting with the physical health of citizens, it also includes longer-term health norms and outcomes, as well as the arena of positive behavior changes. One of the problems of interest is to monitor the activities of daily living (ADL) of the elderly, aiming at their protection and well-being. For this purpose, we installed passive infrared (PIR) sensors to detect motion in a specific area inside a smart apartment and used them to collect a set of ADL. In a novel approach, we describe a technology that allows the ground truth collected in one smart home to train activity recognition systems for other smart homes. We asked the users to label all instances of all ADL only once and subsequently applied data mining techniques to cluster in-home sensor firings. Each cluster would therefore represent the instances of the same activity. Once the clusters were associated to their corresponding activities, our system was able to recognize future activities. To improve the activity recognition accuracy, our system preprocessed raw sensor data by identifying overlapping activities. To evaluate the recognition performance from a 200-day dataset, we implemented three different active learning classification algorithms and compared their performance: naive Bayesian (NB), support vector machine (SVM) and random forest (RF). Based on our results, the RF classifier recognized activities with an average specificity of 96.53%, a sensitivity of 68.49%, a precision of 74.41% and an F-measure of 71.33%, outperforming both the NB and SVM classifiers. Further clustering markedly improved the results of the RF classifier. An activity recognition system based on PIR sensors in conjunction with a clustering classification approach was able to detect ADL from datasets collected from different homes. Thus, our

  4. Evaluation of Three State-of-the-Art Classifiers for Recognition of Activities of Daily Living from Smart Home Ambient Data

    Tobias Nef

    2015-05-01

    Full Text Available Smart homes for the aging population have recently started attracting the attention of the research community. The “health state” of smart homes is comprised of many different levels; starting with the physical health of citizens, it also includes longer-term health norms and outcomes, as well as the arena of positive behavior changes. One of the problems of interest is to monitor the activities of daily living (ADL of the elderly, aiming at their protection and well-being. For this purpose, we installed passive infrared (PIR sensors to detect motion in a specific area inside a smart apartment and used them to collect a set of ADL. In a novel approach, we describe a technology that allows the ground truth collected in one smart home to train activity recognition systems for other smart homes. We asked the users to label all instances of all ADL only once and subsequently applied data mining techniques to cluster in-home sensor firings. Each cluster would therefore represent the instances of the same activity. Once the clusters were associated to their corresponding activities, our system was able to recognize future activities. To improve the activity recognition accuracy, our system preprocessed raw sensor data by identifying overlapping activities. To evaluate the recognition performance from a 200-day dataset, we implemented three different active learning classification algorithms and compared their performance: naive Bayesian (NB, support vector machine (SVM and random forest (RF. Based on our results, the RF classifier recognized activities with an average specificity of 96.53%, a sensitivity of 68.49%, a precision of 74.41% and an F-measure of 71.33%, outperforming both the NB and SVM classifiers. Further clustering markedly improved the results of the RF classifier. An activity recognition system based on PIR sensors in conjunction with a clustering classification approach was able to detect ADL from datasets collected from different

  5. Aplicabilidade da escala London Chest Activity of Daily Living em pacientes em lista de espera para transplante de pulmão Applicability of the London Chest Activity of Daily Living scale in patients on the waiting list for lung transplantation

    Jocimar Prates Muller; Patrícia Ayres Guterres Gonçalves; Fabrício Farias da Fontoura; Rita Mattiello; Juliessa Florian

    2013-01-01

    OBJETIVO: Avaliar a aplicabilidade da escala London Chest Activity of Daily Living (LCADL), em pacientes em lista de transplante pulmonar. MÉTODOS: Estudo transversal com 26 pacientes em lista de espera para transplante de pulmão, de ambos os sexos, entre maio e setembro de 2010 tratados no Programa de Reabilitação Pulmonar, Complexo Hospitalar Santa Casa de Misericórdia de Porto Alegre, em Porto Alegre, RS. Todos os pacientes foram submetidos ao teste de caminhada de seis minutos (TC6) e a t...

  6. Ecological Assessment of Autonomy in Instrumental Activities of Daily Living in Dementia Patients by the means of an Automatic Video Monitoring System

    Alexandra eKönig

    2015-06-01

    Full Text Available Currently, the assessment of autonomy and functional ability involves clinical rating scales. However, scales are often limited in their ability to provide objective and sensitive information. In contrast, information and communication technologies may overcome these limitations by capturing more fully the functional, as well as cognitive disturbances associated with Alzheimer disease (AD. We investigated the quantitative assessment of the autonomy of dementia patients based not only on gait analysis but also on the participant performance on Instrumental Activities of Daily Living (IADL automatically recognized by a video event monitoring system (EMS. Three groups of participants (healthy controls, Mild Cognitive Impairment and AD patients had to carry out a standardized scenario consisting of physical tasks (single and dual task and several IADLs such as preparing a pillbox or making a phone call while being recorded. After, video sensor data was processed by an event monitoring system that automatically extracts kinematic parameters of the participants’ gait and recognizes their carried out activities. These parameters were then used for the assessment of the participants’ performance levels, here referred as autonomy. Autonomy assessment were approached as classification task using artificial intelligence methods that takes as input the parameters extracted by the event monitoring system, here referred as behavioral data. Activities were accurately recognized by the EMS with high precision. The most accurately recognized activities were: ‘prepare medication’ with 93% and ‘using phone’ with 89% precision. The diagnostic group classifier obtained a precision of 73.46% when combining the analyses of physical tasks with IADLs. In a further analysis, the created autonomy group classifier which obtained a precision of 83.67% when combining physical tasks and IADLs. Results suggest that it is possible to quantitatively assess IADL

  7. Effects of neurofeedback and computer-assisted cognitive rehabilitation on relative brain wave ratios and activities of daily living of stroke patients: a randomized control trial.

    Cho, Hwi-Young; Kim, Ki-Tae; Jung, Jin-Hwa

    2016-07-01

    [Purpose] This study investigated the effects of neurofeedback (NFB) and computer-assisted cognitive rehabilitation (CACR) on the relative brain wave ratios and activities of daily living (ADL) of stroke patients. [Subjects and Methods] Forty-four participants were randomly allocated to the NFB (n=14), CACR (n=14), or control (CON) (n=16) groups. Two expert therapists provided the NFB, CACR, and CON groups with traditional rehabilitation therapy in 30-minute sessions, 5 times a week, for 6 weeks. NFB training was provided only to the NFB group and CACR training was provided only to the CACR group. The CON group received traditional rehabilitation therapy only. Before and after 6 weeks of intervention, brain wave and ADL evaluations were performed, and the results were analyzed. [Results] The relative ratio of beta waves, only showed a significant increase in the frontal and parietal areas of the NFB group. Significant changes in ADL were shown by all three groups after the intervention. However, there were no significant differences between the NFB and CACR groups and the CON group. [Conclusion] Our results suggest that CACR and NFB are effective at improving cognitive function and ADL of stroke patients. PMID:27512287

  8. Hierarchical Linear Model Approach to the Determinants of Activities of Daily Living of Chinese Oldest Old at Both Individual and Regional levels

    Yin Deting; Lu Jiehua

    2007-01-01

    Based on the Chinese longitudinal healthy longevity survey conducted in 2002,this paper uses hierarchical linear model(HLM)to make an approach to the possible determinants of activities of daily living(ADL)of Chinese oldest old(aged 80 and above)by combining both individual and provincial level factors.The descriptive analysis shows that there is a great differential in ADL by province among Chinese oldest old.The findings turn out that there does exist a significant differential in ADL between oldest old and young old,and that there is also a great differential in ADL by province among Chinese oldest old.The HLM demonstrates that comorbidity,age,cognitive impairment,visual impairment,and emotion could be the most important individual factors while natural environment,medical facilities,type of staple food and poverty rate in urban areas are the most significantly regional determinants of ADL of oldest old.The findings imply that future actions should not only be taken at individual level,but also at regional level in order to achieve the goal of a healthy aging society in China.

  9. The Glittre-ADL test reflects functional performance measured by physical activities of daily living in patients with chronic obstructive pulmonary disease

    Manuela Karloh

    2016-01-01

    Full Text Available ABSTRACT Background The Glittre-ADL test (TGlittre is a valid and reliable test for the evaluation of functional capacity and involves multiple physical activities of daily living (PADL, which are known to be troublesome to patients with Chronic Obstructive Pulmonary Disease (COPD. However, it is still unknown if this test is also able to reflect the functional performance of patients with COPD. Objective To investigate whether the TGlittre reflects the functional performance of COPD patients and whether the necessary time to complete the TGlittre and the PADL varies according to disease severity. Method Thirty-eight patients with COPD (age 65, SD=7 years; forced expiratory volume in the first second 41.3, SD=15.2% predicted underwent anthropometric and lung function assessments and were submitted to the TGlittre and PADL measurement. Results TGlittre performance correlated significantly (p<0.05 with PADL variables, such as time sitting (r=0.50, walking (r=-0.46, number of steps taken (r=–0.53, walking movement intensity (r=–0.66, walking energy expenditure (r=-0.50, and total energy expenditure (r=–0.33. TGlittre performance was not significantly different in patients among the Global Initiative for COPD (GOLD spirometric stages, but walking and sitting time were significantly lower and greater, respectively, in severe and very severe patients compared to those with moderate disease (p<0.05. Conclusion The performance on the TGlittre correlates with walking and sitting time and other real life PADL measurements. The severity of the disease is associated with the differences in the level of physical activity in daily life more than in functional capacity.

  10. Specific cognitive domains and symptoms of depression as predictors of activities of daily living in older adults with heterogeneous cognitive backgrounds

    Jonas Jardim de Paula

    2015-07-01

    Full Text Available Cognitive functioning play an important role in the performance of activities of daily living (ADL. Although and association between this two measures are usually reported in neuropsychological studies, the results are inconsistent, especially in what aspects cognitive functioning are more or less related to each functional aspect. In addition, only a few studies investigated if depressive symptoms are associated with worse functional performance in older adults. Our objective is to investigate the role of different cognitive functions and the depressive symptoms in the performance of different groups of ADL and each activity individually. We assessed 264 older adults (96 normal aging controls, 85 patients diagnosed with mild cognitive impairment and 93 with mild probable Alzheimer’s disease dementia with low formal education (about 4 years. We used measures of ADL with different levels of complexity: Selfcare, Instrumental-Domestic and Instrumental Complex, along with composite factors of cognitive functions and the score of the Geriatric Depression Scale. Multiple linear regression analysis showed significant predictors of Instrumental-Domestic ADL (executive functions and episodic memory and Instrumental-Complex ADL (executive functions, episodic memory and language/semantic memory, with large effect sizes (22 and 28% of explained variance. Individual analysis of each Instrumental ADL shows a heterogeneous pattern of association with different cognitive factors and depressive symptoms, with effect sizes ranging from 22 to 38% of explained variance. Our results suggest that specific measures of ADL have different cognitive predictors and that depressive symptoms are associated with activities more dependent on social contact.

  11. The Manchester Respiratory Activities of Daily Living questionnaire for use in COPD patients: translation into Portuguese and cross-cultural adaptation for use in Brazil

    Junkes-Cunha, Maíra; Mayer, Anamaria Fleig; Reis, Cardine; Yohannes, Abebaw M.; Maurici, Rosemeri

    2016-01-01

    Objective : To translate The Manchester Respiratory Activities of Daily Living (MRADL) questionnaire into Portuguese and to create a version of the MRADL that is cross-culturally adapted for use in Brazil. Methods : The English-language version of the MRADL was translated into Portuguese by two health care researchers who were fluent in English. A consensus version was obtained by other two researchers and a pulmonologist. That version was back-translated into English by another translator who was a native speaker of English and fluent in Portuguese. The cognitive debriefing process consisted in having 10 COPD patients complete the translated questionnaire in order to test its understandability, clarity, and acceptability in the target population. On the basis of the results, the final Portuguese-language version of the MRADL was produced and approved by the committee and one of the authors of the original questionnaire. Results : The author of the MRADL questioned only a few items in the translated version, and some changes were made to the mobility and personal hygiene domains. Cultural differences regarding the domestic activities domain were found, in particular regarding the item "Do you have the ability to do a full clothes wash and hang them out to dry?", due to socioeconomic and climatic issues. The item "Do you take care of your garden?" was questioned by the participants who lived in apartments, being modified to "Do you take care of your garden or plants in your apartment?" Conclusions : The final Portuguese-language version of the MRADL adapted for use in Brazil was found to be easy to understand and easily applied. PMID:26982036

  12. Greater Independence in Activities of Daily Living is Associated with Higher Health-Related Quality of Life Scores in Nursing Home Residents with Dementia

    Charice S. Chan

    2015-06-01

    Full Text Available Health-related quality of life (HRQL for nursing home residents is important, however, the concept of quality of life is broad, encompasses many domains and is difficult to assess in people with dementia. Basic activities of daily living (ADL are measured routinely in nursing homes using the Resident Assessment Instrument-Minimum Data Set Version 2.0 (RAI-MDS and Functional Independence Measure (FIM instrument. We examined the relationship between HRQL and ADL to assess the future possibility of ADL dependency level serving as a surrogate measure of HRQL in residents with dementia. To assess ADL, measures derived from the RAI-MDS and FIM data were gathered for 111 residents at the beginning of our study and at 6-month follow-up. Higher scores for independence in ADL were correlated with higher scores for a disease-specific HRQL measure, the Quality of Life—Alzheimer’s Disease Scale. Preliminary evidence suggests that FIM-assessed ADL is associated with HRQL for these residents. The associations of the dressing and toileting items with HRQL were particularly strong. This finding suggests the importance of ADL function in HRQL. The RAI-MDS ADL scales should be used with caution to evaluate HRQL.

  13. Non-Motor symptoms in Portuguese Parkinson's Disease patients: correlation and impact on Quality of Life and Activities of Daily Living.

