Article

OBJECTIVE: To determine whether there were differences in characteristics and
activity limitations relevant to physiotherapists among people receiving
inpatient rehabilitation after stroke in 2001, 2005, and 2011. DESIGN: A
multicenter observational study of 3 periods. SETTING: Inpatient rehabilitation
units (N=15). PARTICIPANTS: Adult stroke survivors (N=738) admitted over 3
periods (2001, 2005, 2011). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES:
Characteristics, hospital metrics, and Motor Assessment Scale (MAS) scores were
recorded on admission and discharge. RESULTS: All 3 cohorts were similar in terms
of sex, side affected by stroke, and length of time from stroke onset to
rehabilitation admission. Stroke participants in the 2005 cohort were older than
those in the 2011 and 2001 cohorts. Participants in the 2011 cohort had a longer
inpatient rehabilitation length of stay, experienced lower average MAS gains per
day (F>3.298, P<.038), and experienced more activity limitations in basic
functional tasks involving bed mobility, standing up, and sitting balance on
admission and discharge, and in walking and arm function at discharge only
compared with earlier cohorts. CONCLUSIONS: In 2011, on average, people admitted
for rehabilitation after stroke were approximately the same age as patients in
2005 and 2001 and it took approximately 2 weeks for all of these patients to be
admitted to a rehabilitation unit, but patients in 2011 had a longer inpatient
rehabilitation length of stay compared with patients in 2005 and 2001. In
addition, activity limitations at inpatient rehabilitation admission and
discharge appear to be worse, particularly for activities such as rolling,
sitting up over the edge of the bed, and balanced sitting.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS