Which Acute Stroke Patients can Walk while Returning Home? Factors Predicting Ambulation.

IF 0.9 3区 医学 Q4 NEUROSCIENCES
Neurology India Pub Date : 2024-07-01 Epub Date: 2024-08-31 DOI:10.4103/neurol-india.ni_188_22
Kirac Unal Zeynep, Cankurtaran Damla, Umay Ebru
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引用次数: 0

Abstract

Purpose: Regaining gait is the primary goal in stroke rehabilitation. In this study, we aimed to investigate the effect of premorbid features of acute stroke patients on the ambulatory level.

Methods: The study included 174 patients who applied to our rehabilitation clinic within the first month after the onset of stroke. Demographic characteristics of patients, pre-stroke symptoms, and stroke characteristics were questioned from patient files and historical data. The ambulation levels of patients before and after rehabilitation were evaluated with the functional ambulation category. The relationship between demographic characteristics, pre-stroke symptoms, stroke characteristics, and ambulation levels of patients before and after rehabilitation was examined.

Results: The presence of coronary heart diseases, atrial fibrillation, and nausea/vomiting before stroke were independent negative risk factors on both pre- and post-rehabilitation ambulation levels (P < 0.05). Additionally, advanced age, oxygen, and mechanical ventilation requirement were other negative independent risk factors on post-rehabilitation ambulation levels (P < 0.05).

Conclusions: Knowing some of the pre-stroke characteristics of patients while applying rehabilitation programs may be useful in estimating the ambulatory levels on returning home.

哪些急性中风患者可以在回家后步行?行走能力的预测因素。
目的恢复步态是脑卒中康复的首要目标。本研究旨在探讨急性脑卒中患者病前特征对行走水平的影响:研究对象包括 174 名在脑卒中发生后一个月内到我院康复诊所就诊的患者。研究方法:研究对象包括 174 名在脑卒中发病后一个月内到我院康复门诊就诊的患者,根据患者档案和历史数据对患者的人口学特征、脑卒中前症状和脑卒中特征进行了调查。根据功能性行走类别对患者康复前后的行走水平进行了评估。研究了人口统计学特征、卒中前症状、卒中特征和康复前后患者行走水平之间的关系:结果:卒中前患有冠心病、心房颤动和恶心/呕吐是影响康复前后行走水平的独立负性危险因素(P < 0.05)。此外,高龄、吸氧和机械通气需求也是影响康复后行走水平的其他负性独立危险因素(P < 0.05):结论:在实施康复计划时了解患者卒中前的一些特征可能有助于估计患者回家后的活动能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Neurology India
Neurology India 医学-神经科学
CiteScore
1.60
自引率
70.40%
发文量
434
审稿时长
2 months
期刊介绍: Neurology India (ISSN 0028-3886) is Bi-monthly publication of Neurological Society of India. Neurology India, the show window of the progress of Neurological Sciences in India, has successfully completed 50 years of publication in the year 2002. ‘Neurology India’, along with the Neurological Society of India, has grown stronger with the passing of every year. The full articles of the journal are now available on internet with more than 20000 visitors in a month and the journal is indexed in MEDLINE and Index Medicus, Current Contents, Neuroscience Citation Index and EMBASE in addition to 10 other indexing avenues. This specialty journal reaches to about 2000 neurologists, neurosurgeons, neuro-psychiatrists, and others working in the fields of neurology.
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