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Abstract
Stroke individuals’ daily function has been demonstrated to be influenced by their somatosensory capability, cognitive capability, and upper extremity (UE) motor abilities. However, the structural relationships among these abilities on stroke individuals’ independence in daily function remain unclear. We analyzed the pretest measures of 153 stroke individuals in outpatient rehabilitation settings by structural equation modeling to determine the structural relationship among somatosensory capability, UE muscle strength, UE motor function, and cognitive capability that influences independence in daily function. The standardized results indicated somatosensory capability negatively influenced UE muscle strength, but positively influenced UE muscle strength mediated by UE motor function. UE muscle strength, then, positively influenced individuals’ independence in daily function. On the other hand, somatosensory capability positively influenced cognitive capability, which marginally and positively affected the performance of independence in daily function. To the best of our knowledge, this is the first study to demonstrate the influence of somatosensory capability on the daily function is mediated mainly by motor functions and marginally by cognitive capability. This structural model may allow future clinical therapists to design more effective task-related training protocols to promote the independence in daily function for stroke individuals.
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Details
1 Soochow University, Department of Psychology, Taipei, Taiwan (GRID:grid.445078.a) (ISNI:0000 0001 2290 4690)
2 National Taiwan University, Department of Psychology, Taipei, Taiwan (GRID:grid.19188.39) (ISNI:0000 0004 0546 0241)
3 Chang Gung University, Department of Occupational Therapy& Graduate Institute of Behavioral Science, College of Medicine, Taoyuan City, Taiwan (GRID:grid.145695.a) (ISNI:0000 0004 1798 0922); Chang Gung Memorial Hospital, Department of Neurology, Linkou, Taiwan (GRID:grid.413801.f) (ISNI:0000 0001 0711 0593)
4 Chang Gung Memorial Hospital, Department of Physical Medicine and Rehabilitation, Linkou, Taiwan (GRID:grid.413801.f) (ISNI:0000 0001 0711 0593); Chang Gung University, Graduate Institute of Early Intervention, Taoyuan, Taiwan (GRID:grid.145695.a) (ISNI:0000 0004 1798 0922)
5 Chang Gung University, Department of Occupational Therapy& Graduate Institute of Behavioral Science, College of Medicine, Taoyuan City, Taiwan (GRID:grid.145695.a) (ISNI:0000 0004 1798 0922); Chang Gung Memorial Hospital, Department of Physical Medicine and Rehabilitation, Linkou, Taiwan (GRID:grid.413801.f) (ISNI:0000 0001 0711 0593); Chang Gung University, Healthy Aging Research Center, Taoyuan, Taiwan (GRID:grid.145695.a) (ISNI:0000 0004 1798 0922)