Rehabilitation

Gresham, Glen E.; Alexander, D.; Bishop, Duane S.; Giuliani, Carol; Goldberg, Gary; Holland, A; Kelly-Hayes, Margaret; Linn, Richard T.; Roth, Elliot J.; Stason, William B.; Trombly, Catherine A.

doi:10.1161/01.str.28.7.1522

Cited by 121 publications

(68 citation statements)

References 10 publications

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“…Clinically, this most often manifests as weakness, with other common impairments being aphasia, neglect, visual field deficit, cognitive changes such as executive dysfunction or memory loss, major depression, sensory deficits, dysarthria, and problems with coordination. 11,258,259 Measures of body function tend to be more objective, easier to define, and easier to measure compared with other levels of the World Health Organization's ICF but may have less relevance to a patient's function and independence. Limited correlation exists across ICF dimensions.…”

Section: Level Of Disabilitymentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,046

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Level Of Disabilitymentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,046

840

View full text Add to dashboard Cite

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“…The associations between prestroke mobility and the study end points were evaluated as follows. 2 analysis (step 1) was used to identify variables other than prestroke mobility status (eg, stroke severity) associated with the study end points based on a probability value Ͻ0.05. To identify the variables that were independently associated with the study end points, all of the variables identified in step 1 were entered into a logisticregression model with backward selection.…”

Section: Discussionmentioning

confidence: 99%

Dependence in Prestroke Mobility Predicts Adverse Outcomes Among Patients With Acute Ischemic Stroke

Dallas

Rone-Adams

Echternach

et al. 2008

Stroke

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Background and Purpose-Stroke survivors are commonly dependent in activities of daily living; however, the relation between prestroke mobility impairment and poststroke outcomes is poorly understood. The primary objective of this study was to evaluate the association between prestroke mobility impairment and 4 poststroke outcomes. The secondary objective was to evaluate the association between prestroke mobility impairment and a plan for physical therapy. Methods-This was a secondary analysis of the National Stroke Project data, a retrospective cohort of Medicare beneficiaries who were hospitalized with an acute ischemic stroke (1998 to 2001). Logistic-regression modeling was used to examine the adjusted association between prestroke mobility impairment with patient outcomes and a plan for physical therapy. Results-Among the 67 445 patients hospitalized with an ischemic stroke, 6% were dependent in prestroke mobility.Prestroke mobility dependence was independently associated with an increased odds of poststroke mobility impairment (odds ratio [OR]ϭ9.9; 95% CI, 9.0 to 10.8); in-hospital mortality (ORϭ2.4; 95% CI, 2.2 to 2.7); discharge to a skilled nursing facility (ORϭ3.5; 95% CI, 3.2 to 3.8); and the combination of in-hospital death or discharge to a skilled nursing facility (ORϭ3.5; 95% CI, 3.3 to 3.8). Prestroke mobility dependence was independently associated with a decreased odds of having a plan for physical therapy (ORϭ0.79; 95% CI, 0.73 to 0.85). Conclusions-These data, obtained from a large, geographically diverse cohort from the United States, demonstrate a strong association between dependence in prestroke mobility and adverse outcomes among elderly stroke patients. Clinicians should screen patients for prestroke mobility impairment to identify patients at greatest risk for adverse events.

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“…This classification is based on conventional and traditional recovery stages [65]. The analysis revealed significant …”

Section: Recovery Stagesmentioning

confidence: 99%