Purusotham Chippala1, Raghava Sharma2. 1. Nitte Institute of Physiotherapy, Nitte University, Mangalore, India chippala_puru@yahoo.co.in. 2. Department of Medicine, K S Hegde Medical Academy, Nitte University, Deralakatte, Mangalore, India.
Abstract
OBJECTIVE: To evaluate the effect of very early mobilisation on functional status following acute stroke. DESIGN: Single blind, randomized controlled trial. SETTING:University hospital. SUBJECTS:Eighty-six patients with acute stroke (42 men and 38 women) aged 30-80 years were randomized to an Intervention group and a Standard care group. INTERVENTIONS: All participants received 45 minutes standard care once a day for seven days. In addition, the intervention group (n=43) performed very early mobilisation consisting of early and frequent out of bed activities which started within 24 hours of stroke onset for 5 to 30 minutes at least twice a day, for seven days. OUTCOME MEASURES: Functional status was measured with Barthel ADL Index on admission, discharge and three months follow up. RESULTS: Intervention group showed a significant improvement in Barthel Index change scores (discharge - admission) (median=35, IQR=30-38.75 versus median=17.50, IQR=10-30) than the standard care group. Intervention group showed a significant improvement in Barthel Index change scores (three month follow up - admission) (median=42.50, IQR=35-55) versus (median=30, IQR=20-35) than the standard care group. The Intervention group reported statistically significant improvement in functional status at discharge (P<0.001) and at three months follow up (P<0.001) compared with the Standard care group. CONCLUSIONS: The results indicate that very early mobilisation in addition to the standard care may be effective in improving the functional status following acute stroke.
RCT Entities:
OBJECTIVE: To evaluate the effect of very early mobilisation on functional status following acute stroke. DESIGN: Single blind, randomized controlled trial. SETTING: University hospital. SUBJECTS: Eighty-six patients with acute stroke (42 men and 38 women) aged 30-80 years were randomized to an Intervention group and a Standard care group. INTERVENTIONS: All participants received 45 minutes standard care once a day for seven days. In addition, the intervention group (n=43) performed very early mobilisation consisting of early and frequent out of bed activities which started within 24 hours of stroke onset for 5 to 30 minutes at least twice a day, for seven days. OUTCOME MEASURES: Functional status was measured with Barthel ADL Index on admission, discharge and three months follow up. RESULTS: Intervention group showed a significant improvement in Barthel Index change scores (discharge - admission) (median=35, IQR=30-38.75 versus median=17.50, IQR=10-30) than the standard care group. Intervention group showed a significant improvement in Barthel Index change scores (three month follow up - admission) (median=42.50, IQR=35-55) versus (median=30, IQR=20-35) than the standard care group. The Intervention group reported statistically significant improvement in functional status at discharge (P<0.001) and at three months follow up (P<0.001) compared with the Standard care group. CONCLUSIONS: The results indicate that very early mobilisation in addition to the standard care may be effective in improving the functional status following acute stroke.
Authors: Julia E Moore; Barbara Liu; Sobia Khan; Charmalee Harris; Joycelyne E Ewusie; Jemila S Hamid; Sharon E Straus Journal: BMC Geriatr Date: 2019-04-05 Impact factor: 3.921
Authors: Barbara Liu; Julia E Moore; Ummukulthum Almaawiy; Wai-Hin Chan; Sobia Khan; Joycelyne Ewusie; Jemila S Hamid; Sharon E Straus Journal: Age Ageing Date: 2018-01-01 Impact factor: 10.668