Article

OBJECTIVE: To evaluate the effect of very early mobilisation on functional status
following acute stroke.
DESIGN: Single blind, randomized controlled trial.
SETTING: University hospital. SUBJECTS: Eighty-six patients with acute stroke (42
men and 38 women) aged 30-80 years were randomized to an Intervention group and a
Standard care group. INTERVENTIONS: All participants received 45 minutes standard
care once a day for seven days. In addition, the intervention group (n=43)
performed very early mobilisation consisting of early and frequent out of bed
activities which started within 24 hours of stroke onset for 5 to 30 minutes at
least twice a day, for seven days. OUTCOME MEASURES: Functional status was
measured with Barthel ADL Index on admission, discharge and three months follow
up. RESULTS: Intervention group showed a significant improvement in Barthel Index
change scores (discharge - admission) (median=35, IQR=30-38.75 versus
median=17.50, IQR=10-30) than the standard care group. Intervention group showed
a significant improvement in Barthel Index change scores (three month follow up -
admission) (median=42.50, IQR=35-55) versus (median=30, IQR=20-35) than the
standard care group.
The Intervention group reported statistically significant
improvement in functional status at discharge (P<0.001) and at three months
follow up (P<0.001) compared with the Standard care group. CONCLUSIONS: The results indicate that very early mobilisation in addition to the standard care
may be effective in improving the functional status following acute stroke.
CI - (c) The Author(s) 2015.
- A l'aveugle

Langue : ANGLAIS