Document Type : Systematic Reviews
Authors
1 Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
2 Department of Occupational Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract
Background: Stroke is considered a common and major problem in the field of
healthcare because of its high prevalence and long-term disabilities. The main
aim of rehabilitation is to increase the participation of stroke patients in different
areas of life. The current study purposed to review the factors influencing the
participation of Iranian stroke patients in life areas.
Methods: Databases including ISI-Web of Knowledge, PubMed, Google Scholar,
and Scopus were searched using keywords such as occupational therapy,
participation, activities of daily living (ADL), instrumental activities of daily
living (IADLs), work, play, leisure, education, social participation, sleep, and
rest in combination with Iranian stroke patients and CVA. The quality of the
studies was evaluated using the PEDro scale. All papers reviewed in this study
concerned factors influencing the participation of Iranian stroke patients and
were published from 2000-2020.
Results: In total, 178 articles were identified as eligible for an Iranian stroke
study. Of these, 104 articles were discarded, and an additional 38 were removed
because of repetition and duplication. After careful evaluation of the papers, 34
were selected for final analysis. Most of the included studies concerned the ADL
area of participation (N=32), and the lowest number of articles were in the areas
of play (N=1), sleep/rest (N=2), and health management (N=3).
Conclusion: In Iran, researchers have not paid enough attention to the
participation of stroke patients in areas of life. Most studies focus mainly on
patient’s performance components, such as sensory and motor skills.
Keywords
1. Roger, V.L., et al., Heart disease and stroke statistics--2011 update:a report from the American Heart Association. Circulation, 2011.123(4): p. e18-e209.
2. Feigin, V.L., et al., Global and regional burden of stroke during1990-2010: findings from the Global Burden of Disease Study2010. Lancet, 2014. 383(9913): p. 245-54.
3. Lakshminarayan, K., et al., Trends in 10-year survival of patients with stroke hospitalized between 1980 and 2000: the Minnesota stroke survey. Stroke, 2014. 45(9): p. 2575-81.
4. Srikanth, V.K., et al., Increased risk of cognitive impairment 3months after mild to moderate first-ever stroke: a Community-Based Prospective Study of Nonaphasic English-Speaking Survivors. Stroke, 2003. 34(5): p. 1136-43.
5. Peoples, H., T. Satink, and E. Steultjens, Stroke survivors’experiences of rehabilitation: a systematic review of qualitative studies. Scand J Occup Ther, 2011. 18(3): p. 163-71.
6. Pellerin, C., A. Rochette, and E. Racine, Social participation of relatives post-stroke: the role of rehabilitation and related ethical issues. Disabil Rehabil, 2011. 33(13-14): p. 1055-64.
7. Engel-Yeger, B., et al., Scoping Review: The Trajectory of Recovery of Participation Outcomes following Stroke. Behavioural Neurology, 2018. 2018: p. 5472018.
8. Fallahpour, M., et al., Perceived participation and autonomy:aspects of functioning and contextual factors predicting participation after stroke. J Rehabil Med, 2011. 43(5): p. 388-97.
9. Dalvandi, A., et al., Life experiences after stroke among Iranian stroke survivors. Int Nurs Rev, 2010. 57(2): p. 247-53.
10. Occupational Therapy Practice Framework: Domain and Process—Fourth Edition. American Journal of Occupational Therapy, 2020. 74(Supplement_2): p. 7412410010p1-7412410010p87.
11. WHO, International Classification of Functioning, Disability and Health. Geneva. World Health Organization. 2001.
12. Association., A.O.T., Occupational therapy practice framework:Domain and process. 2020: AMERICAN OCCUPATIONAL THE.
13. Park, E.-Y. and K. Won-Ho, Participation restriction of stroke survivors: Verification of the moderating effects of demographic characteristics. Cogent Psychology, 2019. 6(1): p. 1674090.
14. Ezekiel, L., et al., Factors Associated With Participation in Life Situations for Adults With Stroke: A Systematic Review. Arch Phys Med Rehabil, 2019. 100(5): p. 945-955.
15. Liberati, A., et al., The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration. Journal of clinical epidemiology, 2009. 62: p. e1-34.
