Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 28,256 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Tuesday, June 25, 2019
Effectiveness of Intensive Rehabilitation Therapy on Functional Outcomes After Stroke: A Propensity Score Analysis Based on Japan Rehabilitation Database
You ignored the real conclusion. Intensive rehabilitation therapy (IRT) was a failure at getting patients 100% recovered.
Aim:
To examine the association of the amount of rehabilitation with
functional gains of elderly stroke patients at a convalescent
rehabilitation ward using propensity score analysis methods and the
Japan Rehabilitation Database.
Methods:
This study was a retrospective cohort study. From the database, 6875
patients who were admitted to the convalescent rehabilitation wards with
stroke were identified. After excluding 4586 patients, 2325 were
eligible for the study. Intensive rehabilitation therapy (IRT) was
defined as rehabilitation therapy of more than 15 hours per week by a
physical therapist, an occupational therapist, and/or a speech
therapist. Functional Independence Measure (FIM) gain, discharge rate to
home, and FIM efficiency were examined using student's t test and the χ2 test after inverse probability weighting (IPW).
Results:
IRT was provided to 862 patients (37.1%). The unadjusted data showed
that patients in the IRT group had a longer hospital stay, more physical
therapy, occupational therapy, and speech and language therapy. After
adjustment for IPW, the baseline characteristics were found to be
closely matched between the 2 groups. The IRT group showed significantly
higher motor FIM gain, cognitive FIM gain, FIM gain, and discharge rate
to home.
Conclusions: The present study
demonstrated that a longer rehabilitation time per week was associated
with increased functional gain(the tyranny of low expectations in full display here.) in elderly stroke patients at
convalescent rehabilitation wards.
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