Instrumental Activities of Daily Living Approach in Home Environment for Patients With Stroke

Investigation of the Effect on Instrumental Activities of Daily Living Approach in Home Environment for Patients With Stroke

The purpose of this study was to conduct a randomized clinical trial. Implement instrumental daily activities of daily living (A-IADL) in home rehabilitation. To explore the effect of A-IADL on stroke patients' movement, cognition, social participation, daily life function and quality of life.

Subjects were randomized to intervention group and control group. The experiment was designed as randomized cross-over control trial. The primary outcome included 11 measures, Fugl-Meyer Assessment, Balance computerized adaptive testing, Mini Mental State Examination, Participation Measure-3 Domains ,4 Dimensions, Canadian Occupational Performance Measure, Barthel Index-based Supplementary Scales, Frenchay Activities Index, Lawnton Instrumental Activities of Daily Living, stroke impact scale, Stroke Self-Efficacy Questionnaire, and Kingston Caregiver Stress Scale.

Inclusion Criteria:

• age > 20 years
• Diagnosis of stroke
• The modified Rankin Scale : 2~4
• Keep sitting for half an hour by himself/herself
• Follow instructions
• Willing to sign the subject's consent

Exclusion Criteria:

• Diagnosis of dementia
• History of orthopedic diseases or peripheral nerve injury