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Outcomes of repetitive facilitation exercises in convalescent patients after stroke with impaired health status.
- Source :
- Brain Injury; 2016, Vol. 30 Issue 13/14, p1722-1730, 9p
- Publication Year :
- 2016
-
Abstract
- Objective: To investigate the impact of stroke on health status and the effects of repetitive facilitation exercises (RFEs) for convalescent patients after stroke. Methods: The study was a prospective observational study of patients enrolled in an RFE programme. Between April 2008 and March 2012, 468 patients with stroke were enrolled in an intensive, comprehensive RFE programme. Patients participated in this interdisciplinary programme for 12 weeks, for an average of 5 hours per week. Before and immediately after the programme, several measures of rehabilitation outcomes and health-related quality-of-life were evaluated. Results: At baseline, most patients (95.4%) had modified Rankin scale scores of 3–5. Their health-related quality-of-life was significantly impaired, with physical and mental component summary scores on the Short Form 36-item questionnaire (SF-36) of 30.7 and 35.8, respectively. After the RFE programme, all outcome measures improved significantly. Conclusions: The results demonstrate that convalescent patients after stroke may benefit substantially from RFE programmes in stroke rehabilitation centres, even when patients have impaired health status or high levels of healthcare utilization. Thus, an RFE programme is a simple yet highly effective means to improve rehabilitation outcomes and health-related quality-of-life, with a relatively low dropout rate. [ABSTRACT FROM PUBLISHER]
- Subjects :
- CHI-squared test
DIAGNOSIS
FUNCTIONAL assessment
POSTURAL balance
GAIT in humans
HEALTH care teams
HEALTH status indicators
HEALTH surveys
HEMIPLEGIA
LONGITUDINAL method
NEUROPSYCHOLOGICAL tests
MEDICAL care use
SCIENTIFIC observation
QUALITY of life
QUESTIONNAIRES
REHABILITATION centers
SCALE analysis (Psychology)
STATISTICS
T-test (Statistics)
COMORBIDITY
LOGISTIC regression analysis
NEURODEVELOPMENTAL treatment
DATA analysis
TREATMENT effectiveness
SEVERITY of illness index
DATA analysis software
STROKE rehabilitation
STROKE patients
DESCRIPTIVE statistics
MANN Whitney U Test
BARTHEL Index
Subjects
Details
- Language :
- English
- ISSN :
- 02699052
- Volume :
- 30
- Issue :
- 13/14
- Database :
- Complementary Index
- Journal :
- Brain Injury
- Publication Type :
- Academic Journal
- Accession number :
- 120328262
- Full Text :
- https://doi.org/10.1080/02699052.2016.1205754