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      • Sensor monitoring to determine daily functioning among post-stroke older people at the home setting: a pilot study

        Andi Masyitha Irwan,Mayumi Kato,Syahrul Syahrul,Yudi Hardianto,Ilham Bakri,Elly Lilianty Sjattar,Miho Shogenji 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

        Aims: Stroke incidence is in the second rank of death leading cause and the third of disability reason. Most of post-stroke patients are older people. Initial assessment of the current daily functioning to determine the kinds of rehabilitation needed is essential. However, the objective and actual measurements are limited. We determined daily functioning among post-stroke older people in the community by using sensor monitoring and matching it with the Functional Independence Measure (FIM). Methods: Sixteen home-dwelling post-stroke older people participated in this pilot study. We measured daily functioning by using a PAM AM300 sensor device and FIM. Stroke and fall history, blood pressure, pain, walking speed, grip strength, leg muscle strength, balance, fall risk, fear of falling, self-efficacy, and nutritional intake were also measured. Results: Sensor monitoring showed that most participants" time was spent on activities inside houses, and very little time was spent on doing sports activities. These findings were matched with FIM results where only one-fourth of participants had complete independence in locomotion walking, and half of them had modified independence in locomotion stairs. These two functions are mainly needed to have independent daily functioning. In addition, walking ability, fear of falling, walking speed, and self-efficacy were significantly different with sensor index activity. Conclusion: Sensor monitoring and FIM could be combined to determine daily functioning description and ability to consider the type of rehabilitation needed by post-stroke patients in the community.

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