Functional gain following rehabilitation of recurrent ischemic stroke in the elderly: Experience of a post-acute care rehabilitation setting

Mizrahi, Eliyahu H.; Fleissig, Y.; Arad, Marina; Adunsky, Abraham

doi:10.1016/j.archger.2014.08.013

Cited by 27 publications

(28 citation statements)

References 15 publications

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“…A physician-led holistic and interdisciplinary approach was consistently practiced in the stroke program. 5,18 All patients received approximately 2 to 3 hours of physical and occupational therapy per weekday with referral to medical social worker, speech therapist, psychologist, or other medical or surgical departments as necessary.…”

Section: Methodsmentioning

confidence: 99%

“…This index measures the actual percentage of potential functional recovery achieved and has been reported in stroke cohorts. 5,21 Patients who had acute length of stay or RehabLOS that were three standard deviations (SD) away from the means were excluded from the analysis to improve statistical efficiency. 22 Descriptive statistics for both first-ever stroke and recurrent stroke were presented as means and SD or counts and percentages (Table 1).…”

Section: Editor's Notementioning

confidence: 99%

“…10,11 However, negative perceptions in recurrent stroke may lead clinicians to withhold intensive and comprehensive rehabilitation services which is detrimental to recovery. 2,5 Knowledge of these functional and related efficiency outcomes will facilitate optimization of rehabilitation interventions and resources. 10 There is scarce information on functional outcomes in recurrent stroke after inpatient rehabilitation.…”

mentioning

confidence: 99%

“…3,4 The 5-year cumulative risk of recurrent stroke is approximately 25% and is often of similar type (ischemic or hemorrhagic) to the initial stroke. 5,6 Recurrent stroke is potentially preventable and current research focuses on cerebrovascular risk factor control, including hypertension, diabetes mellitus, and atrial fibrillation. 2,4,7 Disability, rehabilitation, and prognostic factors of recovery in recurrent stroke are less studied.…”

mentioning

confidence: 99%

“…9,13 Another study comparing first-ever and recurrent stroke was a retrospective designed trial which included only geriatric-age group patients. 5 In this study, a large prospective nonYage-limited cohort study of both first-ever and recurrent stroke patients undergoing inpatient rehabilitation at an academic tertiary hospital was performed. Firstly, this paper describes demographics and medical and social characteristics of recurrent stroke patients admitted for inpatient rehabilitation.…”

mentioning

confidence: 99%

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How Do Recurrent and First-Ever Strokes Differ in Rehabilitation Outcomes?

Tan

Chen

et al. 2016

American Journal of Physical Medicine &Amp; Rehabilitation

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Section: Methodsmentioning

confidence: 99%

Section: Editor's Notementioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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How Do Recurrent and First-Ever Strokes Differ in Rehabilitation Outcomes?

Tan

Chen

et al. 2016

American Journal of Physical Medicine &Amp; Rehabilitation

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Spontaneous Recovery of Executive Function, Attention, and Processing Speed in Stroke Patients in Colombia

Pugh

Olabarrieta‐Landa

Chagualá

et al. 2020

PM&R

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Background Previous literature has shown disparities between developing and developed regions in executive functioning, attention, and processing speed performance following stroke. Research on post‐stroke longitudinal outcomes in Latin America specifically is almost nonexistent. Objectives To assess spontaneous recovery among individuals with stroke in the absence of cognitive rehabilitation services in Colombia, South America during the first year post‐stroke by comparing their functioning to that of healthy controls across executive functioning, attention, and processing speed at 3, 6, and 12 months. Design Cohort. Setting Stroke rehabilitation center at the regional hospital. Participants A sample of 50 individuals with stroke and 50 matched healthy controls from Colombia were included in this study. Consistent with the healthcare resources in this region, participants did not receive any inpatient or outpatient cognitive rehabilitation. Interventions Not applicable. Main Outcome Measures Executive functioning, attention, and processing speed. Results Hierarchical linear models suggested improvements over time for both individuals with stroke and controls, but trajectories of neuropsychological performance were significantly lower for individuals with stroke. Only on one of nine outcomes was there a significant time*group interaction, suggesting greater gains for the stroke group than controls. Conclusions These data suggest extremely minor spontaneous recovery among individuals with stroke in Colombia relative to practice effects in controls, and that apparent improvements in executive functioning after stroke were likely just due to practice effects. These findings underscore the bleak outcomes in cognitive functioning after stroke that occur in regions without cognitive rehabilitation.

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