TIME COURSE FOR ACQUIRING TOILETING INDEPENDENCE IN PATIENTS WITH SUBACUTE STROKE: A PROSPECTIVE COHORT STUDY.

Objective: To determine the time course of longitudinal changes in the independence level of toileting- related subtasks in post-stroke patients. Design: Single-institution, prospective cohort study. Subjects/Patients: A total of 101 consecutive patients with stroke admitted to subacute rehabilitati...

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Publicado en:Journal of Rehabilitation Medicine (Medical Journals Sweden AB) Vol. 57; pp. 1 - 11
Autores principales: KITAMURA, Shin, OTAKA, Yohei, UEHARA, Shintaro, MURAYAMA, Yudai, USHIZAWA, Kazuki, NARITA, Yuya, NAKATSUKASA, Naho, MATSUURA, Daisuke, OSU, Rieko, KONDO, Kunitsugu, SAKATA, SACHIKO
Formato: research tables/charts Journal Article
Publicado: Medical Journals Sweden AB 2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2025
      vid: 57
      pid: 59195
      pub: Medical Journals Sweden AB
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        190928724
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        190928724
        10.2340/jrm.v57.42390
        190928724
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        atl: TIME COURSE FOR ACQUIRING TOILETING INDEPENDENCE IN PATIENTS WITH SUBACUTE STROKE: A PROSPECTIVE COHORT STUDY.
      aug:
        au:
          KITAMURA, Shin
          OTAKA, Yohei
          UEHARA, Shintaro
          MURAYAMA, Yudai
          USHIZAWA, Kazuki
          NARITA, Yuya
          NAKATSUKASA, Naho
          MATSUURA, Daisuke
          OSU, Rieko
          KONDO, Kunitsugu
          SAKATA, SACHIKO
        affil: Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba, Japan
      sug:
        subj:
          Stroke Patients
          Toileting
          Time Factors
          Functional Status
          Stroke Rehabilitation
          Task Performance and Analysis
          Activities of Daily Living
          Human
          Prospective Studies
          Occupational Therapists
          Questionnaires
          Cluster Analysis
          Subacute Care
          Wheelchairs
          Rehabilitation Centers Japan
          Japan
          Clinical Assessment Tools
          Fisher's Exact Test
          One-Way Analysis of Variance
          T-Tests
          Kruskal-Wallis Test
          Mann-Whitney U Test
          Post Hoc Analysis
          Data Analysis Software
          Funding Source
      ab: Objective: To determine the time course of longitudinal changes in the independence level of toileting- related subtasks in post-stroke patients. Design: Single-institution, prospective cohort study. Subjects/Patients: A total of 101 consecutive patients with stroke admitted to subacute rehabilitation wards who urinated/defecated in bathrooms using wheelchairs upon admission. Methods: Occupational therapists assessed the independence level of patients in each of the 24 toileting subtasks on a 3-level rating scale using the Toileting Tasks Assessment Form every 2-4 weeks from admission to the endpoint (achieving independent toileting or discharge). Patients were classified based on admission and endpoint assessment form scores using a two-step cluster analysis. Results: Patients were classified into Cluster 1 (30 patients who exhibited a greater independence level in all subtasks upon admission [46.7-100% of patients performed each subtask independently] to the endpoint [73.3-100%]), Cluster 2 (41 patients who showed less independence upon admission [0-26.8%] but gained greater independence at the endpoint [34.1-73.2%]), and Cluster 3 (30 patients whose independence levels remained low in many subtasks from admission [0-26.7%] to the endpoint [3.3-26.7%]). Conclusion: Changes in toileting independence levels could be classified into 3 time courses. Effective intervention strategies may differ between each group.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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