EFFECT OF DELAYED POST-STROKE REHABILITATION PROGRAM ON PATIENT'S FUNCTIONAL OUTCOME

Objective: To examine the effects of delayed admission to rehabilitation on functional outcomes in post stroke patients. Study Design: Observational study. Place and Duration of Study: Department of Physical Medicine and Rehabilitation of Combined Military Hospital Kohat, from Sep 2016 to S...

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Autores principales:	Noreen Akhtar, Atif Ahmed Khan, Aisha Ayyub
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	complications functional outcomes rehabilitation Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/460f2e502a934cc28fe3071549bae75f
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spelling	oai:doaj.org-article:460f2e502a934cc28fe3071549bae75f2021-11-26T03:43:11ZEFFECT OF DELAYED POST-STROKE REHABILITATION PROGRAM ON PATIENT'S FUNCTIONAL OUTCOME0030-96482411-8842https://doaj.org/article/460f2e502a934cc28fe3071549bae75f2018-12-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2574/2107https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To examine the effects of delayed admission to rehabilitation on functional outcomes in post stroke patients. Study Design: Observational study. Place and Duration of Study: Department of Physical Medicine and Rehabilitation of Combined Military Hospital Kohat, from Sep 2016 to Sep 2017. Material and Methods: A total of 55 patients with age ranging from 20-80 years who were diagnosed with first ever stroke and reported within 150 days of the onset of stroke to rehabilitation setup were selected through non-probability purposive sampling. The patients were divided into 2 groups as early (group-A ≤30 days) and delayed admission group (group-B=30-150 days) based on the length of time from stroke onset to admission to inpatient rehabilitation facility. Reasons for delay admission were identified and noted. Functional independence measure (FIM) score was used to assess functional status of the patient at admission. Patients in both groups underwent identical eight weeks of regular rehabilitation program with therapy sessions 3 hours a day, 5 days a week. Functional independence measure score was noted again at eight week of indoor rehabilitation. Results: Total 52 patients completed the study with 27 (51.9%) male and 25 (48.1%) female. Lack of awareness of Rehabilitation was the most common patient related factor found in 11 (34.4%) while Lack of care giver support was most common external factor reported in 6 (18.7%). The patients with early admission to inpatient rehabilitation facility had a better functional independent measurement scores gain than the patients with delayed admission to inpatient rehabilitation facility (40.4 ± 11.4 vs. 11.9 ± 8.4, p=0.01). However, FIM scores at admission in both groups were not statistically significant. Conclusion: Delayed admission to inpatient rehabilitation facility after stroke event caused poorer functional outcomes in stroke patients.Noreen AkhtarAtif Ahmed KhanAisha AyyubArmy Medical College Rawalpindiarticlecomplicationsfunctional outcomesrehabilitationMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 6, Pp 1672-1676 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	complications functional outcomes rehabilitation Medicine R Medicine (General) R5-920
spellingShingle	complications functional outcomes rehabilitation Medicine R Medicine (General) R5-920 Noreen Akhtar Atif Ahmed Khan Aisha Ayyub EFFECT OF DELAYED POST-STROKE REHABILITATION PROGRAM ON PATIENT'S FUNCTIONAL OUTCOME
description	Objective: To examine the effects of delayed admission to rehabilitation on functional outcomes in post stroke patients. Study Design: Observational study. Place and Duration of Study: Department of Physical Medicine and Rehabilitation of Combined Military Hospital Kohat, from Sep 2016 to Sep 2017. Material and Methods: A total of 55 patients with age ranging from 20-80 years who were diagnosed with first ever stroke and reported within 150 days of the onset of stroke to rehabilitation setup were selected through non-probability purposive sampling. The patients were divided into 2 groups as early (group-A ≤30 days) and delayed admission group (group-B=30-150 days) based on the length of time from stroke onset to admission to inpatient rehabilitation facility. Reasons for delay admission were identified and noted. Functional independence measure (FIM) score was used to assess functional status of the patient at admission. Patients in both groups underwent identical eight weeks of regular rehabilitation program with therapy sessions 3 hours a day, 5 days a week. Functional independence measure score was noted again at eight week of indoor rehabilitation. Results: Total 52 patients completed the study with 27 (51.9%) male and 25 (48.1%) female. Lack of awareness of Rehabilitation was the most common patient related factor found in 11 (34.4%) while Lack of care giver support was most common external factor reported in 6 (18.7%). The patients with early admission to inpatient rehabilitation facility had a better functional independent measurement scores gain than the patients with delayed admission to inpatient rehabilitation facility (40.4 ± 11.4 vs. 11.9 ± 8.4, p=0.01). However, FIM scores at admission in both groups were not statistically significant. Conclusion: Delayed admission to inpatient rehabilitation facility after stroke event caused poorer functional outcomes in stroke patients.
format	article
author	Noreen Akhtar Atif Ahmed Khan Aisha Ayyub
author_facet	Noreen Akhtar Atif Ahmed Khan Aisha Ayyub
author_sort	Noreen Akhtar
title	EFFECT OF DELAYED POST-STROKE REHABILITATION PROGRAM ON PATIENT'S FUNCTIONAL OUTCOME
title_short	EFFECT OF DELAYED POST-STROKE REHABILITATION PROGRAM ON PATIENT'S FUNCTIONAL OUTCOME
title_full	EFFECT OF DELAYED POST-STROKE REHABILITATION PROGRAM ON PATIENT'S FUNCTIONAL OUTCOME
title_fullStr	EFFECT OF DELAYED POST-STROKE REHABILITATION PROGRAM ON PATIENT'S FUNCTIONAL OUTCOME
title_full_unstemmed	EFFECT OF DELAYED POST-STROKE REHABILITATION PROGRAM ON PATIENT'S FUNCTIONAL OUTCOME
title_sort	effect of delayed post-stroke rehabilitation program on patient's functional outcome
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/460f2e502a934cc28fe3071549bae75f
work_keys_str_mv	AT noreenakhtar effectofdelayedpoststrokerehabilitationprogramonpatientsfunctionaloutcome AT atifahmedkhan effectofdelayedpoststrokerehabilitationprogramonpatientsfunctionaloutcome AT aishaayyub effectofdelayedpoststrokerehabilitationprogramonpatientsfunctionaloutcome
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EFFECT OF DELAYED POST-STROKE REHABILITATION PROGRAM ON PATIENT'S FUNCTIONAL OUTCOME

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