A prospective, randomized, single-blinded trial on the effect of early rehabilitation on daily activities and motor function of patients with hemorrhagic stroke

Bai, Yulong; Hu, Ya-Han; Wu, Yi; Zhu, Yulian; He, Qing; Jiang, Congyu; Sun, Limin; Fan, Wen-ke

doi:10.1016/j.jocn.2011.10.021

Cited by 45 publications

(23 citation statements)

References 22 publications

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“…Improvement was significantly greater for the rehabilitation group, measured by Fugl-Meyer and Barthel scales over 6 months, with the greatest improvement evident in the first month after stroke. 322 A similar result was seen in an Australian trial of very early mobilization in 72 patients, but the number of ICH patients was too small to make any sensible comparisons to those with ischemic stroke. 323 The success of rehabilitation depends on caregiver training and support; however, the likely configuration of services in any region will depend on available resources and funding options.…”

Section: Rehabilitation and Recoverymentioning

confidence: 53%

Guidelines for the Management of Spontaneous Intracerebral Hemorrhage

Hemphill¹,

Greenberg²,

Anderson³

et al. 2015

Stroke

2,948

1,196

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2032Purpose-The aim of this guideline is to present current and comprehensive recommendations for the diagnosis and treatment of spontaneous intracerebral hemorrhage. Methods-A formal literature search of PubMed was performed through the end of August 2013. The writing committee met by teleconference to discuss narrative text and recommendations. Recommendations follow the American Heart Association/American Stroke Association methods of classifying the level of certainty of the treatment effect and the class of evidence. Prerelease review of the draft guideline was performed by 6 expert peer reviewers and by the members of the Stroke Council Scientific Oversight Committee and Stroke Council Leadership Committee. Results-Evidence-based guidelines are presented for the care of patients with acute intracerebral hemorrhage. Topics focused on diagnosis, management of coagulopathy and blood pressure, prevention and control of secondary brain injury and intracranial pressure, the role of surgery, outcome prediction, rehabilitation, secondary prevention, and future considerations. Results of new phase 3 trials were incorporated. Conclusions-Intracerebral hemorrhage remains a serious condition for which early aggressive care is warranted.These guidelines provide a framework for goal-directed treatment of the patient with intracerebral hemorrhage.

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Section: Rehabilitation and Recoverymentioning

confidence: 53%

Guidelines for the Management of Spontaneous Intracerebral Hemorrhage

Hemphill¹,

Greenberg²,

Anderson³

et al. 2015

Stroke

2,948

1,196

View full text Add to dashboard Cite

show abstract

“…An additional 18 studies [35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52] were excluded because they did not have a PEDro score of at least 6. Eleven studies [53][54][55][56][57][58][59][60][61][62][63] were excluded because there was no dosematched control intervention, for comparison with the experimental intervention. Two studies were excluded because the clinical assessments were not masked, or this was not reported.…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation is Initiated Early After Stroke, but Most Motor Rehabilitation Trials Are Not

Stinear

Ackerley

Byblow

2013

Stroke

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“…The current study also found that clients with haemorrhagic strokes were significantly less likely to be referred to rehabilitation as compared to clients who had cerebral infarcts. Although studies have shown that early rehabilitation is an effective, therapeutic intervention strategy for clients with intracranial haemorrhage (leading to better clinical outcomes inphysical and psychological health), many healthcare professionals are still hesitant to recommend early mobilisation (Dewey and Bernhardt, 2007;Bai et al, 2012;Liu et al, 2014). Since clinical guidelines for the management of intracranial haemorrhage recommend close monitoring and stringent blood pressure control in the early period, this could underpin reluctance in implementing early active treatments (Liu et al, 2014).…”

Section: Quality Indicatorsmentioning

confidence: 99%

Stroke Rehabilitation in the Philippines: An Audit Study

Gonzalez‐Suarez

Grimmer

Alipio

et al. 2015

DCID

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Purpose:Although cerebrovascular accident is a leading cause of mortality in the Philippines, there has never been a national survey of stroke client descriptors and rehabilitation practices. This paper reports on data from the audit of stroke care for inpatients in hospitals serviced by physiatrists. Method: Audit was done of the medical records of stroke clients admitted to hospitals with rehabilitation units. Performance indicators for timely referral to rehabilitation were applied.Results: A total of 1683 records were audited. The majority of clients had cerebral infarct followed by cerebral haemorrhage. The median length of stay was 7 days; stay was lengthier for haemorrhagic strokes. Only 54.1% of the clients were referred to rehabilitation, with a median delay of 3 days between admission and referral to rehabilitation. 25.4% of the clients had early referral to rehabilitation. 39.2% of the 1397 clients were referred to rehabilitation earlier than 2 days before discharge. Conclusion:This Filipino study provides valuable information on stroke types and prevalence, demographics and rehabilitation practices. Despite the prevalence of post-stroke rehabilitation, it has been underutilised in the management of stroke.

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A prospective, randomized, single-blinded trial on the effect of early rehabilitation on daily activities and motor function of patients with hemorrhagic stroke

Cited by 45 publications

References 22 publications

Guidelines for the Management of Spontaneous Intracerebral Hemorrhage

Guidelines for the Management of Spontaneous Intracerebral Hemorrhage

Rehabilitation is Initiated Early After Stroke, but Most Motor Rehabilitation Trials Are Not

Stroke Rehabilitation in the Philippines: An Audit Study

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