    Bugalho, Paulo; Lampreia, Tânia; Miguel, Rita; Mendonça, Marcelo D; Caetano, André; Barbosa, Raquel

    2016-01-01

    The prevalence of non-motor symptoms (NMS) in Parkinson's Disease (PD) has varied between studies. Their interrelation isn't totally understood. Also, the relative importance of each symptom, regarding its impact on activities of daily living (ADL) and health related quality of life (HRQL), remains debatable. We assessed all PD patients attending a Portuguese tertiary movement disorders center during one year (n = 134), with ADL, HRQL and other clinical scales approved for identifying the most relevant NMS in PD. All patients had at least one NMS. Sleep/fatigue, affect/cognition, attention/memory were the most frequent complaints, and their prevalence, above 80%, was higher than in most studies. There were significantly correlations between: sleepiness, psychosis and cognition; gastrointestinal, cardiovascular symptoms and pain; depression and apathy; anxiety and insomnia; olfaction, weight and hyperhidrosis. Depression/apathy exerted the strongest influence on HRQL and non-tremor motor dysfunction on ADL. Compared to studies in other countries, we found a higher prevalence of NMS, which could be specific of this population. The interrelation between NMS could be related to degeneration of different brain structures. NMS exert a stronger influence than MS in HRQL, which should be taken in account regarding treatment options. PMID:27573215

  14. Non-Motor symptoms in Portuguese Parkinson’s Disease patients: correlation and impact on Quality of Life and Activities of Daily Living

    Bugalho, Paulo; Lampreia, Tânia; Miguel, Rita; Mendonça, Marcelo D.; Caetano, André; Barbosa, Raquel

    2016-01-01

    The prevalence of non-motor symptoms (NMS) in Parkinson’s Disease (PD) has varied between studies. Their interrelation isn’t totally understood. Also, the relative importance of each symptom, regarding its impact on activities of daily living (ADL) and health related quality of life (HRQL), remains debatable. We assessed all PD patients attending a Portuguese tertiary movement disorders center during one year (n = 134), with ADL, HRQL and other clinical scales approved for identifying the most relevant NMS in PD. All patients had at least one NMS. Sleep/fatigue, affect/cognition, attention/memory were the most frequent complaints, and their prevalence, above 80%, was higher than in most studies. There were significantly correlations between: sleepiness, psychosis and cognition; gastrointestinal, cardiovascular symptoms and pain; depression and apathy; anxiety and insomnia; olfaction, weight and hyperhidrosis. Depression/apathy exerted the strongest influence on HRQL and non-tremor motor dysfunction on ADL. Compared to studies in other countries, we found a higher prevalence of NMS, which could be specific of this population. The interrelation between NMS could be related to degeneration of different brain structures. NMS exert a stronger influence than MS in HRQL, which should be taken in account regarding treatment options. PMID:27573215

  15. Long-term effects of 6-week whole-body vibration on balance recovery and activities of daily living in the postacute phase of stroke: a randomized, controlled trial.

    Nes, I.J.W. van; Latour, H.; Schils, F.; Meijer, R.; Kuijk, A. van; Geurts, A.C.H.

    2006-01-01

    BACKGROUND AND PURPOSE: The long-term effects of 6-weeks whole-body vibration, as a novel method of somatosensory stimulation, on postural control and activities of daily living were compared with those of 6 weeks of exercise therapy on music of the same intensity in the postacute phase of stroke. M

  16. Relationship between activity of daily living and asteatosis in the lower legs among elderly residents in long-term care institutions: a cross-sectional study.

    Nakagami, Gojiro; Kimura, Nao; Takehara, Kimie; Nakamura, Tetsuro; Kawashima, Makoto; Tsunemi, Yuichiro; Sanada, Hiromi

    2015-10-01

    This cross-sectional observational study investigated the relationship between the level of activities of daily living (ADL) and asteatosis in the lower legs among elderly residents. We enrolled 173 residents from a long-term care health facility and two special nursing homes for elderly persons in the Tokyo metropolitan area and Oshima Island, Japan. The level of ADL was measured by the Barthel Index. The relationship between the Barthel Index total score and the presence of asteatosis in the lower legs diagnosed by a dermatologist was analysed by multivariate logistic regression analysis. Among the residents, 79·2% had asteatosis in their lower legs. An increase of 1 point in the Barthel Index total score was significantly associated with a decreased probability of lower leg asteatosis after adjusting for age, sex and the type of institution (adjusted odds ratio = 0·982; 95% confidence interval: 0·966-0·998). A higher level of ADL is associated with a lower probability of having asteatosis in the lower legs among residents in long-term care institutions. Nurses should pay specific attention to residents with limited ADL for initiating preventive care for asteatosis. PMID:24131671

  17. Quantitative regional cerebral blood flow study with 123I-IMP in patients with dementia and in patients with poor activities of daily living

    N-isopropyl-p[123I]iodoamphetamine (123I-IMP) SPECT and quantitative regional cerebral blood flow (rCBF) studies were performed in 111 patients with cerebral disorders. Continuous arterial blood sampling method based on the microsphere model was used as a quantitative rCBF measurement. We evaluated rCBF in patients with dementia and also in patients with poor activities of daily living (ADL). Patients with dementia showed significant reduction of mean CBF in contrast to patients without dementia. Significant decrease of rCBF in the bilateral frontal cortex, parietal cortex and basal ganglia and the right temporal cortex were found in demented patients. Although patients with vascular dementia showed decreased rCBF in bilateral basal ganglia, demented patients with Parkinson's disease showed no significant reduction of rCBF in any region. Patients with poor ADL showed decreased rCBF in all brain regions. And particularly frontal and basal ganglionic defects were most pronounced. Patients with poor ADL resulting from cerebral infarction showed significant decrease of rCBF in bilateral basal ganglia. However, there was no significant correlation in Parkinson's disease between ADL and rCBF. The rCBF measurement with 123I-IMP is useful for clinical evaluation of demented patients and patients with poor ADL. (author)

  18. Normal shoulder muscular activation and co-ordination during a shoulder elevation task based on activities of daily living: an electromyographic study.

    Hawkes, David H; Alizadehkhaiyat, Omid; Fisher, Anthony C; Kemp, Graham J; Roebuck, Margaret M; Frostick, Simon P

    2012-01-01

    Studies of normal shoulder function have often failed to consider the inter-relationship between different muscle groups in activities relevant to daily life. Upper limb functional status was assessed in 12 healthy male volunteers using the Functional Impairment Test-Hand, Neck, Shoulder and Arm test (FIT-HaNSA). Electromyography was then used to study the activity and coordination of 13 muscles (10 by surface electrodes, 3 by fine-wire intramuscular electrodes) around the shoulder during a dynamic movement task based on the shelf-lifting task in FIT-HaNSA. Muscles were grouped for analysis into deltoid (anterior, middle, and posterior divisions), adductors (latissimus dorsi and teres major), rotator cuff (supraspinatus, infraspinatus, and subscapularis), and elbow flexor (brachioradialis, biceps brachii) groups. There were no significant inter-session effects. Using cross-correlation analysis to investigate the whole time-course of activation, there were highly significant positive correlations (p elbow flexor groups (p = 0.031). We conclude that the deltoid, adductor, and rotator cuff muscles all contribute to the muscular component of glenohumeral joint stability. Muscular stability can be adapted as required to meet task-specific demands. PMID:21674607

  19. The effects of Snoezelen (multi-sensory behavior therapy) and psychiatric care on agitation, apathy, and activities of daily living in dementia patients on a short term geriatric psychiatric inpatient unit.

    Staal, Jason A; Sacks, Amanda; Matheis, Robert; Collier, Lesley; Calia, Tina; Hanif, Henry; Kofman, Eugene S

    2007-01-01

    A randomized, controlled, single-blinded, between group study of 24 participants with moderate to severe dementia was conducted on a geriatric psychiatric unit. All participants received pharmacological therapy, occupational therapy, structured hospital environment, and were randomized to receive multi sensory behavior therapy (MSBT) or a structured activity session. Greater independence in activities of daily living (ADLs) was observed for the group treated with MSBT and standard psychiatric inpatient care on the Katz Index of Activities of Daily Living (KI-ADL; P = 0.05) than standard psychiatric inpatient care alone. The combination treatment of MSBT and standard psychiatric care also reduced agitation and apathy greater than standard psychiatric inpatient care alone as measured with the Pittsburgh Agitation Scale and the Scale for the Assessment of Negative Symptoms in Alzheimer's Disease (P = 0.05). Multiple regression analysis predicted that within the multi-sensory group, activities of daily living (KI-ADL) increased as apathy and agitation reduced (R2 = 0.42; p = 0.03). These data suggest that utilizing MSBT with standard psychiatric inpatient care may reduce apathy and agitation and additionally improve activities of daily living in hospitalized people with moderate to severe dementia more than standard care alone. PMID:18441625

  20. Improved performance in activities of daily living and mobility after a multidisciplinary postoperative rehabilitation in older people with femoral neck fracture : a randomized controlled trial with 1-year follow-up.

    Stenvall, Michael; Olofsson, Birgitta; Nyberg, Lars; Lundström, Maria; Gustafson, Yngve

    2007-01-01

    OBJECTIVE: To investigate the short- and long-term effects of a multidisciplinary postoperative rehabilitation programme in patients with femoral neck fracture. DESIGN AND SUBJECTS: A randomized controlled trial in patients (n = 199) with femoral neck fracture, aged >or= 70 years. METHODS: The primary outcomes were: living conditions, walking ability and activities of daily living performance on discharge, 4 and 12 months postoperatively. The intervention consisted of staff education, indi...

  1. Assessment of the daily physical activity in free-living Japanese men : validation and application study of an accelerometer against the doubly labeled water method

    Rafamantanantsoa, Hoby Hasina

    2003-01-01

    Background - There is a general agreement that measurement of total energy expenditure (TEE) is indispensable to elucidate the changes in energy balance.With the advancement and availability of the doubly labeled water (DLW) method to measure human energy expenditure in free-living condition since 1982, attempts have made to calculate the TEE by adding expenditures from basal metabolic rate (BMR), diet-induced thermogenesis (DIT), and physical activity. However, findings on physical activity-...

  2. Effect of action observation therapy on daily activities and motor recovery in stroke patients

    Mei-Hong Zhu

    2015-09-01

    Conclusion: Action observation therapy significantly improves upper extremity motor function and performance of activities of daily living, and alleviates upper limb spasticity in patients with stroke.

  3. Physical activity and affect in elementary school children’s daily lives

    JanKühnhausen

    2013-07-01

    Full Text Available A positive influence of physical activity (PA on affect has been shown in numerous studies. However, this relationship has not yet been studied in the daily life of children. We present a part of the FLUX study that attempts to contribute to filling that gap. To this end, a proper way to measure PA and affect in the daily life of children is needed. In pre-studies of the FLUX study, we were able to show that affect can be measured in children with self-report items that are answered using smartphones. In the current article, we show that it is feasible to objectively measure children’s PA with accelerometers for a period of several weeks and report descriptive information on the amount of activity of 51 children from 3rd and 4th grade. Additionally, we investigate the influence of daily PA on daily affect in children. Mixed effects models show no effect of PA on any of the four measured dimensions of affect. We discuss that this might be due to effects taking place at shorter time intervals, which can be investigated in future analyses.

  4. Transforming women's lives:Bobby Baker's performances of Daily Life

    Aston, Elaine

    2000-01-01

    In an earlier issue of New Theatre Quarterly, NTQ55 (August 1998), Marcia Blumberg examined the setting of the kitchen in performances by Bobby Baker and Jeanne Goosen, arguing for the 'transitional and transgressive' possibilities of this domesticum-performance space. Here, Elaine Aston returns to the 'kitchen' in Bobby Baker's performances of 'daily life.' The article examines Baker's 'language' of food which 'speaks' of domesticity, and her conjunction of comic playing and the hysterical m...

  5. Strategies for Daily Living

    ... Attention problems: Medication may be helpful. Keep the child’s environment as simple as possible, and structure time with brief activities. Easily frustrated/tantrums: Remove your child from the situation and use calming techniques such ...

  6. A Study of Daily Living Dependency Status among Elderly in an Urban Slum area of Dehradun

    Puneet Ohri

    2014-12-01

    Full Text Available Background: Population aging is observed world-wide. As per Census 2011, elderly constitutes 7.4% population of India. It is expected to increase to 20% in 2050. This segment of population faces multiple medical and psychological problems. To address and solve these problems great effort from the country and the community is required. Objective: To assess the daily living dependency status among elderly. Method:  A cross sectional study was conducted in Dehradun, among 215 elderly people, using a pre-structured questionnaire. Their activities of daily living (ADL and Instrumental activities of daily living (IADL were recorded by observation and interviewing them with their families. Results: Out of total, 93% individuals were independent in their ADLs, with more dependence in the very old elderly. Maximum inability was found in Bathing and dressing. 70.7% elderly were dependent on one or more IADLs, female elderly being more dependent than male (p<0.05. However there was no significant difference of dependence in the male and female elderly in performing ADLs. Education and socio-economic status had a positive effect on independence in IADLs. Among all IADLs male elderly showed a maximum dependency for cooking and laundry while females showed a greater dependency in using telephone, managing money and travelling.

  7. Entrenamiento en actividades de la vida diaria en un paciente con daño cerebral adquirido = Activities of daily living training in brain damage patient

    Ruiz Sancho, A

    2007-09-01

    Full Text Available RESUMENLas personas que se ven afectadas por un daño cerebral adquirido pueden sufrir secuelas físicas, cognitivas, conductuales y emocionales. La gravedad de las mismas varía en función de la magnitud y naturaleza del daño, dificultando que la persona mantenga su autonomía y que requiera de terceras personas durante el desempeño de sus tareas cotidianas.Dentro del proceso rehabilitador es función del terapeuta ocupacional intervenir en el entrenamiento de las actividades de la vida diaria básicas e instrumentales para lograr el nivel más alto de independencia posible. Cuánto más ecológico sea el tratamiento más posibilidades tendremos de que éste se generalice, sobre todo en los casos en que la gravedad de la lesión sea importante.El siguiente artículo describe el tratamiento en terapia ocupacional de una persona con daño cerebral adquirido mediante el entrenamiento en la realización de las actividades de la vida diaria básicas, permitiendo así la generalización de los aprendizajes en su entorno cotidiano con el fin de favorecer su autonomía personal. SUMARYPeople who have been affected by a cerebral acquired damage could suffer physical, cognitive, behavioural and emotional sequels. The gravity of these sequels changes depending on the magnitude and nature of the damage. And it makes more difficult that the person supports his/her autonomy and it could be necessary third persons for his/her daily care.By this way, in the rehabilitation process, the occupational therapist has to intervene in the training of the daily life basic and instrumental activities to get the highest possible level of independence. The more ecological it is the treatment, the more possibilities we will have that this one is generalized, especially the more serious is the person damage.The following article intents to describe an occupational therapy intervention with a person who has suffered an acquired brain damage, especially working by the

  8. Differences between questionnaire-and interview-based measures of activities of daily living (ADL) ability and their association with observed ADL ability in women with rheumatoid arthritis, knee osteoarthritis, and fibromyalgia

    Wæhrens, E. E.; Bliddal, Henning; Danneskiold-Samsøe, Bente;

    2012-01-01

    Although self-report based on questionnaire is the common method to obtain information about activities of daily living (ADL) ability in rheumatic diseases, little is known about the relationship between measures of ADL ability based on questionnaire, interview, and observation. The present study...... examined whether measures of self-reported ADL ability based on questionnaire and interview yielded different results, determined whether the magnitude of the difference varied among women with rheumatoid arthritis (RA), knee osteoarthritis (OA), and fibromyalgia (FM), and investigated the relationships...