16. de Morton, N.A., The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Australian Journal of Physiotherapy, 2009. 55(2): p. 129-133.
17. Fallahpour, M., et al., “I am not living my life”: lived experience of participation in everyday occupations after stroke in Tehran.J Rehabil Med, 2013. 45(6): p. 528-34.
18. Ghaffari, A., M. Akbarfahimi, and B. Forough, A Comparison of the Relation of Depression, and Cognitive, Motor and Functional Deficits in Chronic Stroke Patients: A Pilot Study. Advances in Bioscience and Clinical Medicine, 2017. 5(4): p. 1-7.
19. Haghgoo, H.A., et al., Depression, activities of daily living and quality of life in patients with stroke. J Neurol Sci, 2013. 328(1-2): p. 87-91.
20. Jafari-Golestan, N., et al., Determining the Consequences of Perceived Self-Care Ability in Stroke Patients Living at Home:A Qualitative Study in Iran. Arch Neurosci, 2019. 6(4): p. e95653.
21. Farhadian, M., et al., Effect of gait retraining on balance, activities of daily living, quality of life and depression in stroke patients.Iranian Rehabilitation Journal, 2015. 13(4): p. 116-119.
22. Veisi-Pirkoohi, S., et al., Efficacy of RehaCom cognitive rehabilitation software in activities of daily living, attention
and response control in chronic stroke patients. J Clin Neurosci,2020. 71: p. 101-107.
23. Rayegani, S.M., et al., Evaluation of complete functional status of patients with stroke by Functional Independence Measure scale on admission, discharge, and six months poststroke. Iranian journal of neurology, 2016. 15(4): p. 202-208.
24. Azar, E.F., M.H. Shirmard, and E. Jamshidian, Evaluation of the Relationship between Functional Independence and Quality of Life in Patients with Chronic Stroke. Journal of Clinical Physiotherapy Research. 3(1): p. 29-33.
25. Dalvandi, A., et al., Everyday life condition in stroke survivors and their family caregivers in Iranian context. International Journal of Community Based Nursing & Midwifery, 2013. 1(1): p. 3-15.
26. Khoshbakht Pishkhani, M., et al., Factors affecting adherence to rehabilitation in Iranian stroke patients: A qualitative study.J Vasc Nurs, 2019. 37(4): p. 264-271.
27. Dalvandi, A., et al., Life experiences after stroke among Iranian stroke survivors. International nursing review, 2010. 57(2): p.247-253.
28. Farzadfard, M.T., et al., Long-term disability after stroke in Iran:evidence from the Mashhad Stroke Incidence Study. International Journal of Stroke, 2019. 14(1): p. 44-47.
29. Aslani, Z.M., et al., Nurses’ Empowerment in Self-Care Education to Stroke Patients: An Action Research Study. International journal of community based nursing and midwifery, 2016. 4(4): p. 329-338.
30. Dalvandi, A., et al., Post Stroke life in Iranian people: used and recommended strategies. Iranian rehabilitation journal, 2009.7(1): p. 17-24.
31. Derakhshanfar, M., et al., Sensory interventions on motor function,activities of daily living, and spasticity of the upper limb in people with stroke: A randomized clinical trial. Journal of Hand Therapy,2020.
32. Akbari, S., et al., The correlation of independency in activities of daily living performance with cognitive status and the intensity of neurological impairment in right-handed stroke patients. NeuroRehabilitation, 2011. 29(3): p. 311-316.
33. Haji-Ahmad, T., et al., The effect of biofeedback therapy on hand function and daily activities in stroke survivors. Zahedan Journal of Research in Medical Sciences, 2015. 17(10): p. e2204.
34. Deyhoul, N., et al., The effect of family-centered empowerment program on the family caregiver burden and the activities of daily living of Iranian patients with stroke: a randomized controlledtrial study. Aging Clinical and Experimental Research, 2020.32(7): p. 1343-1352.
2. Feigin, V.L., et al., Global and regional burden of stroke during1990-2010: findings from the Global Burden of Disease Study2010. Lancet, 2014. 383(9913): p. 245-54.
