A study on additional early physiotherapy after stroke and factors affecting functional recovery

Objective: To investigate whether additional early physiotherapy after stroke improved functional recovery in stroke patients. Design: A prospective, randomized, controlled study. Setting: One stroke ward and an acute stroke unit in a large teaching hospital, southern China. Subjects: Patients with...

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Bibliographic Details
Published in:	Clinical rehabilitation Vol. 17; no. 6; pp. 608 - 617
Main Authors:	Fang, Yannan, Chen, Xiaohua, Li, Hua, Lin, Jianwen, Huang, Ruxun, Zeng, insheng
Format:	Journal Article
Language:	English
Published:	Thousand Oaks, CA SAGE Publications 01-09-2003 Turpin Arnold Sage Publications Ltd
Subjects:	Aged Biological and medical sciences China Diseases of the nervous system Early Educational Status Exercise Movement Techniques Female Functional impairment Glasgow Coma Scale Humans Male Medical sciences Middle Aged Physiotherapy Prospective Studies Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Randomized controlled trials Rehabilitation Stroke - classification Stroke Rehabilitation Strokes Treatment Outcome Human Evaluation Nervous system diseases Stroke Prognosis Cognitive disorder Motor system disorder Cardiovascular disease Physical rehabilitation Cerebral disorder Vascular disease Functional recovery Treatment Central nervous system disease Kinesitherapy Complication Hemiplegia Early Therapeutic schedule Technique Neurological disorder Predictive factor Cerebrovascular disease
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Summary:	Objective: To investigate whether additional early physiotherapy after stroke improved functional recovery in stroke patients. Design: A prospective, randomized, controlled study. Setting: One stroke ward and an acute stroke unit in a large teaching hospital, southern China. Subjects: Patients with first-onset stroke consecutively admitted to the stroke centre. Interventions: One group (n = 78) received additional early physiotherapy (AEP) for 45 minutes, five days a week for four weeks starting within the first week since stroke onset; the routine therapy (RT) group (n = 78) received no professional rehabilitation therapy. Main outcome measures: Glasgow Coma Scale, Mini-Mental State Examination, Fugl-Meyer Assessment of Motor Recovery, Clinical Neurological Deficit Scale and Modified Barthel Index (MBI). Results: Patients from the AEP group had a high drop-out rate (n = 28), but those remaining made relatively better functional recovery at 30 days than those from the RT group if measured by MBI. Multiple linear regression analysis revealed that cognitive disturbance, aphasia, double incontinence, site of lesion and sensory impairment might affect functional recovery after stroke. Conclusions: Additional early physiotherapy might improve independence of patients after stroke but failed to show benefit in other aspects in our study. Cognitive disturbance, aphasia, double incontinence, site of lesion as well as sensory impairment might affect functional outcome after stroke.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-1 ObjectType-News-3
ISSN:	0269-2155 1477-0873
DOI:	10.1191/0269215503cr655oa