Kazunori Kojima, RPT, Taku Nakayama, OTR, Asami Watanabe, RPT, Shiro Yoshimura, RPT, Tomonori Yamaya, OTR, Konomi Sato, OTR, Ari Doi, OTR, Takako Ogino, RPT, Noriko Moriyasu, RPT, Susumu Watanabe, RPT, DMSc
Jpn J Compr Rehabil Sci 8: 30-36, 2017
Objective: The purpose of this study was to examine
the relationship between activities of daily living
(ADL) performance and quality of life (QOL) in
participants in a home-based rehabilitation program,
and to assess the associated changes during the
program.
Methods: The subjects were participants newly enrolled
in home-based rehabilitation in six facilities. The
Functional Independence Measure motor subscore
was used to evaluate the current ADL performance.
We used PGC-MS to evaluate the emotional aspect of
QOL, and ADL satisfaction for the cognitive aspect.
Results: Participants were divided into two groups:
<1 year from onset and >1 year from onset; ADL
satisfaction had significantly improved in the latter
group (p = 0.008). A strong correlation between ADL
performance and ADL satisfaction was found. On the
other hand, the correlation between ADL satisfaction
and PGC-MS was weaker.
Conclusions: The ‘cognitive aspect’ of QOL improved
due to the rehabilitation staff’s approach in explaining
the participants’ ADL abilities and motivating them
to accept their limitations. It is considered that the
‘emotional aspect’ of QOL is difficult to change with
only three months of home-based rehabilitation.
Key words: home-based rehabilitation, QOL, ADL