Benefit of inpatient multidisciplinary... [Arch Phys Med Rehabil. 2003. Impairment and disability: their relat... [Arch Phys Med Rehabil. 1998. Impact of Time on Improvement of Outcome After Stroke. + Author Affiliations Correspondence to Gert Kwakkel, PhD, Senior Researcher, Rudolf Magnus Institute, Department of Rehabilitation, University Medical Centre, P.O.
Box 85060, Utrecht, The Netherlands. E-mail g.kwakkel@vumc.nl Abstract Background and Purpose— Longitudinal conducted studies show that neurologic and functional recovery show faster recovery in the first weeks poststroke. Methods— Based on data from a previous study, 101 patients with first-ever ischemic middle cerebral artery strokes were prospectively investigated during the first 16 weeks after stroke. Results— Time explained a significant change of 8.4 (42%) measurement units on the Barthel Index for the first 10 weeks poststroke, 1.1 (22%) measurement units on Functional Ambulation Categories, and 19% on the Action Research Arm test for the first 6 and 8 weeks poststroke. Key Words:
Journal of Chronic Diseases - A synthesis of studies on stroke rehabilitation. The functional rehabilitation of stroke patients is a frequent service provided in hospitals and long term care settings.
Research regarding the effectiveness of therapy has been conducted infrequently and the results of studies often conflict. This article describes the results of seven studies which employed different study designs and sample populations. Three observational studies found that rehabilitation is effective while three experimental studies found no effect. One observational study not only failed to find a positive effect but also found that physical therapy was associated with shoulder-hand syndrome. The findings of these seven studies are synthesized in an attempt to resolve apparently conflicting results and arrive at conclusions which are consistent.
Excerpt: Focused Stroke Rehabilitation Programs Do Not Improve Outcome, June 1989, Dobkin 46 (6): 701. Archives of Physical Medicine and Rehabilitation - Functional recovery following rehabilitation after hemorrhagic and ischemic stroke. Fig 1 FIM score change during rehabilitation therapy for ICH and cerebral infarction (CI), stratified by stroke functional severity, measured by total admission FIM. ∗ P<.05; † P<.0125.
Kelly PJ, Furie KL, Shafqat S, Rallis N, Chang Y, Stein J. Functional recovery following rehabilitation after hemorrhagic and ischemic stroke. Arch Phys Med Rehabil 2003;84:968–72. Objectives: To quantify recovery after rehabilitation therapy and to identify factors that predicted functional outcome in survivors of intracerebral hemorrhage (ICH) compared with cerebral infarction. Design: Retrospective study of consecutive ICH and cerebral infarction admissions to a rehabilitation hospital over a 4-year period. Setting: Functional Outcome of Ischemic and Hemorrhagic Stroke Patients After Inpatient Rehabilitation.
A Matched Comparison + Author Affiliations Correspondence to Stefano Paolucci, MD, Fondazione IRCCS Santa Lucia, Via Ardeatina 306, 00179 Rome, Italy.
E-mail s.paolucci@hsantalucia.it Abstract Background and Purpose— The goal of this study was to assess the specific influence of stroke etiology on rehabilitation results. Methods— This was a case-control study of 270 inpatients with sequelae of first stroke who were enrolled in homogeneous subgroups and matched for stroke severity, basal disability, age (within 1 year), sex, and onset admission interval (within 3 days) who were different only in terms of stroke origin, infarction versus hemorrhage.
Results— Compared with ischemic patients, hemorrhagic patients had significantly higher Canadian Neurological Scale and Rivermead Mobility Index scores at discharge; higher effectiveness and efficiency on the Canadian Neurological Scale, Barthel Index, and Rivermead Mobility Index; and a higher percentage of high responders on the Barthel Index. Intracerebral hemorrhage versus infarction: Stroke severity, risk factors, and prognosis - Jørgensen - 2004 - Annals of Neurology. Hemorrhagic and Ischemic Strokes Compared.
Comparison of outcomes after intrac... [J Stroke Cerebrovasc Dis. 2010. Do stroke patients with intracerebral hemorrhage have a... [PM R. 2009. Recovery from stroke: differences between ... [Int J Rehabil Res. 2005] - PubMed - NCBI. Intensity of leg and arm training after primary middl... [Lancet. 1999. Effects of Intensity of Rehabilitation After Stroke : A Research Synthesis. A Research Synthesis + Author Affiliations Abstract Background and Purpose A research synthesis was performed to (1) critically review controlled studies evaluating effects of different intensities of stroke rehabilitation in terms of disabilities and impairments and (2) quantify patterns by calculating summary effect sizes.
The influences of organizational setting of rehabilitation management, blind recording, and amount of rehabilitation on the summary effect sizes were calculated. Methods A Medline literature search was performed for a critical review of the literature. Long term effects of intensity of upper and lower limb training after stroke: a randomised trial. Avertissement de redirection.