  9. Tradução, validação e adaptação cultural da escala de atividade de vida diária Translation, validation and cultural adaptation of the 'activities of daily living' scale (ADLS

    Priscila Zeitune Nigri

    2007-01-01

    Full Text Available OBJETIVO: Realizar a tradução, adaptação cultural e validação do "Knee Outcome Survey- Activities of Daily Living Scale" (ADLS para a língua portuguesa, bem como verificar suas propriedades de medida, reprodutibilidade e validade, para que o mesmo possa ser usado como um instrumento específico para avaliação de sintomas em pacientes brasileiros portadores de afecções no joelho durante as atividades de vida diária. MÉTODOS: Foram realizadas 2 entrevistas,na primeira o questionário foi aplicado em conjunto ao Lysholm, SF-36 e EAV (examinador 1. Após aproximadamente 30 minutos da primeira entrevista, os mesmos pacientes responderam apenas ao ADLS (examinador 2. Após um intervalo entre 7 a 10 dias, foi realizada a terceira entrevista constituída de nova aplicação do ADLS (examinador 2. RESULTADOS: A amostra consistiu de 53 entrevistados, sendo a média de idade de 33.0566 anos e patologia mais freqüente a lesão ligamentar (56,6%. O índice de Sperman obteve um valor de 0,986 (alfa=0,05, roOBJECTIVES: To perform the translation, cultural adaptation and validation of the "Knee Outcome Survey - Activities of Daily Living Scale" (ADLS into Portuguese, as well as to check its measurement, reproducibility and validity properties in order to make it useful as a specific instrument for evaluating symptoms in Brazilian patients with knee injuries during their daily living activities. METHODS: Two interviews were performed; in the first interview, the questionnaire was applied along with Lysholm's, SF-36 and VAS (investigator 1. Approximately 30 minutes after the first interview, the same patients answered only the ADLS (investigator 2. After a break of 7 to 10 days, a third additional interview with the ADLS was applied (investigator 2. RESULTS: The sample was constituted of 53 subjects, with mean age of 33.0566 years, with the most frequent pathology being ligamentar injury (56.6%. The Spearman's index used for inter

  10. Association between the degree of physical impairment from leprosy and dependence in activities of daily living among the elderly in a health unit in the State of Minas Gerais

    Alisson da Costa Silva

    2014-04-01

    Full Text Available Introduction In addition to the common alterations and diseases inherent in the aging process, elderly persons with a history of leprosy are particularly vulnerable to dependence because of disease-related impairments. Objective determine whether physical impairment from leprosy is associated with dependence among the elderly. Methods An analytical cross-sectional study of elderly individuals with a history of leprosy and no signs of cognitive impairment was conducted using a database from a former leprosy colony-hospital. The patients were evaluated for dependence in the basic activities of daily living (BADL and instrumental activities of daily living (IADL, respectively and subjected to standard leprosy physical disability grading. Subsequently, descriptive and univariate analyses were conducted, the latter using Pearson's chi-squared test. Results A total of 186 elderly persons were included in the study. Of these individuals, 53.8% were women, 49.5% were older than 75 years of age, 93% had four or less years of formal education, 24.2% lived in an institution for the long-term care of the elderly (ILTC, and 18.3% had lower limb amputations. Among those evaluated, 79.8% had visible physical impairments from leprosy (grade 2, 83.3% were independent in BADL, and 10.2% were independent in IADL. There was a higher impairment grade among those patients who were IADL dependent (p=0.038. Conclusion s: The leprosy physical impairment grade is associated with dependence for IADL, creating the need for greater social support and systematic monitoring by a multidisciplinary team. The results highlight the importance of early diagnosis and treatment of leprosy to prevent physical impairment and dependence in later years.

  11. Investigation and analysis on 210 Senior citizens’ activity of daily living (ADL) in senior apartment%老年公寓210例老人日常生活能力(ADL)调查分析

    周琦; 秦生发; 马秋平; 梁凯讴; 黄子民

    2013-01-01

    目的:调查住老年公寓的日常生活能力与健康状况。方法:应用日常生活能力量表(ADL)对入住老年公寓210例老人测评。结果:调查对象中,平均每人患1.15种疾病(242/210);80-89岁组与60-69岁组,70-79岁组ADL分值比较,差异具有统计学意义(p<0.05)。结论:入住老年公寓老人具有高龄多病的特点,随着增龄日常生活能力显著下降,日常生活能力量表(ADL)具有良好的区分性。引入日常生活能力量表(ADL)进行评定,不失为老人分级管理的简便可靠的工具。%Objective:Investigation health conditions and activity of daily living of senior citizens living in senior apartment. Method:Appraising 210 senior citizens in senior apartment by using the Activity of Daily Living (ADL) scale. Result:On average, each respondent suffers from 1.15 kinds of disease (242/210), According to the comparison of the ADL values from 3 age groups of 80-89,60-69 and 70-79, the difference is statistically significant (p<0.05).Conclusion: Senior citizens living in senior apartment are characterized by the features of advanced ages and being troubled by diseases. While the age increases, the ability of daily living decreases. ADL scale has a fine distinguish ability. Therefore ADL scale is a convenient and reliable tool to classify senior citizens and furthermore facilitate a better care for the old.

  12. Children of the "Sug": A Study of the Daily Lives of Street Children in Khartoum, Sudan, with Intervention Recommendations

    Kudrati, Mustafa; Plummer, Mary L.; Yousif, Nassrin Dafaalla El Hag

    2008-01-01

    Objectives: The study examines street children's daily lives in Khartoum, Sudan to recommend ways to improve their conditions and to successfully assist them off the streets. Methods: In 2000-2001, eight researchers conducted participant observation for 7 weeks; 20 groups of children engaged in role-plays and drawing activities; over 500 children…

  13. Acquisition of an instrumental activity of daily living in patients with Korsakoff's syndrome: a comparison of trial and error and errorless learning.

    Oudman, Erik; Nijboer, Tanja C W; Postma, Albert; Wijnia, Jan W; Kerklaan, Sandra; Lindsen, Karen; Van der Stigchel, Stefan

    2013-01-01

    Patients with Korsakoff's syndrome show devastating amnesia and executive deficits. Consequently, the ability to perform instrumental activities such as making coffee is frequently diminished. It is currently unknown whether patients with Korsakoff's syndrome are able to (re)learn instrumental activities. A good candidate for an effective teaching technique in Korsakoff's syndrome is errorless learning as it is based on intact implicit memory functioning. Therefore, the aim of the current study was two-fold: to investigate whether patients with Korsakoff's syndrome are able to (re)learn instrumental activities, and to compare the effectiveness of errorless learning with trial and error learning in the acquisition and maintenance of an instrumental activity, namely using a washing machine to do the laundry. Whereas initial learning performance in the errorless learning condition was superior, both intervention techniques resulted in similar improvement over eight learning sessions. Moreover, performance in a different spatial layout showed a comparable improvement. Notably, in follow-up sessions starting after four weeks without practice, performance was still elevated in the errorless learning condition, but not in the trial and error condition. The current study demonstrates that (re)learning and maintenance of an instrumental activity is possible in patients with Korsakoff's syndrome. PMID:24047431

  14. The Self-Assessment of Role-Performance and Activities of Daily Living Abilities (SARA™): Development and Clinical Utility of a Client-Centered Screening Tool and Outcome Measure.

    Watkins, Sarah L; Lounsbury, Peggy A; Fleming-Castaldy, Rita P

    2016-01-01

    This article describes the development and use of the Self-Assessment of Role-performance and activities of daily living Abilities (SARA™), a standardized client-centered index of functional abilities. Developed in four phases, this article describes the initial development, pilot testing and revision, examination of psychometric properties, and finalization. Pilot studies found the SARA™ to be reliable, valid, and responsive to change. The use of the SARA™ in clinical practice and for outcome monitoring promotes client-centered goal setting and client-valued rehabilitation. It is a viable alternative to deficit-focused measures. The SARA™ is a promising new tool that warrants increased utilization and further research. PMID:26115016

  15. A STUDY ON DISABILITIES AMONGST THE ELDERLY IN THE URBAN AND RURAL AREAS IN THE KAMRUP DISTRICT, ASSAM BASED ON THE ACTIVITIES OF DAILY LIVING (ADL AND FUNCTIONAL LIMITATIONS

    Jhankar

    2014-06-01

    Full Text Available INTRODUCTION: Health problems are a major concern for the elderly and they are prone to diseases and disabilities more than the younger age groups which can make them physically and economically dependent. The increasing number of elderly in the country means that they are going to make contributions to the economy. Elderly persons, being one of the most vulnerable groups of the society have more chances of chronic disease, infections, as well as disabilities. Disability has been defined as a restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being.[1] It reflects how well an individual is able to function in general areas of life. Disability in elderly can be grouped in three large groups. First - who can manage in their daily activities with the help of mechanical devices. Second - who have multiple health problems and severe limitations in mental and/or physical functioning who require very intensive levels of care. Third-in between above two groups, they are functionally disabled in one or two ADLs, or have mild cognitive impairments.[2] OBJECTIVE OF THE STUDY: 1. To assess disability related to Activities of Daily Living(ADL amongst the elderly in the urban and rural area. 2. To determine the use of physical aids by the elderly in both the urban and rural areas. MATERIAL AND METHODS: This community-based cross-sectional study was conducted among persons aged 60 years and above, in urban and rural areas in the Kamrup district, Assam. In the study, 400 no.s of elderly are under study of which 200 are from the urban area and 200 from the rural areas. The urban area is from the Guwahati city which consists of 60 municipalty blocks. Out of the sixty municipalty blocks, 10 no.s of blocks are randomly selected and 20 elderly are chosen from each block totaling a mark of 200.The kamrup rural area of Rani Community Development block is choosen from where 20 no.s of villages are

  16. 居家养老老年人日常生活活动能力及其影响因素%Activities of Daily Living and Related Factors of the Elderly Homecare Receivers

    汤军克; 陈林利; 陈建平

    2012-01-01

    Objective To understand the activities of daily living and related factors of the elderly homecare receivers. Methods The elderly homecare receivers in 3 towns and 1 street of Shanghai Minhang District were enrolled by stratified cluster sampling, 830 elderly persons were investigated with Activities of Daily Living Scale (ADL). Results The score of the elderly in local areas was as following: ADL score was (25.59± 11.16), Physical Self-maintenance Scale (PSMS) score was (8.74±4.29), Instrumental Activity of Daily Living Scale (IADL) score was (16.85±7.53). PSMS impairment or dysfunction accounted for 55.19%, and IADL accounted for 79.64%. ADL score >16 points had 593 people, accounting for 71.45%, ≥22 points had 458 people, accounting for 55.18%. Conclusion The elderly homecare receivers have relatively poor ability of daily living. Related factors were whether to go out for a walk every day, monthly income, cerebrovas-cular accident, medical insurance, educational level, diabetes, the current life satisfaction, disease and loss of spouse.%目的 了解居家养老老年人日常生活活动能力(ADL)及其影响因素.方法 采用分层整群抽样方法抽取上海市闵行区3 个镇1 个街道的830 名居家养老老年人,采用ADL 量表进行调查.结果 居家养老老年人ADL 得分情况为:人均ADL 总分为(25.59±11.16)分,其中躯体生活自理能力(PSMS)得分为(8.74±4.29)分,工具性日常生活活动能力(IADL)得分为(16.85±7.53)分.830名老年人中,PSMS、IADL 受损或功能下降的分别占55.19%,79.64%.ADL 总分>16 分的有593(71.45%)人,≥22 分的有458(55.18%)人.结论 居家养老老年人ADL 较差;影响居家养老老年人ADL 的因素有:是否每天外出散步、每月收入、是否患有脑血管意外、医疗保险、文化程度、糖尿病、对目前生活满意度、有无疾病、是否丧偶.

  17. Daily activities of school-age children with cerebral palsy : development and learning

    Smits, D.W.

    2011-01-01

    In care and research, there is increasing interest in the daily lives of children with cerebral palsy (CP). So far, we know that CP can have a limiting impact on daily activities such as locomotion and self-care. What we, however, don’t know is how children with CP develop over time in terms of their daily activities. Is there progress, stagnation, or decline, and to what degree, in which activities, in which children? Besides, little is known about how children with CP learn their daily acti...

  18. Daily living skills in individuals with autism spectrum disorder from 2 to 21 years of age.

    Bal, Vanessa Hus; Kim, So-Hyun; Cheong, Daniel; Lord, Catherine

    2015-10-01

    Daily living skills (DLS), such as personal hygiene, meal preparation, and money management, are important to independent living. Research suggests that many individuals with autism spectrum disorder exhibit impairments in daily living skills relative to their cognitive skills. This study examined predictors of daily living skills attainment and trajectories of daily living skills in a longitudinal sample referred for possible autism spectrum disorder and followed from 2 to 21 years of age. Consistent with previous studies, participants with autism spectrum disorder and nonspectrum diagnoses showed continual development of daily living skills throughout childhood and adolescence. Early childhood nonverbal mental age was the strongest predictor of daily living skills attainment for both diagnostic groups. Group-based modeling suggested two distinct trajectories of daily living skills development for participants with autism spectrum disorder. Skill levels for both groups of young adults with autism spectrum disorder remained considerably below age level expectations. Whereas the "High-DLS" group gained approximately 12 years in daily living skills from T2 to T21, the "Low-DLS" group's daily living skills improved 3-4 years over the 16- to 19-year study period. Nonverbal mental age, receptive language, and social-communication impairment at 2 years predicted High- versus Low-DLS group membership. Receiving greater than 20 h of parent-implemented intervention before age 3 was also associated with daily living skills trajectory. Results suggest that daily living skills should be a focus of treatment plans for individuals with autism spectrum disorder, particularly adolescents transitioning to young adulthood. PMID:25922445

  19. The development of a socio-dental measure of dental impacts on daily living.

    Leao, A; Sheiham, A

    1996-03-01

    This study outlines the development of a socio-dental method which includes measures of the impacts of oral health status on the quality of daily living. The measure, the Dental Impact on Daily Living (DIDL), has five dimensions: Comfort, Appearance, Pain, Performance and Eating Restriction (CAPPER). DIDL differs from other socio-dental indicators in that it assesses the dental impacts on daily living, the relative importance respondents attribute to each impact dimension and their oral status. Weighting is assigned by every person through an easy to use scale using a sliding arrow that the subject moves. DIDL generates an impact score for each dimension. In addition, since impacts do not usually occur separately, a single total impact score is also estimated to assess total oral impacts. The instrument was tested using item-analysis, factor analysis, validation and reliability tests. The measure was tested in Brazil on a sample of 662 people, aged 35 to 44 years, of two social classes and both genders. Three different levels of oral status were used: high DMFT, medium DMFT and low DMFT. Estimating the relative importance people attributed to the different dimensions was important as shown by the fact that differences between sub-groups were found. DIDL attempts to assess how oral health is perceived by individuals and how the mouth and teeth affect people. Combined with clinical status measures, DIDL should prove a valuable tool to assess need. PMID:8634892

  20. Long Term Outcome and Prediction Models of Cognition, Activities of Daily Living and Nursing Home Placement in Alzheimer’s Disease with Cholinesterase Inhibitor Treatment

    Wattmo, Carina

    2011-01-01

    Background Prospective longitudinal studies in Alzheimer's disease (AD) that include cholinesterase inhibitor (ChEI) treatment in routine clinical settings are scarce. The patients vary in severity of the disease, clinical course, rate of progression and response to treatment. Knowledge about the predicted course of the disease, sociodemographic and clinical factors affecting the outcome and the impact of ChEI therapy, could be valuable for clinicians and the social services. This info...

