Dose-Response Effect of Daily Rehabilitation Time on Functional Gain in Stroke Patients

Ko, Hanbit; Kim, Howook; Kim, Yeong-Wook; Sohn, Min Kyun; Jee, Sungju

doi:10.5535/arm.2020.44.2.101

Cited by 6 publications

(3 citation statements)

References 25 publications

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“…These results imply that there is a relationship between physical intervention or amount of physical activity during hospitalization and the risk of HAD. In addition, ADRT seems to correlate positively with improved physical function and ADL after stroke [ 28 ]. Yosef-Brauner et al examined the effect of the number of physical therapy (PT) sessions on muscle strength and physical function and showed that PT twice a day was better than once a day to facilitate the recovery process in patients who suffer from intensive care unit-acquired weakness [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Relationship between average daily rehabilitation time and decline in instrumental activity of daily living among older patients with heart failure: A preliminary analysis of a multicenter cohort study, SURUGA-CARE

et al. 2021

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Background Limitation of instrumental activity of daily living (IADL) is independently associated with an adverse prognosis in older heart failure (HF) patients. Aims This multicenter study aims to examine the relationship between average daily rehabilitation time (ADRT) and risk of IADL decline during acute hospitalization in older patients with HF. Methods Four hundred eleven older patients who were hospitalized due to acute HF and underwent rehabilitation were divided into three groups based on the tertile of the ADRT: short, intermediate, and long groups. IADL was assessed by the National Center for Geriatrics and Gerontology Activities of Daily Living (NCGG-ADL) scale. Change in NCGG-ADL (Δ NCGG-ADL) was calculated by subtracting the pre-hospitalization score from the at-discharge score and IADL decline was defined as Δ NCGG-ADL < = −1 point. Logistic regression analysis was carried out examining the association between ADRT and occurrence of IADL decline. Results The ADRT was 23.9, 32.0, and 38.6 minutes in short, intermediate, and long group, respectively. The proportion of patients with IADL decline during hospitalization was 21% among all subjects and short group had the highest proportion of IADL decline (33%) and long group had the lowest proportion (14%). The long group had significantly lower odds of IADL decline compared with the short group (OR:0.475, 95% CI:0.231–0.975, P = 0.042). Among the items of NCGG-ADL scale, significant decreases in the “go out by oneself”, “travel using a bus or train”, “shop for necessities”, “vacuum”, and “manage medication” were observed at discharge compared to pre-hospitalization in the short group (p<0.01, p<0.01, p<0.01, p<0.05, and p<0.05). Conclusions The present study demonstrated that short of ADRT may be associated with the risk of IADL decline during hospitalization in older patients with HF.

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Section: Discussionmentioning

confidence: 99%

Relationship between average daily rehabilitation time and decline in instrumental activity of daily living among older patients with heart failure: A preliminary analysis of a multicenter cohort study, SURUGA-CARE

et al. 2021

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“…The consequences of exercise preference in stroke survivors are classified into the three categories: (i) patient-related, (ii) rehabilitation provider–related, and (iii) rehabilitation service system–related ( 3 , 34 , 35 ). Patient-related consequences include improved adherence to rehabilitation ( 9 , 13 , 15 ), enhanced the level of physical activity ( 9 , 14 ), promoted motor recovery and quality of life of individuals with stroke ( 9 , 36 , 37 ). Rehabilitation provider–related consequences include providing a personalized regimen ( 9 , 14 , 21 , 26 ), job satisfaction ( 26 ), professional identify ( 27 ), and communication promoting in patients and rehabilitation team ( 26 , 27 ).…”

Section: Resultsmentioning

confidence: 99%

Exercise preference in stroke survivors: a concept analysis

Dai,

Shi,

et al. 2024

Front. Neurol.

