Timing of Initiation of Rehabilitation After Stroke

Maulden, Sarah A.; Gassaway, Julie; Horn, Susan D.; Smout, Randall J.; DeJong, Gerben

doi:10.1016/j.apmr.2005.08.119

Cited by 190 publications

(125 citation statements)

References 27 publications

Supporting

Mentioning

119

Contrasting

Unclassified

Order By: Relevance

“…Stroke patients are encouraged to start rehabilitation in the early stage from the onset of stroke because early mobilization and more aggressive rehabilitation are recognized to improve functional outcomes of the patients [1][2][3]. From this view point, the application of an effective stroke management system in combination with rehabilitative treatments from the acute phase of stroke is important [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Development of an assessment sheet for fall prediction in stroke inpatients in convalescent rehabilitation wards in Japan

Nakagawa

Sannomiya²,

Kinoshita

et al. 2008

Environ Health Prev Med

View full text Add to dashboard Cite

Objective We conducted a study to develop an assessment sheet for fall prediction in stroke inpatients that is handy and reliable to help ward staff to devise a fall prevention strategy for each inpatient immediately upon admission. Methods The study consisted of three steps: (1) developing a data sampling form to record variables related to risk of falls in stroke inpatients and conducting a follow-up survey for stroke inpatients from their admission to discharge by using the form; (2) carrying out analyses of characteristics of the present subjects and selecting variables showing a high hazard ratio (HR) for falls using the Cox regression analysis; (3) developing an assessment sheet for fall prediction involving variables giving the integral coefficient for each variable in accordance with the HR determined in the second step. Results and discussion (1) Subjects of the present survey were 704 inpatients from 17 hospitals including 270 fallers.(2) We selected seven variables as predictors of the first fall: central paralysis, history of previous falls, use of psychotropic medicines, visual impairment, urinary incontinence, mode of locomotion and cognitive impairment. (3) We made 960 trial models in combination with possible coefficients for each variable, and among them we finally selected the most suitable model giving coefficient number 1 to each variable except mode of locomotion, which was given 1 or 2. The area under the ROC curve of the selected model was 0.73, and sensitivity and specificity were 0.70 and 0.69, respectively (4/5 at the cut-off point). Scores calculated from the assessment sheets of the present subjects by adding coefficients of each variable showed normal distribution and a significantly higher mean score in fallers (4.94 ± 1.29) than in non-fallers (3.65 ± 1.58) (P = 0.001). The value of the Barthel Index as the index of ADL of each subject was indicated to be in proportion to the assessment score of each subject. Conclusion We developed an assessment sheet for fall prediction in stroke inpatients that was shown to be available and valid to screen inpatients with risk of falls immediately upon admission.

show abstract

Section: Introductionmentioning

confidence: 99%

Development of an assessment sheet for fall prediction in stroke inpatients in convalescent rehabilitation wards in Japan

Nakagawa

Sannomiya²,

Kinoshita

et al. 2008

Environ Health Prev Med

View full text Add to dashboard Cite

show abstract

“…There is a consensus that the rehabilitation program should be started as soon as possible for better results in post-stroke patients [9,15,18,19]. However, no optimal time window has been defined for specific post-stroke rehabilitation interventions [18].…”

Section: Discussionmentioning

confidence: 99%

Late physiotherapy rehabilitation changes gait patterns in post-stroke patients

Almeida

Cruz

Candeira

et al. 2017

Biomedical Human Kinetics

View full text Add to dashboard Cite

SummaryStudy aim: To determine whether a physiotherapy protocol improves the electromyographic activation (EA) during the hemiparetic gait in patients with delayed access to rehabilitation. Material and methods: 40 post-stroke patients underwent clinical evaluation and gait assessment at the time of admission and at the end of treatment. Results: The anterior leg muscles tibialis anterior and rectus femoris had earlier onset (p = 0.0001). Conclusion: Electromyographic findings showed altered patterns during the hemiparetic gait cycle, even in patients with delayed access to treatment.

show abstract

“…However, we found that patients with identical FIM scores actually differed markedly in distinct aspects of function that are targeted by particular therapies. Therefore, we used FIM subscores indicating impairment in specific domains-such as self-care, mobility, or motor 1) . Gait velocity was evaluated with a stopwatch, and calculated in meters per second.…”

Section: Measurementsmentioning

confidence: 99%

“…Mortality rates from stroke have been declining, resulting in more people living with residual disability 1) . The subacute recovery period may be important because changes in cardiovascular fitness might influence the restoration and maintenance of walking ability and, ultimately, have an impact on long-term disability 2) .…”

Section: Introductionmentioning

confidence: 99%

Relationship between Body Composition and Functional Outcomes in Males with Subacute Stroke

2007

View full text Add to dashboard Cite

Abstract. The purpose of this study was to investigate body composition focusing on motor functional capacity and to correlate body composition with functional outcomes with subacute stroke patients. The subjects of this study were 34 inpatients with hemiparetic stroke who could walk. Motor functional capacity of patients was assessed on the basis of the Brunnstrom recovery stage (BRS), and functional status was measured using the Functional Independence Measure (FIM) instrument scores and gait velocity. Body composition was assessed by bioelectrical impedance analysis. Significant correlations were observed between FIM scores and the BRS of the lower extremity or lean body mass. The correlations for body water in affected and unaffected legs with the FIM subscores were statistically significant (p<0.05). The correlations for the FIM scores with BRS and body water were higher in the lower extremity than in the upper extremity. Differences in body composition were calculated between the affected and unaffected sides. There was no significant difference in body water between the affected leg and the unaffected leg, but body water in the affected arm was lower than that in the unaffected arm (p<0.01). These results suggest that motor function capacity and body composition are generally related with functional status rather than the lower extremity or upper extremity.

show abstract

Timing of Initiation of Rehabilitation After Stroke

Cited by 190 publications

References 27 publications

Development of an assessment sheet for fall prediction in stroke inpatients in convalescent rehabilitation wards in Japan

Development of an assessment sheet for fall prediction in stroke inpatients in convalescent rehabilitation wards in Japan

Late physiotherapy rehabilitation changes gait patterns in post-stroke patients

Relationship between Body Composition and Functional Outcomes in Males with Subacute Stroke

Contact Info

Product

Resources

About