| Autor: |
Rhoda, A, De Wit, Liesbet, Putman, Koen, Mpofu, R, De Weerdt, W. |
| Přispěvatelé: |
Interuniversity Centre For Health Economics Research, Public Health Sciences |
| Jazyk: |
angličtina |
| Rok vydání: |
2014 |
| Předmět: |
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| Popis: |
Background Recovery post stroke is well documented in the field of stroke rehabilitation. The structure and process of rehabilitation which affects recovery post stroke is different between developed and developing countries. The aim of the present study was therefore to compare the motor and functional recovery of stroke patients receiving rehabilitation in Germany a developed country with stroke patients receiving rehabilitation in South Africa a developing country where the structure and process could be different. Methods The present study used secondary data analysis of patient protocols collected in two independent studies conducted in Germany and South Africa respectively. A total of 73 patients from the two separate studies were matched for age at stroke onset, gender and initial motor functioning. Motor and functional recovery was assessed at baseline, two and six months post stroke using the Rivermead Motor Assessment Scale and the Barthel Index respectively. Significant differences in motorand functional recovery were assessed using the Wilcoxon rank sum test on admission to the centre, and at two and six months after stroke. A generalised linear mixed methods model (GLIMMIX) was used to compare the recovery patterns over time between the participants from the two settings. Results At all assessment points, median scores were significantly higher for the German patients compared to the South African patients for all parameters, except for the RMA-GF at two months. The results of the GLIMIX revealed that a significant difference was found in favour of the German participants, for gross motor (RMA-GF) and upper limb (RMA-A) recovery while no significant difference was found for lower limb (RMA-LT) and functional (BI) recovery patterns. Conclusion The results of this study provide empirical evidence for the differential recovery patterns for patients in developed and developing countries. A detailed exploration of the factors to which this difference in recovery patterns can be attributed was beyond the scope of the present study and is recommended for future research. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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