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BackgroundExercise preference in stroke survivors is related to their adherence to long-term rehabilitation regimen and functional recovery. Although explored recently, the term exercise preference still lacks a clear definition.ObjectiveThe aim of this study is to conceptualize exercise preference in stroke survivors.MethodsThe Walker and Avant method was applied as a framework for the conceptual analysis of exercise preference. Data from 34 publications were collected using seven databases (PubMed, Web of Science, Embase, CINAHL, CNKI, Wanfang Data, and CBM) and applied in the analysis. The search period was from the inception of the database to April 30, 2023.ResultsExercise preference in stroke survivors was defined according to four attributes: priority of choice, behavioral tendency, affective priming, and patience in adherence. The common antecedents of the concept of exercise preference in stroke survivors were classified into patient-related, therapy-related, and environmental-related categories and the consequences were classified into three categories: patient-related, rehabilitation provider–related, and rehabilitation service system–related.ConclusionExercise preference in stroke survivors refers to the patient’s choice, tendency, affective response, and attitude toward engagement in the recommended rehabilitation regimen. It is beneficial for understanding the essential attributes of exercise preference in stroke survivors by clarifying the concept. In addition, it will facilitate the development of instruments for assessing exercise preference in stroke survivors and the construction of theory-based intervention programs that can improve adherence to exercise rehabilitation.

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“…Therefore, it is important to determine the factors such as age and LOS that correlate with balance performance and motor function after stroke to develop a comprehensive rehabilitation that maximizes functional independence. Early post-stroke rehabilitation could enhance balance performance and functional motor outcomes in poststroke individuals (14). Thus, this study will examine the effect of an intensive inpatient rehabilitation programme on balance performance and motor function and determine whether age and length of stay are associated with balance performance and motor function outcomes in post-stroke individuals.…”

Section: Introductionmentioning

confidence: 99%

Balance Performance and Motor Function After Inpatient Rehabilitation: a Retrospective Study in Post-stroke Individuals

Wahid¹,

Chung²,

Manaf³

2022

MJMHS

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Introduction: Early and intensive rehabilitation programs has been consistently shown to effectively improve post-stroke individuals’ physical functions. Therefore, this study aims to i) examine the effect of an intensive inpatient rehabilitation program on balance performance and motor function and ii) determine whether age and length of hospital stay are associated with balance performance and motor function in post-stroke individuals. Methods: Data of post-stroke individuals who were admitted to the Rehabilitation Medicine Ward, University Malaya Medical Centre, from January 2018 to December 2020 were retrospectively analyzed. Demographic data such as gender, diagnosis, length of stay (LOS) and both admission and prior to discharge Berg Balance Scale (BBS) and Motor Assessment Scale (MAS) scores were gathered from the medical records. Results: A total of 55 individuals meet the study criteria. The mean ± standard deviation (SD) age was 51.0 ± 6.2 years and the range of LOS was between 2 – 8 weeks. There was a statistically significant improvement in BBS (p = 0.001), and MAS (p = 0.001) following the rehabilitation program. There was a moderate, positive correlation between the changes in BBS and MAS (r = 0.595, p = 0.001). There was a low, positive association between LOS and changes in MAS score (r = .381, p = .004). No significant association between age and both BBS and MAS (both p > .05). Furthermore, there is no significant correlation between BBS and LOS (p >.05). Conclusion: Post-stroke individuals improved balance performance and motor function after an inpatient stroke rehabilitation program.

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Dose-Response Effect of Daily Rehabilitation Time on Functional Gain in Stroke Patients

Cited by 6 publications

References 25 publications

Relationship between average daily rehabilitation time and decline in instrumental activity of daily living among older patients with heart failure: A preliminary analysis of a multicenter cohort study, SURUGA-CARE

Relationship between average daily rehabilitation time and decline in instrumental activity of daily living among older patients with heart failure: A preliminary analysis of a multicenter cohort study, SURUGA-CARE

Exercise preference in stroke survivors: a concept analysis

Balance Performance and Motor Function After Inpatient Rehabilitation: a Retrospective Study in Post-stroke Individuals

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