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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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European Journal of Physical and Rehabilitation Medicine 2016 December;52(6):782-90

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Aphasia and activities of daily living in stroke patients

Bernardo GIALANELLA, Paola PROMETTI, Fabio VANOGLIO, Laura COMINI, Raffaele SANTORO

Operative Unit for Recovery and Functional Rehabilitation, Scientific Institute of Lumezzane, Fondazione Salvatore Maugeri, IRCCS, Lumezzane, Brescia, Italy


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BACKGROUND: Few studies have investigated the relationships between aphasia and activities of daily living (ADLs) in stroke patients.
AIM: This study was aimed firstly to determine which task within the ADLs has poorer functional recovery in stroke patients with aphasia after rehabilitation, second to identify which specific task is related to aphasia.
DESIGN: This is a prospective and observational study.
SETTING: Inpatients of our Rehabilitation Unit.
POPULATION: The study was carried out in 219 patients with primary diagnosis of stroke with (104) and without aphasia (115).
METHODS: All patients underwent usual rehabilitation. Aachen Aphasia Test and Functional Independence Measure scale were used to assess severity of aphasia and ADLs, respectively. Gain in ADLs was the main outcome measure.
RESULTS: At the end of rehabilitation patients with aphasia had lower gain in bathing, dressing upper body, dressing lower body, toileting, stair climbing, and higher gain in social interaction, problem solving, and memory with respect to patients without aphasia. However, when data were adjusted for side of hemiplegia, Fugl-Meyer score and trunk control test, patients with aphasia showed lower gain in dressing upper body (P=0.027), dressing lower body (P=0.009), lower toileting (P=0.027), and higher gain in social interaction (P<0.001). In the multivariate regression analysis, aphasia was an important determinant of gain in bathing (β=0.26), dressing upper body (β=0.24), dressing lower body (β=0.22), lower toileting (β=0.22), and social interaction (β=-0.29).
CONCLUSIONS: The current study points out that, after usual rehabilitation, the patients with aphasia show a poor gain in personal care activities and higher gain in social interaction.
CLINICAL REHABILITATION IMPACT: Knowledge of these findings: 1) can guide the rehabilitation team in selecting specific and appropriate therapies aimed to give patient with aphasia the highest possible functional independence in ADLs; 2) is useful to family members and social rehabilitation services for domiciliary management of patients with aphasia.


KEY WORDS: Stroke - Self-care - Rehabilitation - Interpersonal relations

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Publication History

Issue published online: December 20, 2016
Article first published online: April 21, 2016
Manuscript accepted: April 19, 2016
Manuscript revised: March 21, 2016
Manuscript received: August 30, 2015

Cite this article as

Gialanella B, Prometti P, Vanoglio F, Comini L, Santoro R. Aphasia and activities of daily living in stroke patients. Eur J Phys Rehabil Med 2016;52:782-90

Corresponding author e-mail

gialanellab@gmail.com