The Impact of Timing and Dose of Rehabilitation Delivery on Functional Recovery of Stroke Patients

Huang, Han-Pang; Chung, Kao‐Chi; Lai, Der Chung; Sung, Sheng-Feng

doi:10.1016/s1726-4901(09)70066-8

Cited by 67 publications

(53 citation statements)

References 15 publications

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“…В двух исследованиях авторы сравни-вали раннюю мобилизацию в первые 3 сут после ин-сульта и позднюю, на 4-е сутки и позже. У пациен-тов из группы ранней мобилизации отмечалась меньшая степень инвалидизации, а также выше сте-пень подвижности и активности в повседневной жизни, в то же время уровень смертности не разли-чался в обеих группах [32][33][34][35][36][37][38][39]. Особого подхода тре-бует ранняя реабилитация пациентов с тяжелой со-путствующей патологией, в частности с хрониче-ской сердечной недостаточностью [40].…”

Section: сведения об авторахunclassified

The early post-stroke mobilization

Kutlubaev¹,

Ахмадеева²

2015

Vopr. kurortol. fizioter. lech. fiz. kul't.

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Ранняя мобилизация является важным условием для успешного восстановления после инсульта. однако в настоящее вре-мя неясно, как рано можно начинать мобилизацию. Три рандомизированных контролируемых исследования (Рки) были посвящены сравнению эффективности и безопасности очень ранней (в течение 1-х суток после инсульта) и ранней (в те-чение 2-х суток после инсульта) мобилизации. метаанализ результатов этих исследований не выявил каких-либо преиму-ществ очень ранней перед ранней мобилизацией. в одном Рки было проведено сравнение мобилизации на 3-и и 7-е сутки после инсульта и было показано, что более ранняя мобилизация связана с меньшим количеством осложнений и не имеет отрицательного влияния на церебральную гемодинамику. Рядом наблюдательных исследований подтвердили положительный эффект ранней мобилизации на исходы инсульта. Таким образом, при отсутствии противопоказаний оправданным будет начало мобилизации на 2-е сутки после инсульта, в то время как целесообразность очень ранней мобилизации неясна. Ключевые слова: инсульт, мобилизация, реабилитация, осложнения.Early mobilization is an important prerequisite for the successful recovery after stroke. However, it is unclear at present how early mobilization should be started after stroke. Three randomized controlled trials were devoted to the comparison of the effectiveness and safety of very early (within the first day after stroke) and early (within two days after stroke) mobilization. The meta-analysis of the results of these studies did not reveal any advantages of very early mobilization over early mobilization. one randomized control study was designed to compare the consequences of mobilization within 3 and 7 days after stroke. it has demonstrated that earlier mobilization is associated with fewer complications and does not exert negative effect on cerebral haemodynamics. A number of observational studies confirmed the positive effect of early mobilization on the outcome of stroke. it is concluded that it may be justified to start mobilization on the second day after stroke provided there are no contraindications to such modality. The practicability of very early mobilization remains to be elucidated.

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Section: сведения об авторахunclassified

The early post-stroke mobilization

Kutlubaev¹,

Ахмадеева²

2015

Vopr. kurortol. fizioter. lech. fiz. kul't.

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“…Studies in animal models have demonstrated the importance of rehabilitation intervention within the first week following stroke to maximize neurological recovery [29]. In humans, earlier delivery of rehabilitation has been associated with better functional recovery [29][30][31][32][33][88][89]. The duration of therapy is a topic of some debate because traditional belief has been that the majority of neurologic recovery occurs within the first 4 months following stroke [90].…”

Section: Better Treatment Planmentioning

confidence: 99%

Potential of robots as next-generation technology for clinical assessment of neurological disorders and upper-limb therapy

Scott¹,

Dukelow²

2011

JRRD

164

118

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Abstract-Robotic technologies have profoundly affected the identification of fundamental properties of brain function. This success is attributable to robots being able to control the position of or forces applied to limbs, and their inherent ability to easily, objectively, and reliably quantify sensorimotor behavior. Our general hypothesis is that these same attributes make robotic technologies ideal for clinically assessing sensory, motor, and cognitive impairments in stroke and other neurological disorders. Further, they provide opportunities for novel therapeutic strategies. The present opinionated review describes how robotic technologies combined with virtual/augmented reality systems can support a broad range of behavioral tasks to objectively quantify brain function. This information could potentially be used to provide more accurate diagnostic and prognostic information than is available from current clinical assessment techniques. The review also highlights the potential benefits of robots to provide upper-limb therapy. Although the capital cost of these technologies is substantial, it pales in comparison with the potential cost reductions to the overall healthcare system that improved assessment and therapeutic interventions offer.

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“…Early initiation of stroke rehabilitation has in general been reported to be associated with greater functional recovery that is sustained at 1-year follow-up, 49 an effect that has been attributed, in part, to enhanced neuroplasticity in the early post-stroke period. 50 However, whether this advantage applies to aerobic training per se has not been ascertained.…”

Section: The Evidencementioning

confidence: 99%

Cardiovascular Fitness Training for a Patient in the Early Stages of Recovery Post Stroke

MacKay-Lyons

Thornton²,

Macdonald³

2011

Physiotherapy Canada

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The Impact of Timing and Dose of Rehabilitation Delivery on Functional Recovery of Stroke Patients

Abstract: There is a dose-dependent effect of rehabilitation on functional improvement of stroke patients for the first 6 months post-stroke, and earlier delivery of rehabilitation has lasting effects on the functional recovery of stroke patients up to 1 year.

Cited by 67 publications

References 15 publications

The early post-stroke mobilization

The early post-stroke mobilization

Potential of robots as next-generation technology for clinical assessment of neurological disorders and upper-limb therapy

Cardiovascular Fitness Training for a Patient in the Early Stages of Recovery Post Stroke

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