Toni Patt DPT discusses that here:
The Obesity Issue
The new research here:
The impact of patient's weight on post-stroke rehabilitation
- DOI:
- 10.3109/09638288.2015.1107640
- Received: 25 Nov 2014
- Accepted: 9 Oct 2015
- Published online: 10 Jan 2016
Abstract
Purpose To evaluate the influence of patient’s weight on rehabilitation outcomes in first-event stroke patients.
Design
Retrospective, observational comparative study. 102 first-time stroke
male and female patients admitted to the 52-bed neurology rehabilitation
department in a rehabilitation hospital were included in the study.
Body mass index (BMI), Functional Independence Measure (FIM) on
admission and at discharge, as well as the delta-FIM (FIM on admission –
FIM at discharge) were evaluated. The Kruskal–Wallis test was used to
compare the FIM and the NIHSS scores between BMI groups (normal,
overweight, moderate and severe obesity).
Results A statistically significant negative correlation (rho = −0.20, p
= 0.049) was found between FIM change and BMI, that remained significant
after adjustments for age, sex and hospitalisation days. No difference
was found between groups in FIM or NIHSS change between BMI groups. Conclusions
In sub-acute post-stroke patients undergoing rehabilitation in
rehabilitation hospital, BMI was negatively associated with the
improvement of functional parameters. Patients’ BMI should be taken into
consideration when predicting rehabilitation outcome for stroke
patients. Further investigations are needed to identify the functional
parameters affected by the patients’ BMI.
Implications for Rehabilitation
- In sub-acute post-stroke patients undergoing rehabilitation in rehabilitation hospital, BMI was negatively associated with the improvement of functional parameters.
- Patients’ BMI should be taken into consideration when predicting rehabilitation outcome for stroke patients.
- New rehabilitation strategies should be designed to improve the functional outcomes of rehabilitation of obese patients.
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