Efficiency, effectiveness, and duration of stroke rehabilitation.

Shah, Surya; Vanclay, Frank; Cooper, Betty

doi:10.1161/01.str.21.2.241

Cited by 196 publications

(146 citation statements)

References 16 publications

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“…Thus, to remedy this and to evaluate the effectiveness of rehabilitation therapy more adequately, we devised a rehabilitation potential measure based on a FIM effectiveness measure [14][15][16]. The rehabilitation potential measure was calculated by dividing the change in FIM total score at the beginning of rehabilitation therapy and hospital discharge by the FIM total score target, which is the FIM total maximum score (i.e., 126) minus the FIM total score at the beginning of rehabilitation [17][18][19]. As a dependent variable, the FIM score 3 mo after hospital discharge was used.…”

Section: Study Variablesmentioning

confidence: 99%

Interaction effects between rehabilitation and discharge destination on inpatient’s functional abilities

et al. 2013

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Abstract-A patient's functional ability after hospital discharge may be influenced by in-hospital rehabilitation and discharge destination. However, we know very little about how in-hospital rehabilitation intervention interacts with the type of discharge destination or how this interaction influences patients' functional abilities. Thus, how an interaction between in-hospital rehabilitation and discharge destination influences a patient's subsequent functional ability was examined. This was a cross-sectional study whose participants were inpatients who underwent rehabilitation between February 2008 and December 2010 at a hospital in Japan (n = 835). Participants were categorized into three condition groups (i.e., stroke, orthopedic, disuse syndrome). Then, interaction effects between the rehabilitation therapy and the type of discharge destination on a patient's subsequent functional ability were estimated by hierarchical linear regression analysis in each of the three subgroups. In models where the dependent variable was Functional Independence Measure (FIM) score at 3 mo after hospital discharge, a significant interaction between rehabilitation potential (a measure based on the FIM effectiveness measure) and discharge destination (home or other) was observed in the stroke and orthopedic patients (both p < 0.001). These findings may be useful in deciding on discharge destinations for patients.

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Section: Study Variablesmentioning

confidence: 99%

Interaction effects between rehabilitation and discharge destination on inpatient’s functional abilities

et al. 2013

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“…with the left end marked "0" and "No Pain" and the right end as "10" and "Severe Pain". As suggested elsewhere [11], the parameter treatment effectiveness was used as a measure of residual disability. Effectiveness at discharge reflects the proportion of potential improvement achieved during hospitalisation.…”

Section: Pain Assessment and Analysismentioning

confidence: 99%

“…The proportion was calculated according to the following formula: (discharge scale score-initial Scale score)/(maximum scale score-initial Scale score) × 100. According to the formula, the effectiveness was 100% when a patient achieved the maximum scale score [11]. We also calculated the rate of pain improvement per days (average daily improvement in duration of rehabilitation treatment: efficiency, which was calculated as follows: efficiency = (discharge score-initial score)/(days of treatment) of V.A.S.…”

Section: Pain Assessment and Analysismentioning

confidence: 99%

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Neural Modulation of Hemiparetic Shoulder Pain by Repetitive Ultrasound-Guided Suprascapularis Nerve Block

Lorenzo¹,

Domenico²

2013

OJAnes

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Background: Neural blockade is widely used in clinical practice to alleviate acute or chronic pain, including pain during rehabilitation. To date there is little controlled evidence to confirm the efficacy of nerve blocks in hemiparetic shoulder pain after stroke. Design: This study is a prospective, open label, cohort trial reporting result from a cohort of stroke patients affected by shoulder pain. Aim: As a cohort study report, in which it is often firstly reported the possibility of an association between an observed effect and a specific environmental based on detailed clinical evaluations and histories, we aim to firstly provide clues in identifying Suprascapularis Nerve blockade as further valuable approach for shoulder pain after stroke. Population: We studied a cohort of patients affected by hemiparetic shoulder pain after Stroke. Methods: Our protocol foresees nerve blocks to be performed each 3 out of 4 days (treatment lasting 30 days) in conjunction with a rehabilitation program with the first aim to provide the window of opportunity to proceed with effective rehabilitation. 47 potential study subjects fulfilled the study criteria and were enrolled. Twenty-four subjects were randomised to the study Group to receive SSNB for the pain of their hemiparetic shoulder while 23 subjects randomized to the control Group whose member did not receive SSNB. They received serial blocks each 3 out of 4 days during rehabilitation. Results: Both treatment reported a reduction in the intensity of their shoulder pain, according to data collected from day 1 through day 42 (6 weeks). Study Group patients, receiving SSNBs, reported significant improvement from entry through the whole follow-up period. The efficiency data were higher for SSNB Group after 2 weeks and again for SSNb group at the end of treatment. Conclusion: Excellent pain relief was achieved in SSNB without clinically relevant complications, these patients having a better improvement on pain during rehabilitation, than the control subjects. Great efficacy has been achieved by combining a nerve block and rehabilitation. About Clinical Rehabilitation Impact, we believe that Suprascapularis nerve blocks can help the stroke survivors maintain an ambulatory or outpatient treatment status, maintain participation in a physical therapy or rehabilitation program, decrease the need for analgesics and in some cases lead to a complete pain relief.

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“…The importance of these studies is illustrated by the fact that more than a hundred studies have been published since 1950 (Kwakkel, et al, 1996;Kwakkel,1998;Dombovy, et al, 1986;Jongbloed, 1986;Shan, et al, 1990;Feigenson, 1979;Gresham, 1990).…”

mentioning

confidence: 99%

Influence of Kinesitherapy on Functional Independence in Patients with Supratentorial Unilateral Stroke in Chronic Period

Vasileva

Lubenova

Zaharieva

et al. 2017

ESJ

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Efficiency, effectiveness, and duration of stroke rehabilitation.

Cited by 196 publications

References 16 publications

Interaction effects between rehabilitation and discharge destination on inpatient’s functional abilities

Interaction effects between rehabilitation and discharge destination on inpatient’s functional abilities

Neural Modulation of Hemiparetic Shoulder Pain by Repetitive Ultrasound-Guided Suprascapularis Nerve Block

Influence of Kinesitherapy on Functional Independence in Patients with Supratentorial Unilateral Stroke in Chronic Period

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