Well shit of course there will be a higher risk. You're teaching them to walk again, That carries a good risk of falling, probably not covered in the release form signed.
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0175825
- Huei Kai Huang,
- Shu Man Lin,
- Clement Shih Hsien Yang,
- Chung Chao Liang,
- Hung Yu Cheng
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Abstract
Background
Rehabilitation
can improve physical activity after stroke. However, patients may be
more prone to falls and fractures because of balance and gait deficits.
Few reports have studied the relationship between rehabilitation and
subsequent fractures after ischemic stroke.
Objective
To investigate whether post-stroke rehabilitation affects fracture risk.
Methods
We
conducted a population-based retrospective cohort study based on the
Taiwan National Health Insurance Research Database. Patients with a
newly diagnosed ischemic stroke between 2000 and 2012 were included.
After propensity score matching, a total of 8,384 patients were
enrolled. Half of the patients (4,192) received post-stroke
rehabilitation within 1 month; the other half did not receive any
post-stroke rehabilitation. Cox proportional hazards regression model
was used to calculate hazard ratios (HRs) for fractures among patients
with and without rehabilitation within 1 year after ischemic stroke.
Patients were further stratified by sex and age (20–64 and ≥65 years).
Results
Patients
receiving post-stroke rehabilitation had a higher incidence of fracture
(6.2 per 100 person-years) than those who did not (4.1 per 100
person-years) after adjustment for sociodemographic and coexisting
medical conditions [HR = 1.53, 95% confidence interval (CI) = 1.25–1.87,
p < 0.001]. The analyses performed after stratifying for sex and age
showed that only older women undergoing rehabilitation had a
significantly higher risk of fracture (HR = 1.62, 95% CI = 1.21–2.17, p =
0.001).
Conclusion
Rehabilitation after ischemic stroke is associated with an increased fracture risk in older women.
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