3. Lakshminarayan, K., et al., Trends in 10-year survival of patients with stroke hospitalized between 1980 and 2000: the Minnesota stroke survey. Stroke, 2014. 45(9): p. 2575-81.
4. Srikanth, V.K., et al., Increased risk of cognitive impairment 3months after mild to moderate first-ever stroke: a Community-Based Prospective Study of Nonaphasic English-Speaking Survivors. Stroke, 2003. 34(5): p. 1136-43.
5. Peoples, H., T. Satink, and E. Steultjens, Stroke survivors’experiences of rehabilitation: a systematic review of qualitative studies. Scand J Occup Ther, 2011. 18(3): p. 163-71.
6. Pellerin, C., A. Rochette, and E. Racine, Social participation of relatives post-stroke: the role of rehabilitation and related ethical issues. Disabil Rehabil, 2011. 33(13-14): p. 1055-64.
7. Engel-Yeger, B., et al., Scoping Review: The Trajectory of Recovery of Participation Outcomes following Stroke. Behavioural Neurology, 2018. 2018: p. 5472018.
8. Fallahpour, M., et al., Perceived participation and autonomy:aspects of functioning and contextual factors predicting participation after stroke. J Rehabil Med, 2011. 43(5): p. 388-97.
9. Dalvandi, A., et al., Life experiences after stroke among Iranian stroke survivors. Int Nurs Rev, 2010. 57(2): p. 247-53.
10. Occupational Therapy Practice Framework: Domain and Process—Fourth Edition. American Journal of Occupational Therapy, 2020. 74(Supplement_2): p. 7412410010p1-7412410010p87.
11. WHO, International Classification of Functioning, Disability and Health. Geneva. World Health Organization. 2001.
12. Association., A.O.T., Occupational therapy practice framework:Domain and process. 2020: AMERICAN OCCUPATIONAL THE.
13. Park, E.-Y. and K. Won-Ho, Participation restriction of stroke survivors: Verification of the moderating effects of demographic characteristics. Cogent Psychology, 2019. 6(1): p. 1674090.
14. Ezekiel, L., et al., Factors Associated With Participation in Life Situations for Adults With Stroke: A Systematic Review. Arch Phys Med Rehabil, 2019. 100(5): p. 945-955.
15. Liberati, A., et al., The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration. Journal of clinical epidemiology, 2009. 62: p. e1-34.
16. de Morton, N.A., The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Australian Journal of Physiotherapy, 2009. 55(2): p. 129-133.
17. Fallahpour, M., et al., “I am not living my life”: lived experience of participation in everyday occupations after stroke in Tehran.J Rehabil Med, 2013. 45(6): p. 528-34.
18. Ghaffari, A., M. Akbarfahimi, and B. Forough, A Comparison of the Relation of Depression, and Cognitive, Motor and Functional Deficits in Chronic Stroke Patients: A Pilot Study. Advances in Bioscience and Clinical Medicine, 2017. 5(4): p. 1-7.
19. Haghgoo, H.A., et al., Depression, activities of daily living and quality of life in patients with stroke. J Neurol Sci, 2013. 328(1-2): p. 87-91.
20. Jafari-Golestan, N., et al., Determining the Consequences of Perceived Self-Care Ability in Stroke Patients Living at Home:A Qualitative Study in Iran. Arch Neurosci, 2019. 6(4): p. e95653.
21. Farhadian, M., et al., Effect of gait retraining on balance, activities of daily living, quality of life and depression in stroke patients.Iranian Rehabilitation Journal, 2015. 13(4): p. 116-119.
22. Veisi-Pirkoohi, S., et al., Efficacy of RehaCom cognitive rehabilitation software in activities of daily living, attention
and response control in chronic stroke patients. J Clin Neurosci,2020. 71: p. 101-107.
23. Rayegani, S.M., et al., Evaluation of complete functional status of patients with stroke by Functional Independence Measure scale on admission, discharge, and six months poststroke. Iranian journal of neurology, 2016. 15(4): p. 202-208.
24. Azar, E.F., M.H. Shirmard, and E. Jamshidian, Evaluation of the Relationship between Functional Independence and Quality of Life in Patients with Chronic Stroke. Journal of Clinical Physiotherapy Research. 3(1): p. 29-33.
25. Dalvandi, A., et al., Everyday life condition in stroke survivors and their family caregivers in Iranian context. International Journal of Community Based Nursing & Midwifery, 2013. 1(1): p. 3-15.
26. Khoshbakht Pishkhani, M., et al., Factors affecting adherence to rehabilitation in Iranian stroke patients: A qualitative study.J Vasc Nurs, 2019. 37(4): p. 264-271.
27. Dalvandi, A., et al., Life experiences after stroke among Iranian stroke survivors. International nursing review, 2010. 57(2): p.247-253.
28. Farzadfard, M.T., et al., Long-term disability after stroke in Iran:evidence from the Mashhad Stroke Incidence Study. International Journal of Stroke, 2019. 14(1): p. 44-47.
29. Aslani, Z.M., et al., Nurses’ Empowerment in Self-Care Education to Stroke Patients: An Action Research Study. International journal of community based nursing and midwifery, 2016. 4(4): p. 329-338.
30. Dalvandi, A., et al., Post Stroke life in Iranian people: used and recommended strategies. Iranian rehabilitation journal, 2009.7(1): p. 17-24.
31. Derakhshanfar, M., et al., Sensory interventions on motor function,activities of daily living, and spasticity of the upper limb in people with stroke: A randomized clinical trial. Journal of Hand Therapy,2020.
32. Akbari, S., et al., The correlation of independency in activities of daily living performance with cognitive status and the intensity of neurological impairment in right-handed stroke patients. NeuroRehabilitation, 2011. 29(3): p. 311-316.
33. Haji-Ahmad, T., et al., The effect of biofeedback therapy on hand function and daily activities in stroke survivors. Zahedan Journal of Research in Medical Sciences, 2015. 17(10): p. e2204.
34. Deyhoul, N., et al., The effect of family-centered empowerment program on the family caregiver burden and the activities of daily living of Iranian patients with stroke: a randomized controlledtrial study. Aging Clinical and Experimental Research, 2020.32(7): p. 1343-1352.
35. Sahebalzamani, M., L. Alilou, and A. Shakibi, The efficacy of self-care education on rehabilitation of stroke patients. Saudimedical journal, 2009. 30(4): p. 550-554.
36. Saadatnia, M., et al., The Impact of Home-Based Exercise Rehabilitation on Functional Capacity in Patients With Acute Ischemic Stroke: A Randomized Controlled Trial. Home Health Care Management & Practice, 2020. 32(3): p. 141-147.
37. Ghanjal, A., et al., Effect of action observation and imitation on improving the functional activities indices in hemiplegic patients based on mirror neurons theory. Journal of Mazandaran University of Medical Sciences, 2014. 24(118): p. 136-150.
38. EGHLIDI JANDARK, et al., THE EFFECT OF SENSORY-MOTOR TRAINING ON RECOVERY OF BASIC AND INSTRUMENTAL ACTIVITY OF DAILY LIVING IN CHRONIC STROKE PATIENTS.SCIENTIFIC JOURNAL OF REHABILITATION MEDICINE SUMMER, 2015. 4(2): p. 79-85.
39. NIKANFAR S., K.M., SHAFIEE Z., AKBARZADEH BAGHBAN A., THE RELATIONSHIP BETWEEN SENSORIMOTOR FUNCTION OF HEMIPLEGIC LOWER LIMB AND INDEPENDENCY IN DAILY LIVING ACTIVITIES IN HEMIPLEGIC PATIENTS. SCIENTIFIC JOURNAL OF KURDISTAN UNIVERSITY OF MEDICAL SCIENCES 2017. Volume 22: p. 64 To 70.
40. NOROUZIAN MANIJEH, R.H., PANAHZADEH FATEMEH*,The effect of 6 weeks of Tai chi training on serum TNF-α and sleep quality in women with stroke. JOURNAL OF PRACTICAL STUDIES AT BIOSCIENCES IN SPORT 2019. 7: p. 9 To 18.
41. Akbari, s., et al., investigating the relationship between cognitive condition an indepence in adl right handed patients with stroke.rehabilitation, 2010. 10: p. 50-56.
42. DERAKHSHANFAR MARYAM, R.P., BAGHERI HOSEIN,JALILI MAHMOUD, Tarhsaz Hossein, The effect of extroceptive and proprioceptive sensory stimulation on ADL and motor function of upper limb in stroke patients. RAZI JOURNAL OF MEDICAL SCIENCES (JOURNAL OF IRAN UNIVERSITY OF MEDICAL SCIENCES), 2018: p. 54 To 60.
43. Ghavami, M., et al., The Effect of Client-Centered Occupational Therapy on the Self-Care Satisfaction and Performance of Older Adults With Cerebrovascular Accidents. Salmand: Iranian Journal of Ageing, 2011. 6(3): p. 26-33.
44. Akbari, S., et al., Correlations among impairment, daily activities and thinking operations after stroke. NeuroRehabilitation, 2013. 33(1): p. 153-160.
45. Lokk, J., R.S. Roghani, and A. Delbari, Effect of methylphenidate and/or levodopa coupled with physiotherapy on functional and motor recovery after stroke–a randomized, double‐blind,placebocontrolled trial. Acta Neurologica Scandinavica, 2011. 123(4):p. 266-273.
46. Dehghan Nayeri, N., et al., Investigating the effects of a familycentered care program on stroke patients’ adherence to their therapeutic regimens. Contemporary Nurse, 2014. 47(1-2): p.88-96.
47. Soufi Ahmadi, H., et al., The effects of virtual reality on upper limb function in chronic stroke patients: A clinical trial. Iranian Rehabilitation Journal, 2019. 17(1): p. 81-89.
48. HABIBZADEH H., G.F.A., AHMADI FAZLOLAH, THE EFFECT OF SELF-CARE PLANNING ON THE DAILY ACTIVITIES OF PATIENTS WITH CEREBRO-VASCULAR ACCIDENT (HOSPITALIZED AT THE SELECTED URUMIA HOSPITAL). DANESHVAR MEDICINE, 2007. Volume 14 ,:p. 9 To 17.
49. Mehdizadeh, M., A.H. Mehraban, and R. Zahediyannasab, The effect of group-based occupational therapy on performance and satisfaction of stroke survivors: pilot trail, neuro-occupational view. Basic and clinical neuroscience, 2017. 8(1): p. 69.
50. Tomori, K., et al., Comparison of occupation-based and impairment-based occupational therapy for subacute stroke:a randomized controlled feasibility study. Clin Rehabil, 2015.29(8): p. 752-62.
51. Raji, P., et al., Assessment priorities in cerebral palsy using ICF core set by Iranian occupational therapists. Can J Occup Ther,2019. 86(4): p. 289-298.
52. Cawood, J., S. Visagie, and G. Mji, Impact of post-stroke impairments on activities and participation as experienced by stroke survivors in a Western Cape setting. South African Journal of Occupational Therapy, 2016. 46: p. 10-15.
53. Hofgren, C., et al., Recovery after stroke: cognition, ADL function and return to work. Acta Neurologica Scandinavica, 2007. 115(2):p. 73-80.
54. Veerbeek, J.M., et al., Early prediction of outcome of activitiesof daily living after stroke: a systematic review. Stroke, 2011.42(5): p. 1482-8.
55. Stolwyk, R.J., et al., Poststroke Cognitive Impairment Negatively Impacts Activity and Participation Outcomes: A Systematic Review and Meta-Analysis. Stroke, 2021. 52(2): p. 748-760.
56. Laver, K.E., et al., Virtual reality for stroke rehabilitation.Cochrane Database Syst Rev, 2017. 11(11): p. Cd008349.
57. Babulal, G.M., et al., Cognitive impairments and mood disruptions negatively impact instrumental activities of daily living performance in the first three months after a first stroke.Top Stroke Rehabil, 2015. 22(2): p. 144-51.
58. Cahn-Weiner, D.A., et al., Cognitive and neuroimaging predictors of instrumental activities of daily living. J Int Neuropsychol Soc,2007. 13(5): p. 747-57.
