PURPOSE: Earlier and more intense rehabilitation benefit stroke patients. Yet, studies have caution intensive therapy during acute brain injury. This study examined the rehabilitation commencement time and intensity as predictors of functional outcomes in acute stroke patients admitted to the stroke intensive care unit (ICU). METHOD: Sociodemographic, medical, rehabilitative and functional data were collected on 154 acute stroke patients. Regression analyses were used to identify predictors for the basic activities of daily living (Barthel Index, BI) and the walking ability at discharge. RESULT: Rehabilitation commencement time and intensity significantly predicted the BI score at discharge after adjusting for initial severity (National Institute of Health Stroke Scale, NIHSS) and age (p < 0.05). For the walking function at discharge, only the rehabilitation intensity was a significant predictor after adjusting for initial severity and age (p < 0.05). Furthermore, with increasing rehabilitation intensity, patients with severe stroke benefited more than those with moderate stroke. CONCLUSION: Rehabilitation commencement time and intensity, after adjusting for admission functional status and severity of stroke, remained to be important predictors of stroke functional outcomes. This study supported the recommendation to commence rehabilitation early and intensively and provided evidence that this claim can be extended to acute stroke patients admitted to an ICU.
PURPOSE: Earlier and more intense rehabilitation benefit strokepatients. Yet, studies have caution intensive therapy during acute brain injury. This study examined the rehabilitation commencement time and intensity as predictors of functional outcomes in acute strokepatients admitted to the stroke intensive care unit (ICU). METHOD: Sociodemographic, medical, rehabilitative and functional data were collected on 154 acute strokepatients. Regression analyses were used to identify predictors for the basic activities of daily living (Barthel Index, BI) and the walking ability at discharge. RESULT: Rehabilitation commencement time and intensity significantly predicted the BI score at discharge after adjusting for initial severity (National Institute of Health Stroke Scale, NIHSS) and age (p < 0.05). For the walking function at discharge, only the rehabilitation intensity was a significant predictor after adjusting for initial severity and age (p < 0.05). Furthermore, with increasing rehabilitation intensity, patients with severe stroke benefited more than those with moderate stroke. CONCLUSION: Rehabilitation commencement time and intensity, after adjusting for admission functional status and severity of stroke, remained to be important predictors of stroke functional outcomes. This study supported the recommendation to commence rehabilitation early and intensively and provided evidence that this claim can be extended to acute strokepatients admitted to an ICU.
Authors: Rebekah A Yataco; Scott M Arnold; Suzanne M Brown; W David Freeman; C Carmen Cononie; Michael G Heckman; Luke W Partridge; Craig M Stucky; Laurie N Mellon; Jennifer L Birst; Kristien L Daron; Martha H Zapata-Cooper; Danton M Schudlich Journal: Neurocrit Care Date: 2019-04 Impact factor: 3.210
Authors: Mark Krongold; Mohammed A Almekhlafi; Andrew M Demchuk; Shelagh B Coutts; Richard Frayne; Armin Eilaghi Journal: Neuroimage Clin Date: 2014-11-08 Impact factor: 4.881
Authors: Soo Jeong Kim; Hye Jin Lee; Seung Won Hwang; Hannah Pyo; Sung Phil Yang; Mun-Hee Lim; Gyu Lee Park; Eun Joo Kim Journal: Ann Rehabil Med Date: 2016-04-25