Association between 7 days per week rehabilitation and functional recovery of patients with acute stroke: A retrospective cohort study based on the Japan rehabilitation database

 Yes, but would 5 and 6 day a week be just as good if all the dead time in the hospital is used for rehabilitation? And since you are inactive 85% of the time while in the hospital your doctor is allowing you to deteriorate.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J75824&phrase=no&rec=133372&article_source=Rehab&international=0&international_language=&international_location=
Archives of Physical Medicine and Rehabilitation , Volume 98(4) , Pgs. 701-706.

NARIC Accession Number: J75824.  What's this?
ISSN: 0003-9993.
Author(s): Kinoshita, Shoji; Momosaki, Ryo; Kakuda, Wataru; Okamoto, Takatsugu; Abo, Masahiro.
Publication Year: 2017.
Number of Pages: 6.
Abstract: Study examined the effect of 7 days per week (7d/wk) of rehabilitation on the functional recovery of patients with acute stroke. Seven days per week of rehabilitation was defined as rehabilitation therapy administrated by a physical or occupational therapist on every weekday, Saturday, and Sunday. Researchers tested the hypothesis that functional outcome of patients with stroke who receive 7d/wk of rehabilitation is generally better than that of similar patients who undergo 5 or 6d/wk of rehabilitation. Data were collected from the Japan Rehabilitation Database for 3,072 patients with stroke who were admitted to acute hospitals and received 7d/wk of rehabilitation. The primary outcome was favorable functional independence in daily living, defined as a modified Rankin Scale score of 0 to 2 at the time of discharge. A total of 1075 (35.0 percent) patients received 7d/wk of rehabilitation. Univariate analysis demonstrated a significant difference in favorable functional recovery between the 7d/wk rehabilitation group and non-7d/wk rehabilitation group (43.3 versus 37.6 percent, respectively). Multivariate logistic regression analysis using the generalized estimating equations method showed that 7d/wk of rehabilitation was independently associated with favorable functional recovery. This study demonstrated that 7d/wk of rehabilitation in early rehabilitation for patients with acute stroke can lead to functional recovery.
Descriptor Terms: ACUTE CARE, FUNCTIONAL STATUS, INDEPENDENT LIVING, INTERNATIONAL REHABILITATION, OCCUPATIONAL THERAPY, OUTCOMES, PHYSICAL THERAPY, REHABILITATION SERVICES, SERVICE DELIVERY, STROKE.


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Citation: Kinoshita, Shoji, Momosaki, Ryo, Kakuda, Wataru, Okamoto, Takatsugu, Abo, Masahiro. (2017). Association between 7 days per week rehabilitation and functional recovery of patients with acute stroke: A retrospective cohort study based on the Japan rehabilitation database.  Archives of Physical Medicine and Rehabilitation , 98(4), Pgs. 701-706. Retrieved 5/13/2017, from REHABDATA database.


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Archives of Physical Medicine and Rehabilitation.