Association Of IADL And Severity of Performance Among Chronic Stroke Patients: A Correlational Study
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Abstract
Background: Strokes can affect occupational performances that contribute to impairment and result limiting especially in instrumental activities of daily life.
While the relationship between stroke severity and functional recovery has been extensively studied, limited research has explored how IADL performance correlates with the severity of functional impairments in chronic stroke patients.
Study design: A Correlation study
Aim: To find out the association between IADL and severity of performance among chronic stroke patients.
Objective: To examine the association among IADL and severity of performance in chronic patients by using Fugl–Meyer assessment and Lawton – Brody IADL Scale.
Participants: The participants were recruited based on exclusion and inclusion criteria. A total of 86 participants were included in the study.
Methods: - A correlation study was conducted on chronic stroke patients with 86 participants from RAM SEVA HOSPITAL, Greater Noida by using Convenient Sampling technique. Lawton – Brody Instrumental Activities of Daily Living (IADL) and Fugl – Meyer Assessment (FMA) Scale were used as outcome measures.
Result: The correlation analysis reveals several significant and non-significant relationships between age, functional motor assessments (FMA) parameters and IADL. Upper motor function does not show significant correlations with any variable, although it has a weak, non-significant positive relationship with upper joint mobility r = 0.137, p = 0.208. Upper sensory is significantly positively correlated with upper joint mobility r = 0.262, p = 0.015 and lower sensory r = 0.217, p = 0.045, indicating that sensory functions might influence mobility and sensory processing across body regions. Lower sensory also shows a significant positive correlation with lower joint mobility r = 0.219, p = 0.043, highlighting a potential connection between sensory and motor capabilities in the lower body. However, lower joint positioning and other parameters do not exhibit significant relationships, apart from the aforementioned correlation with age.
Conclusion: The Study concluded that there was relationship between instrumental activities of daily living and severity of performance among chronic stroke patients. The IADL and occupational performance are in direct relationship, therefore when the instrumental activities of daily living of the patient inclines the occupational performance improves automatically. Higher occupational performance contributes to more independent instrumental activities of daily living.