  1. Quick lateral movements of the trunk in a seated position reflect mobility and activities of daily living (ADL) function in frail elderly individuals.

    Iwata, Akira; Higuchi, Yumi; Kimura, Daisuke; Okamoto, Kensuke; Arai, Shin; Iwata, Hiroshi; Fuchioka, Satoshi

    2013-01-01

    A novel and safe performance test for measuring mobility is described. The test, which we have named the Seated Side Tapping test (Side Tapping test), requires the subjects to move their bodies laterally to the left and right in turn as quickly as possible whilst remaining in a seated position. We examined the associations between the results of the new test and those of other mobility tests, ADL, and the use of walking aids. The participants were 75 frail elderly people who were receiving rehabilitation services. Gait speed and the timed up and go (TUG) test were employed as mobility tests, and the participants' use of walking aids was recorded. The ADL score was assessed using the Barthel Index. Significant correlations were found between the side tapping test and gait speed (r=-0.59, pwalking aids. These results indicate that an ability to perform quick lateral trunk movements in a seated position reflects their mobility during standing. Thus, we concluded that since the side tapping test is simple and safe, it is useful for detecting mobility impairments, ADL levels, and the need for walking aids, especially in frail elderly individuals. PMID:23270712

  2. Effects of Snoezelen Room, Activities of Daily Living Skills Training, and Vocational Skills Training on Aggression and Self-Injury by Adults with Mental Retardation and Mental Illness

    Singh, Nirbhay N.; Lancioni, Giulio E.; Winton, Alan S. W.; Molina, Enrique J.; Sage, Monica; Brown, Stephen; Groeneweg, Jop

    2004-01-01

    Multi-sensory stimulation provided in a Snoezelen room is being used increasingly for individuals with mental retardation and mental illness to facilitate relaxation, provide enjoyment, and inhibit behavioral challenges. We observed aggressive and self-injurious behavior in three groups of 15 individuals with severe or profound mental retardation…

  3. Some Environmental Factors Affecting Birth Weight, Weaning Weight and Daily Live Weight Gain of Holstein Calves

    Erdal Yaylak

    2015-07-01

    Full Text Available The present study was conducted to determine some environmental factors affecting birth weight, weaning weight and daily live weight gain of Holstein calves of a livestock facility in Izmir, Turkey. The data on 2091 calves born between the years 2005-2010 were used to assess the relevant parameters. Effects of calving year, calving month, calf gender and the interaction between calving year and calving month on calves’ birth weights were highly significant. The overall mean of birth weights was 39.6±0.15 kg. In addition, effects of calving year, calving month, gender, birth weight, weaning age, calving year x calving month, calving year x gender and calving year x calving month x gender interactions on weaning weight (WW and daily live weight gain (DLWG were highly significant. The overall means of WW and DLWG were respectively found to be 79.7±0.20 kg and 525±2.5 g. A one kilogram increase in birth weight resulted in an increase of 0.89 kg in weaning weight and a decrease of 1.26 g in daily live weight gain. Prenatal temperature-humidity index (THI affected birth weight of calves (R2=0.67. Increasing THI from 50 to 80 resulted in 3.8 kg decrease in birth weight.

  4. Generating Unsupervised Models for Online Long-Term Daily Living Activity Recognition

    Negin, Farhood; Cosar, Serhan; Koperski, Michal; Bremond, François

    2015-01-01

    This paper presents an unsupervised approach for learning long-term human activities without requiring any user interaction (e.g., clipping long-term videos into short-term actions, labeling huge amount of short-term actions as in supervised approaches). First, important regions in the scene are learned via clustering trajectory points and the global movement of people is presented as a sequence of primitive events. Then, using local action descriptors with bag-of-words (BoW) approach, we rep...

  5. Study on the relationship between individual activities of daily living and self-rated health among elderly people in Beijing%老年人生活自理能力与健康自评的相关性研究

    李蕾; 孙菲; 汤哲; 刁丽军

    2016-01-01

    目的:了解北京市老年人生活自理能力状况及其与健康自评之间的相关关系。方法采取分层整群抽样方法,抽取来自北京市城区和农村的2411名60岁及以上的老年人进行问卷调查。问卷包括人口学资料、家庭与经济状况、卫生行为、躯体健康及生活活动能力等多个维度的内容。结果在接受健康自评调查的2335名老年人中,分别有6.38%和40.21%的人认为自己的健康状况为“很好”或“好”,17.26%和2.01%的老年人认为自己的健康状况为“差”或“很差”。农村老年人在日常活动中的非完全自理比例均明显高于城区老年人。女性老年人“洗澡”、“自己乘车”、“上街购物”、“走半里路”、“剪脚趾甲”和“上下一层楼”等项目的非完全自理比例明显高于男性老年人。 Logistic回归分析结果显示老年人的生活自理能力与健康状态之间存在明显的相关关系,生活非完全自理的老年人的健康自评结果明显较自理老年人差。在各因素中,进食( OR=7.51,95%CI:3.55~15.89)和室内活动(OR=7.36,95%CI:4.29~12.64)是与健康自评有关的、主要的、独立的影响因素。结论生活自理能力是老年人的自评健康状态的重要影响因素。%Objective To investigate both the prevalence of functional disability in each activity of basic activities of daily living ( ADL) item and instrumental activities of daily living ( IADL) item scales, then the association between each ADL and IADL item and the self-rated health was also explored among the elderly in Beijing. Methods The sample population consisted of 2 411 elderly people over 60, which were taken samples from urban and rural district in Beijing by stratified cluster sampling method. The investigations were completed by trained staff using questionnaires concerning demographic characteristics, living conditions and health status, and activities of

  6. Temporal tuning of daily rhythms helps advanced cancer patients and cancer survivors feel better, live better, and live longer

    Hrushesky W

    2016-01-01

    Full Text Available William Hrushesky,1–5 James F Grutsch,6 Dinah Faith Q Huff,1 Linda Tavolacci,7 Thomas Kazlausky7 1Oncology Analytics, Inc., Plantation, FL, USA; 2South Carolina College of Pharmacy, 3Arnold School of Public Health, University of South Carolina, Columbia, SC, USA; 4Hollings Cancer Center, 5Department of Public Health Science, Medical University of South Carolina, Charleston, SC, USA; 6Department of Epidemiology and Biostatistics, University of Illinois School of Public Health, Chicago, IL, USA; 7Ambulatory Monitoring, Inc., Ardsley, NY, USA Abstract: There is now little doubt that disrupted day/night (circadian time structures are involved in the initiation and promotion of neoplastic disease. It has been established that the incidence of breast cancer, colorectal cancer, and prostate cancer is increased as a result of nocturnal exposure to light and circadian function disruption and that cancer patient survival is diminished. So the question is: what public health measures can be implemented to minimize these health hazards? In addition, untreated cancer patients experience the symptom cluster of brief, interrupted, and poor nighttime sleep; depressed mood/anxiety; daytime fatigue/lethargy; and anorexia/early satiety/diminished taste sensation – each of which is virtually pathognomonic of a disrupted circadian temporal organization. Direct measurements of patients' activities and their timing and intensity using actigraphy reveal that untreated cancer patients experience severe deterioration in the robustness (amplitude and day-to-day phase stability of their daily rest/activity rhythms – and one of the most personal and socially destructive results of such circadian disorientation is unplanned, unwanted, and avoidable temporal isolation from family, friends, and society. Thus, therapeutic manipulation of the circadian clock is a powerful tool for improving cancer patients' quality of life (QOL, making life more worth living and perhaps

  7. A Daily Process Analysis of Intentions and Physical Activity in College Students

    Conroy, David E.; Elavsky, Steriani; Doerksen, Shawna E; Maher, Jaclyn P.

    2013-01-01

    Social-cognitive theories, such as the theory of planned behavior, posit intentions as proximal influences on physical activity (PA). This paper extends those theories by examining within-person variation in intentions and moderate-vigorous physical activity (MVPA) as a function of the unfolding constraints in people’s daily lives (e.g., perceived time availability, fatigue, soreness, weather, overeating). College students (N = 63) completed a 14-day diary study rating daily motivation, conte...

  8. Avaliação das atividades de vida diária de idosos com diferentes níveis de demência Evaluation of the activities of daily living of elderly people with different levels of dementia

    TA Marra

    2007-08-01

    Full Text Available OBJETIVOS: Comparar o desempenho de idosos com diferentes níveis de gravidade de demência em questionários de atividades básicas de vida diária (ABVDs e atividades instrumentais de vida diária (AIVDs. Verificar se existe correlação entre os questionários de AIVDs aplicados. METODOLOGIA: Foram aleatorizados 90 idosos (75,46 ± 7,66 anos atendidos no Centro de Referência do Idoso-MG, com diagnóstico clínico de demência (DSM-IV/APA e classificados quanto ao nível de gravidade da demência (Clinical Dementia Rating. As ABVDs foram avaliadas pelo Índice de Katz, e as AIVDs, pelo Índice de Lawton-Brody e de Pfeffer. Os testes de Kruskal-Wallis e de Mann-Whitney foram utilizados para verificar o desempenho dos idosos nas ABVDs, e a correlação de Spearman, para investigar a relação entre os instrumentos de AIVDs (alfaOBJECTIVE: To compare the performance of elderly people with different levels of severity of dementia using questionnaires on basic activities of daily living (BADLs and instrumental activities of daily living (IADLs. Also, to verify whether there were any association between the IADL questionnaires applied. METHOD: Ninety elderly people, aged 75.46 ± 7.66 years with a clinical diagnosis of dementia (DSM-IV/APA who were seen at the Minas Gerais Reference Center for the Elderly, were randomized selected and classified according to the level of severity of their dementia (Clinical Dementia Rating. Their BADLs were assessed using the Katz Index and their IADLs by the Lawton-Brody and Pfeffer indexes. The Kruskal-Wallis and Mann-Whitney tests were used in order to investigate the elderly people's performance regarding BADLs, while the Spearman correlation was used to investigate the relationships among the IADL (alpha< 0.05. RESULTS: Statistically significant differences in performance were found between the elderly people with different levels of severity of dementia, as assessed by the BADL and IADL questionnaires (p< 0

  9. Seasonal variations in daily rhythms of activity in athletic horses.

    Bertolucci, C; Giannetto, C; Fazio, F; Piccione, G

    2008-07-01

    Circadian rhythms reflect extensive programming of biological activity that meets and exploits the challenges and opportunities offered by the periodic nature of the environment. In the present investigation, we recorded the total activity of athletic horses kept at four different times of the year (vernal equinox, summer solstice, autumn equinox and winter solstice), to evaluate the presence of seasonal variations of daily activity rhythms. Athletic Thoroughbred horses were kept in individual boxes with paddock. Digitally integrated measure of total activity of each mare was continuously recorded by actigraphy-based data loggers. Horse total activities were not evenly distributed over the day, but they were mainly diurnal during the year. Daily activity rhythms showed clear seasonal variations, with the highest daily amount of activity during the vernal equinox and the lowest during the winter solstice. Interestingly, the amount of activity during either photophase or scotophase changed significantly throughout the year. Circadian analysis of horse activities showed that the acrophase, the estimated time at which the peak of the rhythm occurs, did not change during the year, it always occurred in the middle of the photoperiod. Analysing the time structure of long-term and continuously measured activity and feeding could be a useful method to critically evaluate athletic horse management systems in which spontaneous locomotor activity and feeding are severely limited. Circadian rhythms are present in several elements of sensory motor and psychomotor functions and these would be taken into consideration to plan the training schedules and competitions in athletic horses. PMID:22443706

  10. Physical fitness is predictive for a decline in the ability to perform instrumental activities of daily living in older adults with intellectual disabilities: Results of the HA-ID study.

    Oppewal, Alyt; Hilgenkamp, Thessa I M; van Wijck, Ruud; Schoufour, Josje D; Evenhuis, Heleen M

    2015-01-01

    The ability to perform instrumental activities of daily living (IADL) is important for one's level of independence. A high incidence of limitations in IADL is seen in older adults with intellectual disabilities (ID), which is an important determinant for the amount of support one needs. The aim of this study was to assess the predictive value of physical fitness for the ability to perform IADL, over a 3-year follow-up period, in 601 older adults with ID. At baseline, an extensive physical fitness assessment was performed. In addition, professional caregivers completed the Lawton IADL scale, both at baseline and at follow-up. The average ability to perform IADL declined significantly over the 3-year follow-up period. A decline in the ability to perform IADL was seen in 44.3% of the participants. The percentage of participants being completely independent in IADL declined from 2.7% to 1.3%. Manual dexterity, balance, comfortable and fast gait speed, muscular endurance, and cardiorespiratory fitness were significant predictors for a decline in IADL after correcting for baseline IADL and personal characteristics (age, gender, level of ID, and Down syndrome). This can be interpreted as representing the predictive validity of the physical tests for a decline in IADL. This study shows that even though older adults with ID experience dependency on others due to cognitive limitations, physical fitness also is an important aspect for IADL, which stresses the importance of using physical fitness tests and physical fitness enhancing programs in the care for older adults with ID. PMID:26079525

  11. Incapacidade funcional para atividades básicas e instrumentais da vida diária em idosos Disability relating to basic and instrumental activities of daily living among elderly subjects

    Giovâni Firpo Del Duca

    2009-10-01

    ndice de Katz y la Escala de Lawton, respectivamente. Se definió como incapacidad funcional para cada dominio la necesidad de ayuda parcial o total para la realización de, como mínimo, una actividad de la vida diaria. Se empleó la regresión de Poisson con varianza robusta en los análisis bruto y ajustado considerándose el muestreo por conglomerados. RESULTADOS: La prevalencia de incapacidad para las actividades básicas fue de 26,8% (IC 95%:23,0;30,8 y la menor proporción de independencia fue para controlar funciones de orinar y/o evacuar. Para las actividades instrumentales, la prevalencia de incapacidad funcional fue de 28,8% (IC 95%:24,5;33,1, sobre todo para realizar traslados utilizando algún medio de transporte. Elevado porcentual de ancianos (21,7% presentó más de una actividad con incapacidad en las actividades instrumentales; ya en las actividades básicas, la mayor parte presentó dependencia para solo una actividad (16,6%. En el análisis ajustado, la incapacidad para las actividades básicas se asoció con color de la piel parda/negra/otras (p=0,01 y con el aumento de la edad (pOBJECTIVE: To assess the prevalence of disability and associated factors in elderly, by focusing on basic and instrumental activities of daily living. METHODS: This was a cross-sectional study on 598 subjects aged 60 years or over who were selected through two-stage cluster sampling in Pelotas, Southern Brazil, between 2007 and 2008. Basic and instrumental activities were evaluated using the Katz Index and the Lawton Scale, respectively. Disability relating to each domain was defined as the need for partial or total assistance to perform at least one activity of daily living. Poisson regression with robust variance was used in the crude and adjusted analyses, taking the cluster sampling into account. RESULTS: The prevalence of disability relating to basic activities was 26.8% (95% CI: 23.0; 30.8. The lowest proportion of independence was in relation to controlling the

  12. How Narrative Journalistic Stories Can Communicate the Individual’s Challenges of Daily Living with Amyotrophic Lateral Sclerosis”

    Jeppesen, Jørgen; Rahbek, Jes; Gredal, Ole;

    2015-01-01

    . Objective: To explore how narrative journalistic stories can communicate experiences of daily living with ALS and compensate the progressive loss of the ability to speak. Methods: Twenty-four interviews at home with six people diagnosed with ALS were transformed into narrative journalistic stories. A formal...... daily living with ALS by offering a mode of sharing experiences that compensate the progressive loss of communicative abilities. The story sustains meaning for patients living with ALS, and supports them in appreciating a day-to-day life where they are not just waiting for death. Narrative journalistic......Background: To complement the clinical and therapeutic knowledge about the symptoms, prognosis, and social implications of amyotrophic lateral sclerosis (ALS), health research and care need to develop methods that capture and communicate the unique individual impact on daily living with the disease...