59. Lai, S.M., et al., Depressive symptoms and independence in BADL and IADL. J Rehabil Res Dev, 2002. 39(5): p. 589-96.
60. Ghaffari, A., H.R. Rostami, and M. Akbarfahimi, Predictors of Instrumental Activities of Daily Living Performance in Patients with Stroke. Occupational therapy international, 2021. 2021: p.6675680-6675680.
61. Yi, T.I., et al., Participation in leisure activity and exercise of chronic stroke survivors using community-based rehabilitation services in seongnam city. Ann Rehabil Med, 2015. 39(2): p.234-42.
62. Zhao, Y., et al., Social support and sleep quality in patients with stroke: The mediating roles of depression and anxiety symptoms.Int J Nurs Pract, 2021: p. e12939.
63. Lisabeth, L.D., et al., Sleep-disordered breathing and poststroke outcomes. Ann Neurol, 2019. 86(2): p. 241-250.
64. Park, J., Effects of the sleep quality of chronic stroke outpatients on patterns of activity performance and quality of life. Sleep and Hypnosis (Online), 2019. 21(3): p. 228-232
36. Saadatnia, M., et al., The Impact of Home-Based Exercise Rehabilitation on Functional Capacity in Patients With Acute Ischemic Stroke: A Randomized Controlled Trial. Home Health Care Management & Practice, 2020. 32(3): p. 141-147.
37. Ghanjal, A., et al., Effect of action observation and imitation on improving the functional activities indices in hemiplegic patients based on mirror neurons theory. Journal of Mazandaran University of Medical Sciences, 2014. 24(118): p. 136-150.
38. EGHLIDI JANDARK, et al., THE EFFECT OF SENSORY-MOTOR TRAINING ON RECOVERY OF BASIC AND INSTRUMENTAL ACTIVITY OF DAILY LIVING IN CHRONIC STROKE PATIENTS.SCIENTIFIC JOURNAL OF REHABILITATION MEDICINE SUMMER, 2015. 4(2): p. 79-85.
39. NIKANFAR S., K.M., SHAFIEE Z., AKBARZADEH BAGHBAN A., THE RELATIONSHIP BETWEEN SENSORIMOTOR FUNCTION OF HEMIPLEGIC LOWER LIMB AND INDEPENDENCY IN DAILY LIVING ACTIVITIES IN HEMIPLEGIC PATIENTS. SCIENTIFIC JOURNAL OF KURDISTAN UNIVERSITY OF MEDICAL SCIENCES 2017. Volume 22: p. 64 To 70.
40. NOROUZIAN MANIJEH, R.H., PANAHZADEH FATEMEH*,The effect of 6 weeks of Tai chi training on serum TNF-α and sleep quality in women with stroke. JOURNAL OF PRACTICAL STUDIES AT BIOSCIENCES IN SPORT 2019. 7: p. 9 To 18.
41. Akbari, s., et al., investigating the relationship between cognitive condition an indepence in adl right handed patients with stroke.rehabilitation, 2010. 10: p. 50-56.
42. DERAKHSHANFAR MARYAM, R.P., BAGHERI HOSEIN,JALILI MAHMOUD, Tarhsaz Hossein, The effect of extroceptive and proprioceptive sensory stimulation on ADL and motor function of upper limb in stroke patients. RAZI JOURNAL OF MEDICAL SCIENCES (JOURNAL OF IRAN UNIVERSITY OF MEDICAL SCIENCES), 2018: p. 54 To 60.
43. Ghavami, M., et al., The Effect of Client-Centered Occupational Therapy on the Self-Care Satisfaction and Performance of Older Adults With Cerebrovascular Accidents. Salmand: Iranian Journal of Ageing, 2011. 6(3): p. 26-33.
44. Akbari, S., et al., Correlations among impairment, daily activities and thinking operations after stroke. NeuroRehabilitation, 2013. 33(1): p. 153-160.
45. Lokk, J., R.S. Roghani, and A. Delbari, Effect of methylphenidate and/or levodopa coupled with physiotherapy on functional and motor recovery after stroke–a randomized, double‐blind,placebocontrolled trial. Acta Neurologica Scandinavica, 2011. 123(4):p. 266-273.
