Effect of Early Rehabilitation Services After Discharge on Social Activity Among Chronic Stroke Survivors: A Multicenter Prospective Study.

Autor: Kusumi H; Department of Rehabilitation Medicine, Tsudanuma Central General Hospital, Narashino-shi, Chiba, Japan; Graduate School of Comprehensive Human Sciences, University of Tsukuba, Bunkyo-ku, Tokyo, Japan. Electronic address: kusumi_haru1020@yahoo.co.jp., Kimura Y; Faculty of Life Sciences, Department of Biomedical Engineering, Toyo University, Asaka-shi, Saitama, Japan., Otobe Y; Physical Therapy Course, Department of Rehabilitation Science, School of Medicine, Osaka Metropolitan University, Habikino-shi, Osaka, Japan., Suzuki M; Faculty of Allied Health Sciences, Yamato University, Suita-shi, Osaka, Japan., Tanaka S; Major of Physical Therapy, Department of Rehabilitation, School of Health Sciences, Tokyo University of Technology, Ota-ku, Tokyo, Japan., Yamamoto S; Graduate School of Comprehensive Human Sciences, University of Tsukuba, Bunkyo-ku, Tokyo, Japan., Kojima I; Graduate School of Comprehensive Human Sciences, University of Tsukuba, Bunkyo-ku, Tokyo, Japan., Terao Y; Graduate School of Comprehensive Human Sciences, University of Tsukuba, Bunkyo-ku, Tokyo, Japan., Nishigori T; Department of Rehabilitation Medicine, Tsudanuma Central General Hospital, Narashino-shi, Chiba, Japan., Yamada M; Faculty of Human Sciences, University of Tsukuba, Bunkyo-ku, Tokyo, Japan.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2024 Aug; Vol. 188, pp. e591-e596. Date of Electronic Publication: 2024 Jun 04.
DOI: 10.1016/j.wneu.2024.05.173
Abstrakt: Background: Social inactivity after a stroke leads to adverse outcomes, making social activity after discharge important for chronic stroke survivors. This study aimed to investigate the effects of early rehabilitation services after discharge on social activity among chronic stroke survivors.
Methods: The participants were prospectively recruited from 3 convalescent hospitals. Receipt of early rehabilitation services after discharge for chronic stroke survivors was defined as the utilization of day care or home-based rehabilitation services by the Japanese long-term care insurance system. Social activity was assessed using the Frenchay Activities Index (FAI) premorbid and at 3, 6, and 12 months after discharge. In this study, the outcome was defined as the change in the FAI score from 3 to 12 months after discharge. Multivariate regression analysis was performed to examine the effect of access to rehabilitation on changes in FAI.
Results: Ninety stroke survivors (age 67.2±11.6 years, 52 male) were enrolled. The FAI showed improvements by 27.4% and 1.4% from 3 to 12 months after discharge in the rehabilitation and nonrehabilitation groups, respectively. Multivariate regression analysis showed that access to rehabilitation after discharge was positively associated with the FAI change from 3 to 12 months after discharge (B=30.3, β=0.38, 95% confidence interval=11.13-49.47, P=0.002).
Conclusions: Early rehabilitation services after discharge were significantly associated with increased social activity.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: