Article

The aim of this study was to describe and quantify the content of early
rehabilitation adapted to patients with acute aneurysmal subarachnoid hemorrhage
(aSAH) and to assess its feasibility. METHODS:
This was a prospective,
observational study including 37 aSAH patients. Early rehabilitation was applied
according to a mobilization algorithm. Clinical parameters, the time that
rehabilitation team used on early rehabilitation and progression in mobilization
were recorded. The patients' clinical conditions were graded according to the
World Federation of Neurological Surgeons scale (WFNS). RESULTS: Poor-grade
patients (WFNS 3, 4, 5) (n = 12) received more rehabilitation (median 412 min)
than did good-grade patients (WFNS 1, 2) (median 240 min). Mobilization to 60
degrees of head elevation in good-grade patients began on day one after securing
the aneurysm. Out-of-bed mobilization was possible on day three. Poor-grade
patients were mobilized to 60 degrees after two days and were out of bed on day
seven. At discharge, 67% of poor-grade patients were mobilized to walking versus
78% of good-grade patients. No serious adverse effects to early rehabilitation
were observed. CONCLUSIONS: Early rehabilitation in aSAH patients is feasible
from the first day after securing the aneurysm. The rehabilitation content varied
according to the patient's clinical grade. Implications for Rehabilitation Early
rehabilitation is feasible from the first day after securing the ruptured
aneurysm in patients with aneurysmal subarachnoid hemorrhage (aSAH). Early
rehabilitation requires close monitoring and continuous adjustment for the
content and amount according to the patient's clinical condition.
Interdisciplinary collaboration is recommended to match the rehabilitation needs
to the medical condition on a daily basis.
- Rééducation précoce

Langue : ANGLAIS