  13. Detection of Early Morning Daily Activities with Static Home and Wearable Wireless Sensors

    David Vanderpool

    2007-10-01

    Full Text Available This paper describes a flexible, cost-effective, wireless in-home activity monitoring system for assisting patients with cognitive impairments due to traumatic brain injury (TBI. The system locates the subject with fixed home sensors and classifies early morning bathroom activities of daily living with a wearable wireless accelerometer. The system extracts time- and frequency-domain features from the accelerometer data and classifies these features with a hybrid classifier that combines Gaussian mixture models and a finite state machine. In particular, the paper establishes that despite similarities between early morning bathroom activities of daily living, it is possible to detect and classify these activities with high accuracy. It also discusses system training and provides data to show that with proper feature selection, accurate detection and classification are possible for any subject with no subject specific training.

  14. The daily living for informal caregivers with a partner with Parkinson’s disease: - An interview study of women´s experiences of care decisions and selfmanagement

    Hounsgaard, Lise; Pedersen, B. D.; Wagner, L.

    2011-01-01

    phenomenological hermeneutic approach was used. Interviews with female partners (N = 10) of patients with Parkinson disease who were living at home were conducted in Denmark in 2008. The French philosopher Ricoeur’s theory of interpretation guided the data analysis. Conclusion.  This study shows that essential to...... the women’s experiences was the impact on daily life and changes to their quality of life in living close to a partner with Parkinson’s disease. As the disease gradually developed to affect motor, cognitive and emotional functioning, the need for care decisions related to help with daily activities...

  15. Pain-related Impairment of Daily Activities After Thoracic Surgery

    Ringsted, Thomas K; Wildgaard, Kim; Kreiner, Svend; Kehlet, Henrik

    2013-01-01

    OBJECTIVE:: Persistent postoperative pain is an acknowledged entity that reduces daily activities. Evaluation of the post-thoracotomy pain syndrome (PTPS) is often measured using traditional pain scales without in-depth questions on pain impairment. Thus, the purpose was to create a procedure...... questions were redundant. The remaining 13 questions from low to intensive activity described functional impairment following persistent pain from thoracotomy and video-assisted thoracic surgery (VATS). No evidence for differential item functioning for gender, age or differences between open or VATS, were...

  16. Predictive value of daily living score in acute respiratory failure of COPD patients requiring invasive mechanical ventilation pilot study

    Langlet Ketty

    2012-10-01

    Full Text Available Abstract Background Mechanical ventilation (MV is imperative in many forms of acute respiratory failure (ARF in COPD patients. Previous studies have shown the difficulty to identify parameters predicting the outcome of COPD patients treated by invasive MV. Our hypothesis was that a non specialized score as the activities daily living (ADL score may help to predict the outcome of these patients. Methods We studied the outcome of 25 COPD patients admitted to the intensive care unit for ARF requiring invasive MV. The patients were divided into those weaning success (group A n = 17, 68% or failure (group B n = 8, 32%. We investigated the correlation between the ADL score and the outcome and mortality. Results The ADL score was higher in group A (5.1 ±1.1 vs 3.7 ± 0.7 in group B, p  Conclusion Our pilot study demonstrates that the ADL score is predictive of weaning success and mortality at 6 months, suggesting that the assessment of daily activities should be an important component of ARF management in COPD patients.

  17. Effects of mental practice on stroke patients’ upper extremity function and daily activity performance

    Park, Juhyung; Lee, Nayun; Cho, MiLim; Kim, DeokJu; Yang, YeongAe

    2015-01-01

    [Purpose] The purpose of this study was to evaluate the effects of mental practice on stroke patients’ upper extremity function and activities of daily living (ADL). [Subjects and Methods] In this study, 29 stroke patients were randomly assigned to two groups: an experimental group (n=14) and a control group (n=15). The experimental group performed 10 minutes of mental practice once a day, 5 days a week for 2 weeks in combination with conventional rehabilitation therapy. For the control group...

  18. Effect of action observation therapy on daily activities and motor recovery in stroke patients

    Mei-Hong Zhu; Jing Wang; Xu-Dong Gu; Mei-Fang Shi; Ming Zeng; Chun-Yuan Wang; Qiao-Ying Chen; Jian-Ming Fu

    2015-01-01

    Objective: To evaluate the effects of action observation therapy, which is based on mirror neuron theory, on upper limb function and activities of daily living in patients with stroke. Methods: Sixty-one patients with stroke were randomly divided into two groups; those in the control group received routine rehabilitation treatment and nursing, whereas those in the experimental group additionally received eight weeks of action observation therapy for 30 min, six times per week. Patients rec...

  19. The relationships between social network and physical health and activities of daily living among older persons in Macau%澳门老年人社会网络与身体健康状况及日常居家活动能力的相关性分析

    曾文; 李卫燕; 陆嘉燕

    2012-01-01

    Objective To identify relationships between social network and physical health and activities of daily living among older persons in Macau. Methods A total of 741 older persons were recruited in 15 day activity centers in Macau with cluster sampling method. Lubben Social Network Scale, Physical Health Status Questionnaire, Reduced Item Barthel Index, Lawton Instrument of Activities of Daily Living Questionnaire were employed to do the investigation. Results Among all the participants, there were 49. 39% (n =366) participants were at extreme risk for limited social network,only 25.10% participants reported their physical health were good in general. Bone and joint pain or back pain was most mentioned (63. 56% ) , and 55. 74% (n =413) suffered from three or more symptoms. Hypertension was the most reported physical disorder (57.76% ) , and 51.15% ( n = 379) suffered from three or more physical disorders. Nineteen point nine seven percent (n = 148) suffered from the physical impairment in undertaking activities of daily living, 32. 93% (n=244) were unable to undertake instrumental activities of daily living. Pearsons correlations showed that there were positive relationship between social network and activities of daily living and instrumental activities of daily living ( P <0.01). Conclusions Older persons suffer from physical impairment and limited social network. The activities of daily living of older persons are correlate with their social network.%目的 探讨澳门老年人的社会网络与身体健康状况及日常居家活动能力的相关性.方法 采用整群抽样方法,抽取澳门15个老人日间活动中心的741名老年人,采用Lubben社会网络量表、身体健康状况问卷、巴氏日常活动能力评估量表、Lawton工具性日常活动能力评估量表对其进行问卷调查.结果 366名老年人的社会网络不足(49.39%);仅有25.10%的老年人觉得身体健康良好,以骨关节痛/腰背痛症状最多(63.56

  20. Four types of coping with COPD-induced breathlessness in daily living: a grounded theory study

    Bastrup, Lene; Dahl, Ronald; Pedersen, Preben Ulrich;

    2013-01-01

    COPD predominantly cope with breathlessness during daily living. We chose a multimodal grounded theory design that holds the opportunity to combine qualitative and quantitative data to capture and explain the multidimensional coping behaviour among poeple with COPD. The participants' main concern in...... coping with breathlessness appeared to be an endless striving to economise on resources in an effort to preserve their integrity. In this integrity-preserving process, four predominant coping types emerged and were labelled: `Overrater´, `Challenger´, `Underrater´, and `Leveller´. Each coping type...... comprised distrinctive physiological, cognitive, affective and psychosocial features constituting coping-type-specific indicators. In theory, four predominant coping types with distinct physiological, cognitive, affective and psychosocial properties are observed among people with COPD. The four coping types...

  1. Daily portraits of five and six-year old boys: the play activity

    Flavia Bignardi da Silva Nunes

    2013-08-01

    Full Text Available Introduction: Daily life experiences provide maturity along human development, and the environments in which they occur are essential for this process. These experiences help to build children’s personalities and the way they deal with the world around them. Objectives: In this study, we aimed to understand the occupational behavior of four children aged five to six years old through their mothers’ reports. Methodology: The average time spent with daily activities is described, and playing was a central theme of analysis. We analyzed the preferences, companies and emotional characteristics of the play activity. We used an Activity Clock and semi-structured interviews with the children’s mothers as data collection instruments. Results: The main results show that most of their daily life time is spent with sleep, school and play activities. They indicate that children prefer games that challenge acquisitions that are under construction. Regarding company, these children still have their mothers as a reference to the play activity, but also peers their age or a little older. Conclusion: Play has an important representation in the daily occupational lives of these children and it stands as a key life experience to acquire skills and face challenges.

  2. An Evaluation of the Quality of Research on Evidence-Based Practices for Daily Living Skills for Individuals with Autism Spectrum Disorder

    Hong, Ee Rea; Ganz, Jennifer B.; Ninci, Jennifer; Neely, Leslie; Gilliland, Whitney; Boles, Margot

    2015-01-01

    This study presents a literature review of interventions for improving daily living skills of individuals with ASD. This review investigated the quality of the design and evidence of the literature base and determined the state of the evidence base related to interventions for improving daily living skills of individuals with ASD. Included studies…

  3. Tradução, adaptação cultural e análise das propriedades psicométricas do Activities of Daily Living Questionnaire (ADLQ para avaliação funcional de pacientes com a doença de Alzheimer Translation, cultural adaptation and psychometric analysis of the Activities of Daily Living Questionnaire (ADLQ for functional assessment of patients with Alzheimer's disease

    ME Medeiros

    2009-06-01

    Full Text Available OBJETIVOS: Realizar a tradução e a adaptação transcultural de um instrumento de medida do desempenho das atividades de vida diária de pacientes com a doença de Alzheimer e analisar as suas propriedades psicométricas. MÉTODOS: A amostra foi composta por 60 pacientes e os respectivos 60 cuidadores. A pesquisa ocorreu com a tradução do instrumento pela técnica de retrotradução associada ao método bilíngue. A versão traduzida foi respondida pelo cuidador e o Mini Exame do Estado Mental (MEEM aplicado ao paciente. A análise psicométrica foi realizada por meio da validade das medidas do instrumento. RESULTADOS: Os resultados verificaram uma correlação inversamente significativa (-0,793 ao nível de 5% entre os instrumentos, com uma explicação da variância total de 62%. As matrizes de correlação interitens demonstraram que alguns itens se correlacionam com as medidas globais de capacidade funcional de forma pouco positiva e significante. A correlação realizada entre os itens do instrumento traduzido com o MEEM permitiu testar a coerência interna do instrumento com um já validado. As variáveis correlacionadas significativamente com o MEEM foram selecionadas, sugerindo um instrumento mais condensado. Por meio do teste t para amostras correlacionadas, as médias do ADLQ-versão traduzida e versão condensada não diferem estatisticamente ao nível de 5% de significância, de forma que a simplificação do instrumento não alterou a média do nível de dependência funcional. A análise fatorial realizada pela rotação Varimax indicou seis dimensões. CONCLUSÃO: O estudo disponibiliza uma nova ferramenta de avaliação funcional, visando contribuir para a mensuração mais cuidadosa do estado funcional do paciente por todos os profissionais da área da saúde.OBJECTIVES: To translate and cross-culturally adapt an instrument that measures the performance of Alzheimer's patients in their activities of daily living and to

  4. Relationships among Depression, Social Network and Activities of Daily Living of Older People in Macau%澳门日间中心老年人抑郁状态与社会网络及日常居家活动能力的相关性分析

    曾文; 李卫燕; 陆嘉燕

    2011-01-01

    Objective To explore depression status of community-dwelling older people and to identify relationships among depression, social network and activities of daily living of older people in Macau Methods A descriptive survey was conducted among 741 older people in 15 day centers in Macau with questionnaires of Geriatric Depression Scale (GDS), Lubben Social Network Scale (LSNS), Reduced Item Barthel Index (BI) and Lawton Instrument of Activities of Daily living Questionnaire (IADL). Pearson correlation analysis were applied to analyze the results. Results 27.0% (n=200) of the older people had been identified as depressed. Pearson's correlation analysis suggested there were negative relationships among depression and social network (r=-0.315,P<0.01), activities of daily living (r=-0.219, P<0.01) and instrument of activities of daily living (r=-0.246, P<0.01). Conclusion The factors related to depression of older people include not only activities of daily living, but also their social network. Enhancing social connections and activities of daily living for older people may improve depressive symptoms.%目的 描述澳门日间中心老年人的抑郁状态,并进一步分析与其社会网络及日常、居家活动能力的相关性.方法 采用随机整群抽样方法,抽取澳门15个老人日间中心的老年人741名;上门进行问卷调查,主要包括老年抑郁量表、巴氏日常活动能力评估量表、Lawton居家日常活动能力评估量表、Lubben社会网络量表;并将各项指标进一步作Pearson相关检验.结果 200名老年人(27.0%)出现抑郁状态;Pearson相关分析显示,抑郁状态与社会网络(r=-0.315,P<0.01)、日常活动能力(r=-0.219,P<0.01)及居家活动能力(r=-0.246,P<0.01)呈负相关.结论 澳门日间中心老年人的抑郁状态不仅与日常活动能力和居家活动能力有关,与其社会网络亦有关;加强社交及日常、居家活动能力有助于改善澳门老年人的抑郁状态.

  5. The Daily Activity Report (DAR) a Novel Measure of Functional Outcome for Serious Mental Illness.

    Velligan, Dawn I; Mintz, Jim; Sierra, Cynthia; Martin, Mona L; Fredrick, Megan; Maglinte, Gregory A; Corey-Lisle, Patricia K

    2016-05-01

    The assessment of real-world functional outcomes in clinical trials for medications targeting negative symptoms and cognitive impairment is extremely important. We tested the psychometric properties of the Daily Activity Report (DAR), a novel assessment of productive daily activity. We administered the DAR and additional assessments of functional outcome, functional capacity, cognition and symptomatology to 50 individuals with schizophrenia at 2 time points, 1 month apart and to 25 healthy controls. The DAR records a person's daily activity for 7 consecutive days based upon phone calls made 3 times a day. A total score and scores in 3 domains; instrumental activities (ie, independent living), social and work or school related activities are generated for the DAR. Inter-item consistency was high 0.89-0.94 for each domain and 0.88 overall. Test-retest reliability across 1 month for the total DAR score was 0.67,Psmart phone technology with automatic scoring is the next step. PMID:26712856

  6. Contribution of Structured Exercise Class Participation and Informal Walking for Exercise to Daily Physical Activity in Community-Dwelling Older Adults.

