Profile of Patients Receiving Stroke Rehabilitation in A Tertiary Care Hospital

Abstract

Background: Stroke rehabilitation is a program designed to help the stroke patients to overcome the disability. Few studies have evaluated the profile of stroke patients. To provide information about demographic data & disease pattern among the patients receiving stroke rehabilitation.
 Methods: A retrospective study was carried out in the Department of Physical Medicine and Rehabilitation (PMR), National Institute of Neuroscience and Hospital (NINSH) Dhaka, Bangladesh for the period of two year from 1st July 2013 to 30th June, 2015.
 Results: Total five thousand nine hundred thirty nine (n=5939) patients were studied, of which 62.33% were male and 37.67% were female. Maximum patients (27.93%) belong to 51-60 years of age. Major patients (52.67%) came from Dhaka city and most of the studied patients were housewife (25.43%). Largest disease group was ischaemic stroke (81.7%). Regarding service pattern, 69.59% patients received outdoor and 30.41% indoor services. Among clinical profile of stroke, 90.5% were first time onset, almost 99% suffered limb weakness, 24.03% speech problem and 32.6% face involvement. Maximum patients (58.8%) had history of multiple risk factors.
 Conclusion: Rehabilitation procedures in stroke patients can enable greater return of neurological functions and prevents complication, thereby improves long term outcome and quality of life.
 Chatt Maa Shi Hosp Med Coll J; Vol.17 (1); Jan 2018; Page 9-12

Efficacy of Caregivers Training in Rehabilitation of Stroke Survivors in Bangladesh: A Quasi-experimental Study

“…Monthly family income of patients who were given hospital-based supervised exercise was significantly higher than that of patients whose family caregivers gave home-based therapeutic exercise. In the present study, most of the patients in both groups (>81.0%) had an ischemic stroke, which is consistent with the findings of the other studies [14][15][16][17][18].…”

“…The present study aimed to evaluate the efficacy of caregiver training in the rehabilitation of stroke survivors and compare it with the rehabilitation intervention given by physiotherapists. Studies conducted among the Bangladeshi stroke population also reported that most stroke patients were more than 50 years of age group [ 10 , 13 - 15 ]. A predominance of male gender was observed in the present study, which is similar to the findings of a retrospective study conducted at the National Institute of Neuroscience (NINS) [ 15 ].…”

“…Studies conducted among the Bangladeshi stroke population also reported that most stroke patients were more than 50 years of age group [ 10 , 13 - 15 ]. A predominance of male gender was observed in the present study, which is similar to the findings of a retrospective study conducted at the National Institute of Neuroscience (NINS) [ 15 ]. Patients of the present study were mainly housewives, service holders and businessmen, which matched with other Bangladeshi studies [ 14 - 15 ].…”

A Low-Cost Wearable System to Support Upper Limb Rehabilitation in Resource-Constrained Settings

“…Upper limb impairment, a reduction or loss of limb function, is one of the most common consequences of acquired brain injury (ABI) [3]. In Bangladesh, ABI due to stroke and trauma is the leading cause of death and disability, representing an immense economic cost to the nation [20].…”

“…In Bangladesh, ABI due to stroke and trauma is the leading cause of death and disability, representing an immense economic cost to the nation [20]. Over 97% of people with an ABI are diagnosed with some form of limb weakness that affects their ability to independently perform daily activities [3,20]. In addition, there are very few care facilities and professionals [16,20] limiting access to rehabilitation services, which increases the risk of long-term disability [20].…”