Effect of an Evidence-Based Mobility Intervention on the Level of Function in Acute Intracerebral and Subarachnoid Hemorrhagic Stroke Patients on a Neurointensive Care Unit

Rand, Maxine L.; Darbinian, Jeanne

doi:10.1016/j.apmr.2015.02.008

Cited by 18 publications

(15 citation statements)

References 39 publications

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“…[ 13 ] It is noteworthy to mention that the term “mobilization” is used in different contexts by various authors. Some authors consider mobilization as orienting the patient to upright position[ 2 19 24 ] and ambulation whereas some consider it as any movement that is plausible. [ 3 6 25 ] It is found that patients receiving active assisted mobilization have better outcomes than patients receiving passive mobilization,[ 22 ] and some authors consider only active movements as mobilization.…”

Section: Discussionmentioning

confidence: 99%

Mobilization of patients in neurological Intensive Care Units of India: A survey

Bhat

Pentapati

Rao

2016

Indian Journal of Critical Care Medicine

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Context:The rehabilitation needs of the patients in neurological Intensive Care Units (ICUs) vary from that of a medical ICU patient. Early mobilization is known to improve the various neurological outcomes in patients admitted to neurological ICUs, although little is known about the practice pattern among physiotherapists. The mobilization practice pattern may vary significantly than that of developed countries due to the reasons of differences in training of professionals, availability of equipment, and financial assistance by health insurance.Aim of the Study:To study the current mobilization practices by the physiotherapists in neurological ICUs of India.Subjects and Methods:A cross-sectional survey was conducted with a content validated questionnaire about the mobilization practices. Online questionnaire was distributed to physiotherapists working in neurological ICUs of India. Descriptive statistics were used.Results:Out of 185 e-mails sent, 82 physiotherapists completed the survey (survey response rate = 44%). Eighty participants (97.6%) mentioned that the patients received some form of mobilization during the day. The majority of the physiotherapists (58.5%), “always” provided bed mobility exercises to their patients when it was found appropriate for the patients. Many physiotherapists (41.5%) used tilt table “sometimes” to introduce orthostatism for their patients.Conclusion:Mobilization in various forms is being practiced in the neurological ICUs of India. However, fewer mobilization sessions are conducted on weekends and night hours in Indian Neurological ICUs.

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Section: Discussionmentioning

confidence: 99%

Mobilization of patients in neurological Intensive Care Units of India: A survey

Bhat

Pentapati

Rao

2016

Indian Journal of Critical Care Medicine

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“…Although these studies found a very low incidence of adverse events associated with early mobilisation, patients demonstrating a deterioration in neurological status or signs of vasospasm on screening were not mobilised. There have also been studies indicating early mobilisation to be associated with improved functional outcomes in older adults with low Hunt and Hess grades (Shimamura et al, 2014) and in a mixed intracerebral haemorrhage and aSAH patient population (Rand & Darbinian, 2015), however, when Karic and colleagues (2016) examined the long-term effect of early rehabilitation, they found that there was no significant difference in functional outcomes at one year when an early mobilisation and control group were compared. It did however find that early mobilisation increased the chance of a good functional outcome in patients with aSAH who had high severity scores (WFNS grade 3-5).…”

Section: Discussionmentioning

confidence: 99%

Untitled

2018

NZJP

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“…Physical therapy interventions in acute stages of ICH and in patients with severe motor deficit are based on passive mobilization (passive musculoskeletal intervention): range of motion, positioning (to promote joint anatomic alignment), transfer techniques [16]. In subacute stages of ICH, active musculoskeletal interventions are initiated, focused on using and strengthening the affected limb, on symmetric weight bearing and transfer activities, and on gait training or ambulation with assistive devices.…”

Section: Physical Therapy In Ichmentioning

confidence: 99%

Importance of specific rehabilitation methods for patients with intracerebral hemorrage

Stănescu¹,

Cluj-Napoca²,

Dogaru³

et al. 2018

Balneo

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Intracerebral hemorrhage (ICH) is a severe type of stroke which causes bleeding in the brain parenchyma, accounting for 10-15% of all strokes. Prognosis of patients with ICH remains very poor despite new advances in management strategies, and has not improved in the last decades. Disability remains important in ICH survivors, only a small proportion of patients live an independent life after ICH. Development of new strategies in rehabilitation care is expected to improve survival and outcome after intracerebral hemorrhage. The main neurological sequellae after ICH are similar to those seen after ischemic stroke. Given the clinical and pathological differences between the two types of stroke, clinical recovery is expected to be different. Comparisons between rehabilitation results in hemorrhagic versus ischemic stroke have offered mixed results, but all of them agreed that rehabilitation is highly effective after hemorrhagic strokes. There are no standard recommendations regarding the specific procedures used in the rehabilitation program of ICH patients. In the absence of clinical data to guide specific practice, the rehabilitation of ICH patients is largely based on general principles learned from ischemic stroke recovery. Physical therapy, task-specific training, sensory stimulation, use of assistive devices for upper limb or gait functions, speech and language therapy, physiotherapy and balnear therapy are methods used in rehabilitation of patients with hemorrhagic stroke, with improvement in patients functional outcome. There is a need for further development of specific rehabilitation techniques to enhance recovery in ICH patients.

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Effect of an Evidence-Based Mobility Intervention on the Level of Function in Acute Intracerebral and Subarachnoid Hemorrhagic Stroke Patients on a Neurointensive Care Unit

Cited by 18 publications

References 39 publications

Mobilization of patients in neurological Intensive Care Units of India: A survey

Mobilization of patients in neurological Intensive Care Units of India: A survey

Untitled

Importance of specific rehabilitation methods for patients with intracerebral hemorrage

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