A Preliminary Analysis of a Home-Based Stroke Rehabilitation Program in Windsor, Ontario

Voth, Jennifer; Petro, Jason; Mallender, Michael; Bridgen, Sonja; Mannan, Sara; Jackson, Marla; Liem, Nathania

doi:10.1017/cjn.2019.26

Cited by 3 publications

(1 citation statement)

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“…En Chile, se han planteado modelos a partir de variables clínicas por medio de una categorización en rehabilitación basada en la complejidad de los pacientes, permitiendo estandarizar las evaluaciones y definir cargas terapéuticas. (14) En cuanto al acceso a la rehabilitación, se han descrito múltiples factores (15) que disminuyen la posibilidad de recibir una atención de alta intensidad. En Valparaíso destacan: altos niveles de dependencia en personas con discapacidad, características geográficas de la zona, poca conectividad a los centros de salud, sumado a la alta demanda de los establecimientos de salud pública (16) .…”

Section: Introductionunclassified

Intervención ambulatoria basada en categorización por complejidad en neurorehabilitación

2023

Rev. chil. neuro-psiquiatr.

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Background: There are multiple factors that hinder access to high intensity therapies. Few studies have considered the effectiveness of outpatient motor neurorehabilitation based on direct patient care, caregiver-mediated exercises and self-directed exercises. Objetive: Evaluate the effect of an categorized outpatient motor neurorehabilitation program in a Public Hospital with respect to functionality, mobility and balance. Material and Method: Retrospective cohort study. The patients seen in 2018 at the Neurorehabilitation polyclinic of the Carlos Van Buren Hospital were analyzed, the data was collected from the medical records, they were categorized into three levels of complexity in rehabilitation and the statistical analysis was performed. Results: A total of 34 users were studied, the most recurrent diagnosis was stroke in 82.3%. On the functional scales, all values changed from highest to lowest severity post intervention (modified Rankin, Barthel index, functional level and walking speed). In relation to proportional recovery, low complexity patients achieved 13.5%, median 83% and high 25%. Conclusions: The results indicate that an outpatient motor Neurorehabilitation program provides favorable functional changes for patients of medium complexity in rehabilitation. The use of a complexity-based categorization of rehabilitation is a useful option in the clinical setting, but further research is required.

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Section: Introductionunclassified