Irene M C Huenges Wajer1, Johanna M A Visser-Meily2, Paut Greebe1, Marcel W M Post2, Gabriel J E Rinkel1, Martine J E van Zandvoort1,3. 1. a Department of Neurology and Neurosurgery, Rudolf Magnus Institute for Neuroscience , University Medical Center Utrecht , Utrecht , The Netherlands. 2. b Center of Excellence in Rehabilitation Medicine, Rehabilitation Center De Hoogstraat and Rudolf Magnus Institute for Neuroscience , University Medical Center Utrecht , Utrecht , The Netherlands. 3. c Experimental Psychology, Helmholtz Institute , Utrecht University , Utrecht , The Netherlands.
Abstract
BACKGROUND: Most survivors of an aneurysmal subarachnoid hemorrhage (aSAH) are ADL-independent, but they often experience restrictions in (social) activities and, therefore, cannot regain their pre-morbid level of participation. OBJECTIVE: In this study, participation restrictions and participation satisfaction experienced after aSAH were assessed. Moreover, possible predictors of participation after aSAH were examined to identify goals for rehabilitation. METHOD: Participation restrictions experienced by a series of 67 patients visiting our SAH outpatient clinic were assessed as part of standard clinical care using the Participation Restrictions and Satisfaction sections of the Utrecht Scale for Evaluation of Rehabilitation Participation (USER-Participation) 6 months after aSAH. Cognitive impairments, cognitive and emotional complaints, and symptoms of depression and anxiety, assessed 10 weeks after aSAH, were examined as possible predictors of participation by means of linear regression analysis. RESULTS: Although patients were ADL-independent, 64% reported one or more participation restrictions and 60% were dissatisfied in one or more participation domains. Most commonly experienced restrictions concerned housekeeping, chores in and around the house, and physical exercise. Dissatisfaction was most often reported about outdoor activities, mobility, and work/housekeeping. The main predictors of participation restrictions as well as satisfaction with participation were cognitive complaints (subjective) (β = -.30, p = .03 and β = -.40, p = .002, respectively) and anxiety (β = .32, p = .02 and β = -.34, p = .007, respectively). CONCLUSIONS: Almost two-thirds of the ADL-independent patients experienced problems of participation 6 months after aSAH. Cognitive complaints (subjective) and anxiety symptoms showed the strongest association with participation restrictions and satisfaction. Cognitive rehabilitation and anxiety-reducing interventions may help to optimize rehabilitation and increase participation after aSAH.
BACKGROUND: Most survivors of an aneurysmal subarachnoid hemorrhage (aSAH) are ADL-independent, but they often experience restrictions in (social) activities and, therefore, cannot regain their pre-morbid level of participation. OBJECTIVE: In this study, participation restrictions and participation satisfaction experienced after aSAH were assessed. Moreover, possible predictors of participation after aSAH were examined to identify goals for rehabilitation. METHOD: Participation restrictions experienced by a series of 67 patients visiting our SAHoutpatient clinic were assessed as part of standard clinical care using the Participation Restrictions and Satisfaction sections of the Utrecht Scale for Evaluation of Rehabilitation Participation (USER-Participation) 6 months after aSAH. Cognitive impairments, cognitive and emotional complaints, and symptoms of depression and anxiety, assessed 10 weeks after aSAH, were examined as possible predictors of participation by means of linear regression analysis. RESULTS: Although patients were ADL-independent, 64% reported one or more participation restrictions and 60% were dissatisfied in one or more participation domains. Most commonly experienced restrictions concerned housekeeping, chores in and around the house, and physical exercise. Dissatisfaction was most often reported about outdoor activities, mobility, and work/housekeeping. The main predictors of participation restrictions as well as satisfaction with participation were cognitive complaints (subjective) (β = -.30, p = .03 and β = -.40, p = .002, respectively) and anxiety (β = .32, p = .02 and β = -.34, p = .007, respectively). CONCLUSIONS: Almost two-thirds of the ADL-independent patients experienced problems of participation 6 months after aSAH. Cognitive complaints (subjective) and anxiety symptoms showed the strongest association with participation restrictions and satisfaction. Cognitive rehabilitation and anxiety-reducing interventions may help to optimize rehabilitation and increase participation after aSAH.
Authors: Wouter J Harmsen; Ladbon Khajeh; Gerard M Ribbers; Majanka H Heijenbrok-Kal; Emiel Sneekes; Fop van Kooten; Sebastian Neggers; Rita J van den Berg-Emons Journal: Phys Ther Date: 2019-07-01
Authors: Elisabeth A De Vries; Wendy Boerboom; Rita J G Van den Berg-Emons; Fop Van Kooten; Johanna M A Visser-Meily; Gerard M Ribbers; Majanka H Heijenbrok-Kal Journal: J Rehabil Med Date: 2022-05-11 Impact factor: 3.959
Authors: Wouter J Harmsen; Gerard M Ribbers; Majanka H Heijenbrok-Kal; Johannes B J Bussmann; Emiel M Sneekes; Ladbon Khajeh; Fop van Kooten; Sebastian J C M M Neggers; Rita J van den Berg-Emons Journal: J Neuroeng Rehabil Date: 2017-11-23 Impact factor: 4.262
Authors: Elisabeth Anne de Vries; Wendy Boerboom; Rita H J G van den Berg-Emons; Fop van Kooten; Gerard M Ribbers; Majanka H Heijenbrok-Kal Journal: J Rehabil Med Date: 2021-04-01 Impact factor: 2.912