    Tudor-Locke, C.; Jones, G. R.; Myers, A. M.; Paterson, D. H.; Ecclestone, N. A.

    2002-01-01

    Examined the physical activity and exercise habits of independent-living older adults from a structured exercise program, noting the contribution of formal and informal exercise participation relative to total daily physical activity measured using pedometer and daily activity logs. Participation in structured exercise was an important contributor…

  7. Tiredness in daily activities at age 70 as a predictor of mortality during the next 10 years

    Avlund, K; Schultz-Larsen, K; Davidsen, M

    1998-01-01

    This study examined whether self-reported tiredness in mobility and activities of daily living is predictive of mortality, when controlled for global self-rated health, smoking, and socio-demographic factors. The investigation is part of the 1984 longitudinal study of the residents of Glostrup, D...

  8. Daily Spousal Influence on Physical Activity in Knee Osteoarthritis

    Martire, Lynn M.; Stephens, Mary Ann Parris; Mogle, Jacqueline; Schulz, Richard; Brach, Jennifer; Keefe, Francis J.

    2012-01-01

    Background Physical activity is critical for the management of knee osteoarthritis, and the spouse may play a role in encouraging or discouraging physical activity. Purpose To examine four types of spousal influence—spouses' daily activity, autonomy support, pressure, and persuasion--on the daily physical activity of adults living with knee osteoarthritis. Methods A total of 141 couples reported their daily experiences for 22 days using a handheld computer, and wore an accelerometer to measure moderate activity and steps. Results Spouses' autonomy support for patient physical activity, as well as their own level of activity, was concurrently associated with patients' greater daily moderate activity and steps. In addition, on days when male patients perceived that spouses exerted more pressure to be active, they spent less time in moderate activity. Conclusions Couple-oriented interventions for knee osteoarthritis should target physical activity in both partners and spousal strategies for helping patients stay active. PMID:23161472

  9. Hospitalar radioactive waste of low activity, a daily practice

    Rezio, M.T.; Vieira, M.R. [Instituto Portugues de Oncologia de Francisco Gentil - CROL, Lisboa (Portugal)

    2006-07-01

    Introduction According to the law we should have a specific area for storing and treating waste. That area should have special containers for temporary storage in order to assure the radioactive decay for all the radioactive waste, biological contaminated or non biological and in solid or liquid form. According with that law the limits established for discharge are: For solid waste, we must not discharge more than 370 MBq in a minimum volume of 0,1 m{sup 3} and is not allowed waste with activities higher than 3,7 kBq; For liquid waste discharges from the department to the public sewer, the average concentrations calculated taking into account the water flow of the sewer system that serves the installation, should be the following:The annual medium concentration must not exceed 3 times the reference concentration (C.R.) for that nuclide; The monthly medium concentration must not exceed 15 times the reference concentration (C.R.); The daily medium concentration must not exceed 60 times the reference concentration (C.R.); The reference concentration (C.R.), expressed in Bq.m{sup -3}, should be calculated taking into account the relevant incorporation per ingestion. The calculation of C.R. in liquid waste should have into account the following: For the general public the effective dose E achieved, per ingestion by an individual in the group of age g is determined according to the following formula(1):E= {sigma}{sub i} h(g){sub j,ing} X J{sub j,ing}, where h(g){sub j,ing} is the committed effective dose per unit-intake for the ingested radionuclide j (Sv/Bq) by an individual in the group of age g; J{sub j,ing} is the relevant intake via ingestion of the radionuclide j (Bq). The effective dose E achieved by an individual in the group of age g should not be higher than 0,1 mSv/year. If the average water volume ingested by an individual adult is 800 l, the value J{sub j,ing}, calculated by the formula (1) should be referred to 1000 l, in order to obtain the C.R., for the

  10. Daily ingestion of alginate reduces energy intake in free-living subjects

    Paxman, J. R.; Richardson, J. C.; Dettmar, P. W.; Corfe, B.M

    2008-01-01

    Sodium alginate is a seaweed-derived fibre that has previously been shown to moderate appetite in models of acute feeding. The mechanisms underlying this effect may include slowed gastric clearance and attenuated uptake from the small intestine. In order to assess whether alginate could be effective as a means of appetite control in free-living adults, 68 males and females (BMI range: 18.50-32.81 kgl M-2) completed this randomised, controlled two-way crossover intervention to compare the effe...

  11. Empathic accuracy for happiness in the daily lives of older couples: Fluid cognitive performance predicts pattern accuracy among men.

    Hülür, Gizem; Hoppmann, Christiane A; Rauers, Antje; Schade, Hannah; Ram, Nilam; Gerstorf, Denis

    2016-08-01

    Correctly identifying other's emotional states is a central cognitive component of empathy. We examined the role of fluid cognitive performance for empathic accuracy for happiness in the daily lives of 86 older couples (mean relationship length = 45 years; mean age = 75 years) on up to 42 occasions over 7 consecutive days. Men performing better on the Digit Symbol test were more accurate in identifying ups and downs of their partner's happiness. A similar association was not found for women. We discuss the potential role of fluid cognitive performance and other individual, partner, and situation characteristics for empathic accuracy. (PsycINFO Database Record PMID:27362351

  12. Affective and Self-Esteem Instability in the Daily Lives of People with Generalized Social Anxiety Disorder

    Farmer, Antonina S.; Kashdan, Todd B.

    2014-01-01

    Research on affect and self-esteem in social anxiety disorder (SAD) has focused on trait or average levels, but we know little about the dynamic patterns of these experiences in the daily lives of people with SAD. We asked 40 adults with SAD and 39 matched healthy controls to provide end-of-day reports on their affect and self-esteem over two weeks. Compared to healthy adults, participants with SAD exhibited greater instability of negative affect and self-esteem, though the self-esteem effect...

  13. The effect of selected sociodemographic characteristics on daily travel-activity behavior

    E I Pas

    1984-01-01

    The hypothesis that daily travel-activity behavior is influenced by the role, life-cycle, and life-style attributes of individuals and households is examined. Daily travel-activity behavior is described by a five-state categorical variable which is defined by analytical classification of a sample of daily travel-activity patterns. The explanatory variables used in this study are age, marital status, gender, employment status, education level, presence of young children, auto-ownership, income...

  14. Determining Connections between the Daily Lives of Zoo Elephants and Their Welfare: An Epidemiological Approach

    Meehan, Cheryl L.; Mench, Joy A.; Carlstead, Kathy; Hogan, Jennifer N.

    2016-01-01

    Concerns about animal welfare increasingly shape people’s views about the acceptability of keeping animals for food production, biomedical research, and in zoos. The field of animal welfare science has developed over the past 50 years as a method of investigating these concerns via research that assesses how living in human-controlled environments influences the behavior, health and affective states of animals. Initially, animal welfare research focused on animals in agricultural settings, but the field has expanded to zoos because good animal welfare is essential to zoos’ mission of promoting connections between animals and visitors and raising awareness of conservation issues. A particular challenge for zoos is ensuring good animal welfare for long-lived, highly social species like elephants. Our main goal in conducting an epidemiological study of African (Loxodonta africana) and Asian (Elephas maximus) elephant welfare in 68 accredited North American zoos was to understand the prevalence of welfare indicators in the population and determine the aspects of an elephant’s zoo environment, social life and management that are most important to prevent and reduce a variety of welfare problems. In this overview, we provide a summary of the findings of the nine papers in the collection titled: Epidemiological Investigations of North American Zoo Elephant Welfare with a focus on the life history, social, housing, and management factors found to be associated with particular aspects of elephant welfare, including the performance of abnormal behavior, foot and joint problems, recumbence, walking rates, and reproductive health issues. Social and management factors were found to be important for multiple indicators of welfare, while exhibit space was found to be less influential than expected. This body of work results from the largest prospective zoo-based animal welfare study conducted to date and sets in motion the process of using science-based welfare benchmarks

  15. Determining Connections between the Daily Lives of Zoo Elephants and Their Welfare: An Epidemiological Approach.

    Meehan, Cheryl L; Mench, Joy A; Carlstead, Kathy; Hogan, Jennifer N

    2016-01-01

    Concerns about animal welfare increasingly shape people's views about the acceptability of keeping animals for food production, biomedical research, and in zoos. The field of animal welfare science has developed over the past 50 years as a method of investigating these concerns via research that assesses how living in human-controlled environments influences the behavior, health and affective states of animals. Initially, animal welfare research focused on animals in agricultural settings, but the field has expanded to zoos because good animal welfare is essential to zoos' mission of promoting connections between animals and visitors and raising awareness of conservation issues. A particular challenge for zoos is ensuring good animal welfare for long-lived, highly social species like elephants. Our main goal in conducting an epidemiological study of African (Loxodonta africana) and Asian (Elephas maximus) elephant welfare in 68 accredited North American zoos was to understand the prevalence of welfare indicators in the population and determine the aspects of an elephant's zoo environment, social life and management that are most important to prevent and reduce a variety of welfare problems. In this overview, we provide a summary of the findings of the nine papers in the collection titled: Epidemiological Investigations of North American Zoo Elephant Welfare with a focus on the life history, social, housing, and management factors found to be associated with particular aspects of elephant welfare, including the performance of abnormal behavior, foot and joint problems, recumbence, walking rates, and reproductive health issues. Social and management factors were found to be important for multiple indicators of welfare, while exhibit space was found to be less influential than expected. This body of work results from the largest prospective zoo-based animal welfare study conducted to date and sets in motion the process of using science-based welfare benchmarks to

  16. Determining Connections between the Daily Lives of Zoo Elephants and Their Welfare: An Epidemiological Approach.

    Cheryl L Meehan

    Full Text Available Concerns about animal welfare increasingly shape people's views about the acceptability of keeping animals for food production, biomedical research, and in zoos. The field of animal welfare science has developed over the past 50 years as a method of investigating these concerns via research that assesses how living in human-controlled environments influences the behavior, health and affective states of animals. Initially, animal welfare research focused on animals in agricultural settings, but the field has expanded to zoos because good animal welfare is essential to zoos' mission of promoting connections between animals and visitors and raising awareness of conservation issues. A particular challenge for zoos is ensuring good animal welfare for long-lived, highly social species like elephants. Our main goal in conducting an epidemiological study of African (Loxodonta africana and Asian (Elephas maximus elephant welfare in 68 accredited North American zoos was to understand the prevalence of welfare indicators in the population and determine the aspects of an elephant's zoo environment, social life and management that are most important to prevent and reduce a variety of welfare problems. In this overview, we provide a summary of the findings of the nine papers in the collection titled: Epidemiological Investigations of North American Zoo Elephant Welfare with a focus on the life history, social, housing, and management factors found to be associated with particular aspects of elephant welfare, including the performance of abnormal behavior, foot and joint problems, recumbence, walking rates, and reproductive health issues. Social and management factors were found to be important for multiple indicators of welfare, while exhibit space was found to be less influential than expected. This body of work results from the largest prospective zoo-based animal welfare study conducted to date and sets in motion the process of using science-based welfare

  17. A Glimpse of Korean Daily Lives%新韩国常识问答

    金荣勋

    2011-01-01

    The number of foreigners visiting Korea with diverse purposes is growing faster than ever. The Korean way of life attracts more curiosities and questions among those who have experienced Korean culture. What is the significance of Hangul (Korean Alphabet) to Korean7 Why do Koreans cut their meat with scissors instead of knives.9 By addressing some of these questions, simple or complex, I attempt to provide a glimpse of Korean daily life and culture.%跟以往相比,带着各种不同目的访问韩国的外国人迅速增加。体验过韩国的文化的外国人对于韩国的生活方式既感觉吸引又感觉困惑。韩文的字母到底有何特征?为什么韩国人不用刀而用剪刀切肉呢?对于以上这些问题,作者试图为韩国的日常生活和文化提供一个掠影式的解答。

  18. 上肢PNF训练对颈部不完全性脊髓损伤患者日常生活能力的影响%Effect of Upper Limb PNF Training on Activity of Daily Living of Patients with Neck Incomplete Spinal Cord Injury

    曹永武; 姚加佳; 吴雪莹; 刘华卫; 陈斌; 唐恺; 秦佳维

    2015-01-01

    目的:观察上肢本体神经肌肉促进技术(proprioceptive neuromusclar facilitation,PNF)对颈部不完全性脊髓损伤患者日常生活能力的影响。方法:将40例不完全性颈髓损伤患者随机分为治疗组(20例)和对照组(20例),均接受物理治疗、作业治疗等常规康复治疗,治疗组则在此基础上配合上肢PNF训练,观察训练8周后两组患者FIM、SCIM评分的改善情况。结果:治疗后,治疗组FIM评分、SCIM评分均高于对照组(P<0.05)。结论:上肢PNF训练有助于提高颈部不完全性脊髓损伤患者的日常生活能力。%Objective:To observe the effect of upper extremity proprioceptive neuromuscular facilitation techniques (PNF) on activity of daily living of patients with neck incomplete spinal cord injury. Methods:40 cases of incomplete cervical cord injury were randomly divided into treatment group (20 cases) and control group (20 cases), all with physical, occupational and other conventional rehabilitation therapy, treatment group added upper limb PNF training, to observe the improvement of FIM, SCIM score between the two groups after 8 weeks. Results:The FIM, SCIM score of treat-ment group were higher than those of control group after treatment (P<0.05). Conclusion:Upper limb PNF training is helpful to improve the activity of daily living of patients with neck incomplete spinal cord injury.

  19. Role of physical activity on the maintenance of cognition and activities of daily living in elderly with Alzheimer's disease Papel da atividade física na manutenção da cognição e atividades de vida diária em idosos com doença de Alzheimer

    Cynthia Arcoverde

    2008-06-01

    Full Text Available BACKGROUND: The practice of physical activities has proved to be an efficient strategy in the improvement of independency and cognitive functions in the elderly with Alzheimer's disease (AD. OBJECTIVE: To evaluate the relation between the practice of physical activity, cognition and activities of daily living (ADL of patients with AD. METHOD: The cognitive and physical aspects and ADL were evaluated of 37 elders (19 normal controls, 11 sedentary with AD and 7 active with AD. RESULTS: The variable that best predicts the cognitive state (MMSE is the duration of disease for the AD sedentary group and Lawton's Scale for the AD active group. We observed a correlation between MMSE score and duration of disease in the sedentary group and between MMSE and ADL in the active group. CONCLUSION: Our study showed that physical and cognitive stimulation in patients with AD can contribute to decrease cognitive and functional decline.FUNDAMENTO: A prática de atividade física tem se mostrado uma estratégia eficaz na melhora da independência e das funções cognitivas em idosos com doença de Alzheimer (DA. OBJETIVO: Avaliar a relação entre a prática de atividade física, a cognição e as atividades de vida diária (AVD em pacientes com DA. MÉTODO: Foram avaliados os aspectos cognitivos, físicos e as AVD de 37 idosos (19 controles normais, 11 com DA sedentários e 7 com DA ativos. RESULTADOS: A variável que melhor prediz o estado cognitivo (MEEM foi o tempo de doença para o grupo DA sedentários e a Escala de Lawton para o grupo DA ativo. Observou-se correlação entre MEEM e tempo de doença no grupo sedentário e MEEM e AVD no grupo ativo. CONCLUSÃO: O nosso estudo mostrou que a estimulação física e cognitiva em pacientes com DA pode contribuir na diminuição do declínio cognitivo e funcional.