46. Dehghan Nayeri, N., et al., Investigating the effects of a familycentered care program on stroke patients’ adherence to their therapeutic regimens. Contemporary Nurse, 2014. 47(1-2): p.88-96.
47. Soufi Ahmadi, H., et al., The effects of virtual reality on upper limb function in chronic stroke patients: A clinical trial. Iranian Rehabilitation Journal, 2019. 17(1): p. 81-89.
48. HABIBZADEH H., G.F.A., AHMADI FAZLOLAH, THE EFFECT OF SELF-CARE PLANNING ON THE DAILY ACTIVITIES OF PATIENTS WITH CEREBRO-VASCULAR ACCIDENT (HOSPITALIZED AT THE SELECTED URUMIA HOSPITAL). DANESHVAR MEDICINE, 2007. Volume 14 ,:p. 9 To 17.
49. Mehdizadeh, M., A.H. Mehraban, and R. Zahediyannasab, The effect of group-based occupational therapy on performance and satisfaction of stroke survivors: pilot trail, neuro-occupational view. Basic and clinical neuroscience, 2017. 8(1): p. 69.
50. Tomori, K., et al., Comparison of occupation-based and impairment-based occupational therapy for subacute stroke:a randomized controlled feasibility study. Clin Rehabil, 2015.29(8): p. 752-62.
51. Raji, P., et al., Assessment priorities in cerebral palsy using ICF core set by Iranian occupational therapists. Can J Occup Ther,2019. 86(4): p. 289-298.
52. Cawood, J., S. Visagie, and G. Mji, Impact of post-stroke impairments on activities and participation as experienced by stroke survivors in a Western Cape setting. South African Journal of Occupational Therapy, 2016. 46: p. 10-15.
53. Hofgren, C., et al., Recovery after stroke: cognition, ADL function and return to work. Acta Neurologica Scandinavica, 2007. 115(2):p. 73-80.
54. Veerbeek, J.M., et al., Early prediction of outcome of activitiesof daily living after stroke: a systematic review. Stroke, 2011.42(5): p. 1482-8.
55. Stolwyk, R.J., et al., Poststroke Cognitive Impairment Negatively Impacts Activity and Participation Outcomes: A Systematic Review and Meta-Analysis. Stroke, 2021. 52(2): p. 748-760.
56. Laver, K.E., et al., Virtual reality for stroke rehabilitation.Cochrane Database Syst Rev, 2017. 11(11): p. Cd008349.
57. Babulal, G.M., et al., Cognitive impairments and mood disruptions negatively impact instrumental activities of daily living performance in the first three months after a first stroke.Top Stroke Rehabil, 2015. 22(2): p. 144-51.
58. Cahn-Weiner, D.A., et al., Cognitive and neuroimaging predictors of instrumental activities of daily living. J Int Neuropsychol Soc,2007. 13(5): p. 747-57.
59. Lai, S.M., et al., Depressive symptoms and independence in BADL and IADL. J Rehabil Res Dev, 2002. 39(5): p. 589-96.
60. Ghaffari, A., H.R. Rostami, and M. Akbarfahimi, Predictors of Instrumental Activities of Daily Living Performance in Patients with Stroke. Occupational therapy international, 2021. 2021: p.6675680-6675680.
61. Yi, T.I., et al., Participation in leisure activity and exercise of chronic stroke survivors using community-based rehabilitation services in seongnam city. Ann Rehabil Med, 2015. 39(2): p.234-42.
62. Zhao, Y., et al., Social support and sleep quality in patients with stroke: The mediating roles of depression and anxiety symptoms.Int J Nurs Pract, 2021: p. e12939.
63. Lisabeth, L.D., et al., Sleep-disordered breathing and poststroke outcomes. Ann Neurol, 2019. 86(2): p. 241-250.
64. Park, J., Effects of the sleep quality of chronic stroke outpatients on patterns of activity performance and quality of life. Sleep and Hypnosis (Online), 2019. 21(3): p. 228-232
)