Functional recovery differences after stroke rehabilitation in patients with uni- or bilateral hemiparesis

Abstract

Objective:To examine the functional recovery differences after stroke rehabilitation in patients with uni- or bilateral hemiparesis.Methods:In this retrospective study, we included data from the medical record of all 383 patients with uni- or bilateral hemiparesis after stroke who were admitted to King Fahad Medical City-Rehabilitation Hospital between 2008 and 2014 in Riyadh, Kingdom of Saudi Arabia. According to the site of hemiparesis, we classified patients into 3 groups: right hemiparesis (n=208), left hemiparesis (n=157), and bilateral hemipareses (n=18). The patients (n=49) who did not have either site of hemiparesis were excluded. The Functional Independence Measures (FIM) instrument was used to assess the score at admission and discharge. A post hoc test was conducted to examine the functional recovery differences between groups. Multiple regression analyses were used to confirm the findings.Results:Amongst the three groups, there were significant (p<0.05) differences in the total-FIM score as well as motor- and cognitive-FIM sub-scores between admission and discharge of stroke rehabilitation. The differences were significantly greater in the bilateral hemipareses group than in either unilateral hemiparesis group. Multiple regression analyses also confirmed that the site of hemiparesis significantly (p<0.05) differs in the total-FIM score as well as motor-FIM and cognitive-FIM sub-scores.Conclusion:Our results demonstrate that differences in functional recovery after stroke rehabilitation may be influenced by the site of hemiparesis after stroke.

Effects of Lower Limb Constraint Induced Movement Therapy in People With Stroke: A Systematic Review and Meta-Analysis

“…Therefore, excluding this study, 143 and 123 participants had right and left sided hemiplegia, respectively. The affected side is an important prognostic indicator after stroke ( 39 ). In addition, some of the outcome measures used in the studies include electromyography for muscle activity (motor function), lower limb Fugl-Meyer for motor function, lower extremity motor activity log (LE-MAL) for real world use of the lower limb, Berg balance scale (BBS) for balance, the stroke specific quality of life questionnaire (SSQOL), and the stroke impact scale (SIS) for quality of life, the 10 m walk test (10MWT) for walking speed, the 6 min walk test (6MWT) for walking endurance, the motion analysis system for gait analysis, the timed up and go test (TUG) and Rivermead mobility index (RMI) for functional mobility, and the hard activity chart for exertion.…”

Postural Dysfunction in Stroke Rehabilitation

“…This symptom was reported up to 65% of stroke patient. 24 Hemiplegia as the utmost stand out symptoms not only affect in limb activity but also has it effects on trunk muscle function both sides of the body affecting the proximal stabilization that eventually will influence the mobility of the distal part. 25,27 The trunk dysfunction in post stroke patient has been demonstrated in many studies.…”

Psychological Complications at 3 Months Following Stroke: Prevalence and Correlates Among Stroke Survivors in Lebanon

“…According to the study of Sackley et al ( 2008 ) that was conducted over a year after stroke, the prevalent types of complication experienced were falls (73%), contractures (60%), pain (55%), shoulder pain (52%), emotional distress (50%), and pressure sores (22%) (Sackley et al, 2008 ). Moreover, hemiparesis and hemiplegia are frequent and widely recognized impairments of stroke where they affect over 65% of stroke survivors (Bindawas et al, 2017 ). Following this cerebrovascular accident, the ability to perform daily life activities is greatly affected by physical disability, essentially upper extremities involvement, and cognitive impairment fluctuating between minor vascular cognitive impairment (VCI) and vascular dementia (VaD) (Arauz et al, 2014 ; Kwakkel et al, 2015 ).…”