  20. Daily physical activity and its contribution to the health-related quality of life of ambulatory individuals with chronic stroke

    Rand Debbie

    2010-08-01

    Full Text Available Abstract Background Participation in daily physical activity (PA post-stroke has not previously been investigated as a possible explanatory variable of health-related quality of life (HRQL. The aims were 1 to determine the contribution of daily PA to the HRQL of individuals with chronic stroke and 2 to assess the relationship between the functional ability of these individuals to the amount of daily PA. Methods The amount of daily PA of forty adults with chronic stroke (mean age 66.5 ± 9.6 years was monitored using two measures. Accelerometers (Actical were worn on the hip for three consecutive days in conjunction with a self-report questionnaire [the PA Scale for Individuals with Physical Disabilities (PASIPD]. The daily physical activity was measured as the mean total accelerometer activity counts/day and the PASIPD scores as the metabolic equivalent (MET hr/day. HRQL was assessed by the Physical and Mental composite scores of the Medical Outcomes Study Short-Form 36 (SF-36 in addition to the functional ability of the participants. Correlation and regression analyses were performed. Results After controlling for the severity of the motor impairment, the amount of daily PA, as assessed by the PASIPD and accelerometers, was found to independently contribute to 10-12% of the variance of the Physical Composite Score of the SF-36. No significant relationship was found between PA and the Mental Composite Score of the SF-36.The functional ability of the participants was found to be correlated to the amount of daily PA (r = 0.33 - 0.67, p Conclusion The results suggest that daily PA is associated with better HRQL (as assessed by the Physical composite score of the SF-36 for people living with stroke. Daily PA should be encouraged to potentially increase HRQL. Accelerometers in conjunction with a self-report questionnaire may provide important measures of PA which can be monitored and modified, and potentially influence HRQL.

  1. Digital gaming expertise:negotiating gaming capital and gender within the context of gamers' daily lives

    Toft-Nielsen, Claus

    2014-01-01

    In a digitally saturated environment digital media users of all kinds, engaged in different areas of activity, are increasingly categorized in terms of their ability to appropriate and use digital media – they are regarded as non-users, experts, natives, or literates for instance. Within communication and game studies there are multiple understandings of how digital expertise is expressed and performed, and subsequently how these expressions and performances can be valued, understood and theo...

  2. Association of total daily physical activity with disability in community-dwelling older persons: a prospective cohort study

    Shah Raj C

    2012-10-01

    Full Text Available Abstract Background Based on findings primarily using self-report measures, physical activity has been recommended to reduce disability in old age. Collecting objective measures of total daily physical activity in community-dwelling older adults is uncommon, but might enhance the understanding of the relationship of physical activity and disability. We examined whether greater total daily physical activity was associated with less report of disability in the elderly. Methods Data were from the Rush Memory and Aging Project, a longitudinal prospective cohort study of common, age-related, chronic conditions. Total daily physical activity was measured in community-dwelling participants with an average age of 82 using actigraphy for approximately 9 days. Disability was measured via self-reported basic activities of daily living (ADL. The odds ratio and 95% Confidence Interval (CI were determined for the baseline association of total daily physical activity and ADL disability using a logistic regression model adjusted for age, education level, gender and self-report physical activity. In participants without initial report of ADL disability, the hazard ratio and 95% CI were determined for the relationship of baseline total daily physical activity and the development of ADL disability using a discrete time Cox proportional hazard model adjusted for demographics and self-report physical activity. Results In 870 participants, the mean total daily physical activity was 2. 9 × 105 counts/day (range in 105 counts/day = 0.16, 13. 6 and the mean hours/week of self-reported physical activity was 3.2 (SD = 3.6. At baseline, 718 (82.5% participants reported being independent in all ADLs. At baseline, total daily physical activity was protective against disability (OR per 105 counts/day difference = 0.55; 95% CI = 0.47, 0.65. Of the participants without baseline disability, 584 were followed for 3.4 years on average. Each 105 counts/day additional total

  3. The Bayer: Activities of Daily Living Scale (B-ADL in the differentiation between mild to moderate dementia and normal aging A escala da Bayer: Atividades da Vida Diária (B-AVD na diferenciação entre demência leve e moderada e o envelhecimento normal

    Jefferson C Folquitto

    2007-12-01

    Full Text Available OBJECTIVES: To investigate the applicability of the Bayer - Activities of Daily Living scale and its efficiency in differentiating individuals with mild to moderate dementia from normal elderly controls. METHOD: We selected 33 patients with diagnosis of mild to severe dementia, according to ICD-10 criteria, and 59 controls. All the subjects were evaluated with the Mini-Mental State Examination and the Clinical Dementia Rating Scale and the Bayer - Activities of Daily Living scale was applied to informants. RESULTS: The internal consistency of the Bayer - Activities of Daily Living was high (Cronbach's alpha = 0.981. Mean Mini-Mental State Examination and Bayer - Activities of Daily Living scores of demented patients and controls were significantly different (p OBJETIVOS: Investigar a aplicabilidade da escala Bayer - Atividades de Vida Diária e sua eficiência em diferenciar indivíduos com demência leve a moderada de indivíduos normais. MÉTODO: Foram selecionados 33 pacientes com diagnóstico de demência leve a grave, de acordo com os critérios da CID-10, e 59 controles. Todos os indivíduos foram avaliados pelo Mini-Exame do Estado Mental e pela Escala de Avaliação Clínica de Demência e os informantes responderam à Bayer - Atividades de Vida Diária. RESULTADOS: A consistência interna da Bayer - Atividades de Vida Diária foi alta (Cronbach Alpha = 0,981. A pontuação média do Mini-Exame do Estado Mental e da Bayer - Atividades de Vida Diária foi significativamente diferente entre os pacientes com demência e o grupo controle (p < 0,001. Os valores do Mini-Exame do Estado Mental e da Bayer - Atividades de Vida Diária foram significativamente diferentes entre a Escala de Avaliação Clínica de Demência 0 (controles; n = 59 e a Escala de Avaliação Clínica de Demência 1 (demência leve; n = 15, a Escala de Avaliação Clínica de Demência 0 e a Escala de Avaliação Clínica de Demência 2 (demência moderada; n = 13 e entre

  4. Travel Behavior Comparisons of Active Living and Inactive Living Lifestyles

    Burbidge, Shaunna K; Goulias, Konstadinos G.; Kim, Tae-Gyu

    2006-01-01

    The past century’s radical change, innovation in transportation technology and concomitant increase in options for our travel modes moves us away from walking to an almost total extinction of modes that require physical exercise. This is accompanied by a modern American city design that requires the use of an automobile with urban sprawl creating distant destinations that alter older methods of travel and make active forms of transportation almost impossible. However, many more reasons exis...

  5. Daily Public Assistance Grants Award Activity

    Department of Homeland Security — Daily activity of Public Assistance Grant Awards, including FEMA Region, State, Disaster Declaration Number, Event description, Mission Assigned agency, Assistance...

  6. Relationship between Daily Physical Activity During Last Month of Pregnancy and Pregnancy Outcome

    Koushkie Jahromi, M; Namavar Jahromi, B; Hojjati, S.

    2011-01-01

    Background Previous researchers have evaluated the influence of physical exercise or physical activity on pregnancy outcome, but the influence of daily physical activities in details including energy expenditure, biomechanical load and exercise before and during pregnancy have remained unclear. This study evaluates the relationship between daily physical activities as a biomechanical load and energy expenditure and physical exercise during household activities with birth weight, type of deliv...

  7. Canada's crude oil resources : crude oil in our daily lives

    Created in 1975, the Petroleum Communication Foundation is a not-for-profit organization. The objective of the Foundation is to inform Canadians about the petroleum industry in Canada. It produces educational, fact-based publications and programs, employing a multi-stakeholder review process. The first section of this publication is devoted to crude oil and the benefits that are derived from it. It begins by providing a brief definition of crude oil, then moves to the many uses in our daily lives and the environmental impacts like air pollution, spills, and footprint on the land from exploration and production activities. Section 2 details the many uses of crude oil and identifies the major oil producing regions of Canada. A quick mention is made of non-conventional sources of crude oil. The search for crude oil is the topic of section 3 of the document, providing an overview of the exploration activities, the access rights that must be obtained before gaining access to the resource. The drilling of oil is discussed in section 4. Section 5 deals with issues pertaining to reservoirs within rocks, while section 6 covers the feeding of the refineries, discussing topics from the movement of oil to market to the refining of the crude oil, and the pricing issues. In section 7, the uncertain future is examined with a view of balancing the supply and demand, as crude oil is a non-renewable resource. Supplementary information is provided concerning additional publications published by various organizations and agencies. figs

  8. Effects of irradiation with conventional and multiple daily fractionation on serum amylase activity

    The behaviour of serum α-amylase activity was determined in patients with head and neck cancer treated by radiation therapy. The levels of serum α-analyse activity during conventional and multiple daily fractionation were compared. Starting from the second day of treatment an increase of serum α-amylase activity was observed. The increase and its duration depended on the total daily dose: after the first day of treatment a linear correlation between serum levels and total daily dose could be observed. The size of the amylase increase correlated to the proportion of salivary gland tissue included in the irradiated volume. (orig.)

  9. Hip fractures among old people : their prevalence, consequences and complications, and the evaluation of a multi-factorial intervention program designed to prevent falls and injuries and enhance performance of activities of daily living

    Stenvall, Michael

    2006-01-01

    The number of old people is growing and will increase future demands on healthcare services for old people. Hip fracture is one of the diagnoses that increases with age and it has become a major problem, both for those suffering a fracture and for society due to the large numbers involved, the morbidity with complications such as falls, functional decline, and the high mortality rate among those affected. The main purposes of this thesis were, to study the impact of previous hip fractures on ...

  10. The use of choice heuristic in daily activity travel behaviour: an expert system

    HANNES, Els; JANSSENS, Davy; Wets, Geert

    2007-01-01

    This research project aims at identifying the critical spatial factors in an individual’s mental map which influence daily activity travel behaviour in order to improve the agentbased modelling of activity travel behaviour by means of a computational process model. A qualitative travel survey and in depth interviews are used to identify the spatial factors that appear in the destination and travel mode choice heuristics of experts when discussing their daily activity space. Recorded interview...

  11. Biological effects of daily inhalation of radon and its short-lived daughters in experimental animals

    Syrian golden hamsters, C57BL mice, and specific-pathogen-free rats were exposed simultaneously in groups of 16 animals each for 90 hours per week to aerosols consisting of radon plus 3000--6000 Working Levels of radon-daughters with and without 18 mg/m3 carnotite uranium ore dust. Condensation nuclei concentrations ranged from 2000--4000 per ml and from 90,000--120,000 per ml in the chamber without and with uranium ore dust, respectively. At 4 months of exposure only one of the rodents remained alive. Histopathology of radon-daughter exposed mice includes acute interstitial pneumonitis, severe pulmonary congestion, and supperative rhinitis; mice inhaling radon-daughters with ore showed these lesions plus macrophage proliferation, alveolar septal cell hyperplasia, and bronchial epithelial hyperplasia. Hamsters inhaling radon-daughters showed proliferating lesions characterized by alveolar septal thickening, bronchiolar epithelial hyperplasia, septal fibrosis, and occasionally adenomatoid metaplasia and squamous metaplasia. Hamsters inhaling radon-daughters with ore dust showed similar effects plus granulomatous response and intense septal fibrosis. Rats inhaling radon-daughters showed lesions similar to those of hamsters but more focalized with classic radiation pneumonitis; rats exposed to radon-daughters with ore showed similar lesions, with greater consolidation and pneumoconiosis. These findings will be discussed in relation to pulmonary pathology in uranium miners

  12. Daily variation of radon gas and its short-lived progeny concentration near ground level and estimation of aerosol residence time

    M, Mohery; A, M. Abdallah; A, Ali; S, S. Baz

    2016-05-01

    Atmospheric concentrations of radon (222Rn) gas and its short-lived progenies 218Po, 214Pb, and 214Po were continuously monitored every four hours at the ground level in Jeddah city, Kingdom of Saudi Arabia. The measurements were performed three times every week, starting from November 2014 to October 2015. A method of electrostatic precipitation of positively charged 218Po and 214Po by a positive voltage was applied for determining 222Rn gas concentration. The short-lived 222Rn progeny concentration was determined by using a filter holder connected with the alpha-spectrometric technique. The meteorological parameters (relative air humidity, air temperature, and wind speed) were determined during the measurements of 222Rn and its progeny concentrations. 222Rn gas as well as its short-lived progeny concentration display a daily and seasonal variation with high values in the night and early morning hours as compared to low values at noon and in the afternoon. The observed monthly atmospheric concentrations showed a seasonal trend with the highest values in the autumn/winter season and the lowest values in the spring/summer season. Moreover, and in parallel with alpha-spectrometric measurements, a single filter-holder was used to collect air samples. The deposited activities of 214Pb and the long-lived 222Rn daughter 210Pb on the filter were measured with the gamma spectrometric technique. The measured activity concentrations of 214Pb by both techniques were found to be relatively equal largely. The highest mean seasonally activity concentrations of 210Pb were observed in the autumn/winter season while the lowest mean were observed in the spring/summer season. The mean residence time (MRT) of aerosol particles in the atmospheric air could be estimated from the activity ratios of 210Pb/214Pb. Project supported by the Deanship of Scientific Research (DSR), King Abdulaziz University, Jeddah (Grant No. 291/965/1434).

  13. Enhancing activities of daily living of chronic stroke patients in primary health care by modified constraint-induced movement therapy (HOMECIMT): study protocol for a cluster randomized controlled trial

    Barzel, Anne; Ketels, Gesche; Tetzlaff, Britta; Krüger, Heike; Haevernick, Kerstin; Daubmann, Anne; Wegscheider, Karl; Scherer, Martin

    2013-01-01

    Background Stroke leads to constant rehabilitation needs even at the chronic stage. However, although many stroke patients receive physical or occupational therapy in primary health care, treatment prescriptions do not generally specify therapeutic goals; in particular, participation is not established as an explicit therapeutic goal in the ambulatory setting. The primary aim of this study is to evaluate the efficacy of a therapy regimen for chronic stroke patients (modified ‘constraint-induc...

