Still NO PROTOCOLS on stroke rehab. Your doctors and therapists are just guessing about what to do. With their tyranny of low expectations they can justify failure to 100% recover.
Early Intensive Multi-faceted Rehabilitation in Stroke Patients: What is the Best Effective Rehabilitation Time?
- Abstract:
We aimed to evaluate the
effects of the intensive and multi-faceted rehabilitation program in
patients during the first 3 weeks after stroke, and to determine the
most effective time to initiate treatment. Material and Methods: Forty
two patients who were treated in our clinic were included in the study.
The demographic characteristics of the patients, the level of stroke
severity assessed by the National Stroke Institute Severity Scale
(NIHSS), the functional stages assessed by the Brunstrom and Chedocke
McMaster Stroke Assesment (CMSA) Scale and the disability levels
assessed by the Functional Independence Measure scale were recorded. All
patients received a multi-faceted and intensive rehabilitation program
20 sessions in total. The patients were divided into 3 groups according
to the times of initiation of rehabilitation i.e during the first 9 days
(Group 1), between days 10 and 14 (Group 2) and between days 15 and 21
(Group 3). The evaluation parameters assessed before the treatment, 4th
weeks and 3th months were compared within and between the groups.
Results:
According to the treatment start times; the change in CMMS
hand, arm, legand postural control scores, Brunstroom upper, lower limbs
and hand levels and the NIHSS score was found to be higher in the first
9 days compared to the other 2 groups in the beginning of treatment.
Conclusion:
Early intensive and multifaceted rehabilitation program is
effective for motor and functional recovery in ischemic stroke patients.
Moreover, the start of treatment within the first 9 days provides the
most improvement.
- Copyright of Journal of Physical Medicine & Rehabilitation Sciences / Fiziksel Tup ve Rehabilitasyon Bilimleri Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.
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