166 lines
5.4 KiB
YAML
166 lines
5.4 KiB
YAML
abstract: 'BACKGROUND: A large proportion of individuals with a stroke are unable
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to return to work, although figures vary greatly. Due to the very high
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cost of post-stroke care, both tangible and intangible, in the form of
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long-term social consequences, it seems extremely important to search
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for factors responsible for the low efficiency of the rehabilitation and
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recovery process, because this fact has direct influence on future
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employment. Such knowledge would enable physiotherapists to quickly
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identify those patients who are at risk of rehabilitation breakdown, in
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order to provide them with special care and include them in intensive
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therapeutic treatments.
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OBJECTIVE: The aim of the study was to assess the efficacy of
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post-stroke rehabilitation, evaluated within the biopsychosocial aspect.
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METHODS: The study consisted of 120 patients after first stroke,
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including 48 women and 72 men aged 58.0 (+/- 8.6). The measure of the
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effects of physiotherapy in the present study was not only the
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improvement of the functional state (simple and complex activities of
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daily life, locomotive activities), but also the improvement of the
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mental state (mood and the sense of well-being, level of acceptance of
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illness, perceived self-efficacy) and the reduction of pain. The
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Mini-Mental State Examination, the Geriatric Depression Scale, the
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Generalized Self-Efficacy Scale, the Acceptance of Illness Scale, the
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Visual Analogue Scale, the Barthel Index, the Instrumental Activity of
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Daily Living and the Rivermead Mobility Index were used. All parameters
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were measured twice: on admission to the ward and after three weeks of
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physiotherapy. The characteristics of the study group were presented
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using descriptive statistics. The analysis of interdependence of the
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efficacy of physiotherapy used two non-parametric tests: the
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Mann-Whitney U test to compare two groups, and the Kruskal-Wallis ANOVA
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test to compare a greater number of groups. Correlations between
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characteristics with continuous distributions were assessed using
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Spearman''s rank correlation coefficient (rho), and in case of
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categorical variables, Pearson''s chi-squared (chi(2)) correlation
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coefficient. Linear regression was used to determine the hierarchy of
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the influence of particular characteristics on the efficacy of
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physiotherapy.
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RESULTS: Statistical analyzes show that patient''s age, time since
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stroke, number of comorbidities, family care capacity, marital status of
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the patient and also a low level of acceptance of illness, depression
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symptoms and lack of a sense of self-efficacy were related with low
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efficacy of post-stroke rehabilitation
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CONCLUSIONS: Comprehensive neurological rehabilitation, taking into
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account mental challenges and socio-economic circumstances of
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individuals with a stroke is essential in order to achieve high efficacy
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of physiotherapy. Important external factors may play a pivotal role in
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returning to work as well and should be taken into account during
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rehabilitation. Of interest should be to assess more biopsychological
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factors, such as acceptance of illness and a sense of self-efficacy
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referred to as barriers to return to work.'
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affiliation: 'Mazurek, J (Corresponding Author), Dept \& Div Med Rehabil, Ul Borowska
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213, Wroclaw, Poland.
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Neustein, Jolanta; Wojcik, Bartosz; Belza, Malgorzata; Cichosz, Michal, Wroclaw
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Ctr Rehabil \& Sports Med, Dept Neurol Rehabil, Wroclaw, Poland.
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Kobylanska, Marzena; Kowalska, Joanna; Szczepanska-Gieracha, Joanna, Univ Sch Phys
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Educ, Dept Physiotherapy, Wroclaw, Poland.
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Mazurek, Justyna, Wroclaw Med Univ, Dept \& Div Med Rehabil, Wroclaw, Poland.'
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author: Kobylanska, Marzena and Kowalska, Joanna and Neustein, Jolanta and Mazurek,
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Justyna and Wojcik, Bartosz and Belza, Malgorzata and Cichosz, Michal and Szczepanska-Gieracha,
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Joanna
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author-email: justyna\_mazurek@poczta.onet.pl
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author_list:
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- family: Kobylanska
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given: Marzena
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- family: Kowalska
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given: Joanna
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- family: Neustein
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given: Jolanta
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- family: Mazurek
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given: Justyna
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- family: Wojcik
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given: Bartosz
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- family: Belza
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given: Malgorzata
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- family: Cichosz
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given: Michal
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- family: Szczepanska-Gieracha
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given: Joanna
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da: '2023-09-28'
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doi: 10.3233/WOR-162823
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eissn: 1875-9270
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files: []
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issn: 1051-9815
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journal: WORK-A JOURNAL OF PREVENTION ASSESSMENT \& REHABILITATION
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keywords: 'Post-stroke rehabilitation; physiotherapy; occupational therapy;
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neurological rehabilitation; depression symptoms; return to work;
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younger adults; intervention; clinical practice'
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keywords-plus: 'LENGTH-OF-STAY; DISCHARGE DESTINATION; POSTSTROKE DEPRESSION;
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PROGNOSTIC-FACTORS; WORK; RETURN; EXPERIENCES; YOUNG; OUTCOMES; ADULTS'
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language: English
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number: '4'
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number-of-cited-references: '56'
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orcid-numbers: 'Mazurek, Justyna/0000-0001-8983-0286
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Kowalska, Joanna/0000-0002-5232-1688
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Szczepanska-Gieracha, Joanna/0000-0001-5191-3799'
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pages: 523-535
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papis_id: 77a20caf0a6a5171256046cfe7a033c9
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ref: Kobylanska2018rolebiopsychosocial
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researcherid-numbers: 'Mazurek, Justyna/AAX-9871-2020
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Kowalska, Joanna/ABC-5637-2021
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'
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times-cited: '26'
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title: The role of biopsychosocial factors in the rehabilitation process of individuals
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with a stroke
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type: article
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unique-id: WOS:000455262400005
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usage-count-last-180-days: '1'
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usage-count-since-2013: '15'
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volume: '61'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2018'
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