  14. 家居环境改造对脊髓损伤患者出院后生存质量及日常生活能力的影响%Effects of House Modificaiton on Quality of Life and Activities of Daily Living for Discharged Patients with Spinal Cord Injury

    缪碧琴; 周科

    2013-01-01

    Objective To investigate the effects of house modification on quality of life and activities of daily living of discharged pa-tients with spinal cord injury. Methods 65 patients with spinal cord injury were followed up. Among them, 31 patients accepted house modi-fication (observation group), and 34 did not (control group). Both groups accepted routinely rehabilitation direction after discharge. They were assessed with Barthel index and World Health Organization Quality of Life Brief Form (WHO QOL-BRIEF) 1 and 3 months after dis-charge. Results The score of QOL and BI improved more in the observation group than in the control group (P<0.05). Conclusion House modification can improve the quality of life and activities of daily living for patients with spinal cord injury.%目的探讨家居环境改造对脊髓损伤患者出院后生存质量及日常生活活动能力的影响。方法对65例脊髓损伤患者进行跟踪随访,其中31例进行了家居环境改造(观察组),34例未进行家居环境改造(对照组)。两组出院后均按常规定期进行康复训练指导。分别于出院后1个月、3个月采用Barthel指数(BI)和世界卫生组织生存质量测定简表(WHO QOL-BRIEF)进行评定。结果观察组出院后1个月、3个月QOL和BI评分高于对照组(P<0.05)。结论对脊髓损伤患者进行家居环境改造,能最大限度地利用其残存功能,提高生存质量及日常生活活动能力。

  15. Does Improving Exercise Capacity and Daily Activity Represent the Holistic Perspective of a New COPD Approach?

    Di Marco, Fabiano; Santus, Pierachille; Sotgiu, Giovanni; Blasi, Francesco; Centanni, Stefano

    2015-01-01

    In COPD patients a reduced daily activity has been well documented, resulting from both respiratory and non-respiratory manifestations of the disease. An evaluation by multisensory armband has confirmed that daily physical activity is mainly associated with dynamic hyperinflation, regardless of COPD severity. This aspect is crucial, since exercise capacity is closely correlated to life expectancy. Notwithstanding the causal key role of lung impairment in the patient's symptoms, some authors have suggested that other factors, such as systemic inflammation and co-morbidities, have an important role, particularly as mortality risk factors. Many studies suggest the efficacy of bronchodilators and rehabilitation in improving exercise capacity, and, speaking in terms of daily life, in increasing the number of days in which patients are able to perform their usual activities. On this evidence, the first aim in the management of COPD should be to improve exercise capacity and daily activity since these outcomes have direct effects on patients' quality of life, co-morbidities (heart and metabolic diseases), and prognosis. Thus, improving physical activity represents a modern approach aimed at dealing with both pulmonary and systemic manifestations of the disease. It is however worth of notice to remember that in patients affected by COPD the relationship between the improvement of "potential" exercise capacity and daily physical activity has been found to be only moderate to weak. Obtaining a significant behavior modification with regard to daily physical activity, together with the optimization of therapy thus represents currently the true challenge. PMID:26457460

  16. The correlation of 27 day period solar activity and daily maximum temperature in continental Australia

    Edmonds, Ian

    2013-01-01

    We report the first observation of a 27 day period component in daily maximum temperature recorded at widely spaced locations in Australia. The 27 day component, extracted by band pass filtering, is correlated with the variation of daily solar radio flux during years close to solar minimum. We demonstrate that the correlation is related to the emergence of regions of solar activity on the Sun separated, temporally, from the emergence of other active regions. In this situation, which occurs on...

  17. Ethical issues in the development of ICT mediated support for daily living in adolescents with autism

    Holm, Søren; Ploug, Thomas

    2012-01-01

    The EU-funded project HANDS was aimed at assisting young people with an autism spectrum disorder to increase their participation in social life. The core of the project was the development of a mobile device using personalizable software utilizing persuasive technology techniques. This chapter an...

  18. Toward Mapping Daily Challenges of Living with ADHD: Maternal and Child Perspectives Using Electronic Diaries

    Whalen, Carol K.; Henker, Barbara; Jamner, Larry D.; Ishikawa, Sharon S.; Floro, Joshua N.; Swindle, Ralph; Perwien, Amy R.; Johnston, Joseph A.

    2006-01-01

    Attention-deficit/hyperactivity disorder (ADHD) has an impact on the family as well as the affected child. This study developed and tested an electronic diary for mapping the challenges of everyday family life in a sample of children with ADHD being treated with pharmacotherapy. Across 7 days, mothers and children (27 ADHD; 25 non-ADHD)…

  19. Business school techspectations Technology in the daily lives and educational experiences of business students

    Alexopoulos, Angelos; Lynn, Theo

    2010-01-01

    Business School Techspectations is the second in a series of reports based on research by the DCU Leadership, Innovation and Knowledge Research Centre (LInK) at DCU Business School. With its roots in an Irish business school, it is no surprise that LInK’s mission is to strengthen the competitiveness, productivity, innovation and entrepreneurial capacity of the Irish economy. Ireland’s next generation transformation will be enabled by information and communication technologies (ICT) and digita...

  20. Daily physical activity related to aerobic fitness and body fat in an urban sample of children

    Dencker, M; Thorsson, O; Karlsson, M K;

    2008-01-01

    -energy x-ray absorptiometry. TBF was calculated as percentage of total body mass (BF%). Body fat distribution was calculated as AFM/TBF. Aerobic fitness was measured by indirect calorimetry during a maximal cycle ergometer exercise test. Daily physical activity was assessed by accelerometers for 4 days and......This study evaluates associations between objectively measured daily physical activity vs aerobic fitness and body fat in children aged 8-11 years. A cross-sectional study of 225 children aged 7.9-11.1 years was performed. Abdominal fat mass (AFM) and total body fat (TBF) were quantified by dual...... population, low daily accumulation of vigorous activity was, already in children aged 8-11 years, associated with more body fat and lower aerobic fitness. A similar relation was not found for daily accumulation of moderate-to-vigorous activity....

  1. The contact mechanics and occurrence of edge loading in modular metal-on-polyethylene total hip replacement during daily activities.

    Hua, Xijin; Li, Junyan; Jin, Zhongmin; Fisher, John

    2016-06-01

    The occurrence of edge loading in hip joint replacement has been associated with many factors such as prosthetic design, component malposition and activities of daily living. The present study aimed to quantify the occurrence of edge loading/contact at the articulating surface and to evaluate the effect of cup angles and edge loading on the contact mechanics of a modular metal-on-polyethylene (MoP) total hip replacement (THR) during different daily activities. A three-dimensional finite element model was developed based on a modular MoP bearing system. Different cup inclination and anteversion angles were modelled and six daily activities were considered. The results showed that edge loading was predicted during normal walking, ascending and descending stairs activities under steep cup inclination conditions (≥55°) while no edge loading was observed during standing up, sitting down and knee bending activities. The duration of edge loading increased with increased cup inclination angles and was affected by the cup anteversion angles. Edge loading caused elevated contact pressure at the articulating surface and substantially increased equivalent plastic strain of the polyethylene liner. The present study suggested that correct positioning the component to avoid edge loading that may occur during daily activities is important for MoP THR in clinical practice. PMID:27056255

  2. A STUDY ON DISABILITIES AMONGST THE ELDERLY IN THE URBAN AND RURAL AREAS IN THE KAMRUP DISTRICT, ASSAM BASED ON THE ACTIVITIES OF DAILY LIVING (ADL) AND FUNCTIONAL LIMITATIONS

    Jhankar; Preete

    2014-01-01

    INTRODUCTION: Health problems are a major concern for the elderly and they are prone to diseases and disabilities more than the younger age groups which can make them physically and economically dependent. The increasing number of elderly in the country means that they are going to make contributions to the economy. Elderly persons, being one of the most vulnerable groups of the society have more chances of chronic disease, infections, as well as disabilities. Disability h...

  3. Seasonal and Daily Patterns in Activity of the Western Drywood Termite, Incisitermes minor (Hagen

    Vernard Lewis

    2011-12-01

    Full Text Available Activity of colonies of the western drywood termite, Incisitermes minor, was measured with acoustic emission (AE technology in five loquat (Eriobotrya japonica logs. Termite activity, whether it was feeding, excavation or movement, was monitored for 11 months under ambient conditions in a small wooden structure maintained at the University of California Richmond Field Station. AE, temperature, and humidity data were measured in 3-minute increments. Termite activity was greater during the warmer summer months compared to the cooler winter months. Termites in all five logs displayed a similar daily cycle of activity, peaking in the late afternoon. Seasonal and daily fluctuations in termite activity were significantly associated with temperature, whereas humidity did not appear to have a noticeable effect on termite activity. Possible mechanisms that drive the seasonal and daily cycles in termite activity, as measured by AE technology, and the possible implications for inspections and post-treatment analysis are discussed.

  4. Electronic aids to daily living: be able to do what you want.

    Verdonck, Michèle Claire

    2011-01-01

    This study explores the experiences of Irish people with high cervical spinal cord injuries living with electronic aids to daily living (EADL) and the meaning attributed to such systems in the context of participation in everyday life.

  5. Tiredness in daily activities among nondisabled old people as determinant of onset of disability

    Avlund, Kirsten; Damsgaard, Mogens Trab; Sakari-Rantala, Ritva; Laukkanen, Pia; Schroll, Marianne

    2002-01-01

    The purpose of this article was to examine whether self-reported tiredness in daily activities at age 75 is an independent determinant of onset of disability at 5-year follow-up. The investigation is based on two subgroups of nondisabled participants of 75 year olds who survived and participated in...... poor cognitive function, little diversity in social relations and no physical activity had an independent risk of onset of disability. The results indicate that it is important to take it seriously when older people complain about tiredness in daily activities, as these people are at higher risk of...

  6. The Daily Lives of People With HIV Infection: A Qualitative Study of the Control Group in an Expressive Writing Intervention.

    Metaweh, Maria; Ironson, Gail; Barroso, Julie

    2016-01-01

    Emotional disclosure is an expressive writing technique used in psychotherapy to process traumatic and stressful life experiences. While emotional disclosure interventions frequently use control groups, there are few qualitative analyses of these control groups. Our study's purpose was to analyze the control essays written by HIV-infected informants about their daily activities in an augmented written emotional disclosure intervention. Latent and manifest qualitative content analyses revealed prevalent contextual themes within the data. The emergent themes were socioeconomic status (SES), self-care, religiosity/spirituality, and social support. Emotional disclosure control subjects contributed substantial findings in terms of SES, self-care, resiliency, religiosity/spirituality, and social support and altruism. PMID:27426408

  7. Daily durations of spontaneous activity in cat's ankle muscles

    Hensbergen, E; Kernell, D

    1997-01-01

    For an understanding of how various degrees of altered use (training, disuse) affect the properties of skeletal muscles, it is important to know how much they are used normally. The main aim of the present project was to produce such background knowledge for hindlimb muscles of the cat. In four adul

  8. Analysis of sitting forces on stationary chairs for daily activities.

    Hu, Lingling; Tackett, Bob; Tor, Onder; Zhang, Jilei

    2016-04-01

    No literature related to the study of sitting forces on chairs sat on by people who weighed over 136 kg was found. The Business Institutional Furniture Manufactures Association needs force data for development of performance test standards to test chairs for users who weigh up to 181 kg. 20 participants who weighed from 136 to 186 kg completed 6 tasks on an instrumented chair in the sequence of sitting down, remaining seated and rising. Effects of sitting motion, armrest use and seat cushion thickness on vertical sitting forces and centre-of-force were investigated. Results indicated hard sitting down yielded the highest sitting force of 213% in terms of participants' body weights. Armrest use affected sitting forces of normal sitting down, but not of rising and hard sitting down. Cushion thickness affected sitting forces of normal and hard sitting down and shifting, but not of rising, static seating or stretching backward situations. Practitioner Summary: Results of the sitting force and centre-of-force data obtained for this research can help furniture manufacturers develop new product performance test standards for creating reliable engineering design and manufacturing quality and durable products to meet a niche market need. PMID:26257071

  9. Grip pressure measurements during activities of daily life

    Sanford, Joe; Young, Carolyn; Popa, Dan; Bugnariu, Nicoleta; Patterson, Rita

    2014-06-01

    Research has expanded human-machine communication methods past direct programming and standard hand- held joystick control. Individual force sensors have been used as a simple means of providing environmental information to a robot and research has shown that more advanced sensitive skins can be viable input devices. These touch sensitive surfaces allow for additional modes of interaction between machines in open, undefined environments. These interactions include object detection for navigation and safety but can also be used for recognition of users command gestures by their machine partner. Key to successful implementation of these gestures is the understanding of varied strategies used for communication and interaction and the development of performance limits. Data of dominant hand grip forces was collected using a Tekscan Grip VersaTek Pressure Measurement System during opening of a door. Analysis of data from 10 male and female subjects is presented. The results of qualitative and quantitative analysis of these data show variability in hand configurations between users. Average data over the cohort is reported. These data will be used in future work to provide human metrology constraints and limits for use in simulation and design of new, physical human-robot interaction systems.

  10. Perfil do nível de atividade física na vida diária de pacientes portadores de DPOC no Brasil Profile of the level of physical activity in the daily lives of patients with COPD in Brazil

    Nidia Aparecida Hernandes

    2009-10-01

    Full Text Available OBJETIVO: Avaliar as características de atividades físicas na vida diária de pacientes portadores de DPOC no Brasil e sua relação com diferentes variáveis fisiológicas. MÉTODOS: Foram avaliados 40 pacientes portadores de DPOC (18 homens; 66 ± 8 anos; VEF1 = 46 ± 16 % predito; índice de massa corpórea = 27 ± 6 kg/m² e 30 idosos saudáveis pareados por gênero e idade quanto às atividades físicas na vida diária, utilizando-se um acelerômetro multiaxial por 12 h/dia durante dois dias consecutivos. Foram ainda avaliados as capacidades máxima e funcional de exercício através do teste incremental máximo e do teste de caminhada de seis minutos (TC6, respectivamente; PImáx e PEmáx; força muscular periférica através dos testes de uma repetição máxima e de força de preensão manual; qualidade de vida através de Saint George's Respiratory Questionnaire (SGRQ; estado funcional através do questionário London Chest Activity of Daily Living; e sensação de dispneia através da escala do Medical Research Council (MRC. RESULTADOS: Os pacientes portadores de DPOC apresentaram menor tempo de caminhada/dia quando comparados aos idosos saudáveis (55 ± 33 vs. 80 ± 28 min/dia; p = 0,001 e menor intensidade de movimento (1,9 ± 0,4 vs. 2,3 ± 0,6 m/s²; p = 0,004. Os pacientes com DPOC também tenderam a passar mais tempo sentados (294 ± 114 vs. 246 ± 122 min/dia; p = 0,08. O tempo de caminhada/dia correlacionou-se com TC6 (r = 0,42; p = 0,007, carga máxima de trabalho (r = 0,41; p = 0,009, idade, escala MRC e domínio atividade do SGRQ (-0,31 OBJECTIVE: To evaluate characteristics of physical activities in daily life in COPD patients in Brazil, correlating those characteristics with physiological variables. METHODS: Physical activities in daily life were evaluated in 40 COPD patients (18 males; 66 ± 8 years of age; FEV1 = 46 ± 16 % of predicted; body mass index = 27 ± 6 kg/m² and 30 healthy age- and gender-matched subjects