Department of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Turkey
Turk J Med Sci. 2021 Jun 28;51(3):1413-1419. doi: 10.3906/sag-2010-287.
BACKGROUND/AIM: The aim of this study was to investigate the effect of vitamin D supplementation on ambulation and mobility in hospitalized patients undergoing stroke rehabilitation.
This study was conducted retrospectively between September 2020 and October 2020 at Gazi University Faculty of Medicine Physical Medicine and Rehabilitation Department. Seventy-six patients who received inpatient stroke rehabilitation treatment between May 2018 and February 2020 were included in the study. The patients were divided into two groups as those who did and did not take vitamin D supplements. Lower extremity motor function and ambulation status were compared using Brunnstrom recovery stage (lower extremity) and functional ambulation classification (FAC) scores before and after rehabilitation.
Thirty-nine patients received vitamin D treatment during the rehabilitation process and 37 patients did not. The two groups were similar in terms of age, sex, time since stroke, stroke type, comorbid diseases, nutritional status, rehabilitation duration, and FAC and Brunnstrom scores before rehabilitation (p > 0.05). At the end of rehabilitation, the changes in FAC and Brunnstrom scores were higher in patients receiving vitamin D supplementation (p = 0.005 and p = 0.018). The change in FAC and Brunnstrom scores in patients who were undergoing rehabilitation for the first time and/or in the first 3 months after stroke was higher in the group receiving vitamin D supplementation compared with the group not receiving vitamin D (p < 0.05). In patients who were not within the first 3 months after stroke, vitamin D treatment did not affect FAC and Brunnstrom scores.
Vitamin D supplementation may increase the success of rehabilitation therapy in patients during the first 3 months poststroke.
背景/目的：本研究旨在探讨维生素 D 补充对接受脑卒中康复治疗的住院患者步行和活动能力的影响。
本研究于 2020 年 9 月至 10 月在加济大学医学院物理医学与康复科进行，回顾性分析 2018 年 5 月至 2020 年 2 月期间接受住院脑卒中康复治疗的 76 例患者。根据是否服用维生素 D 补充剂，将患者分为两组。康复前后采用 Brunnstrom 恢复阶段（下肢）和功能性步行分类（FAC）评分比较下肢运动功能和步行状态。
39 例患者在康复过程中接受了维生素 D 治疗，37 例患者未接受。两组患者在年龄、性别、脑卒中发病时间、脑卒中类型、合并症、营养状况、康复时间、康复前 FAC 和 Brunnstrom 评分方面无差异（p>0.05）。康复结束时，接受维生素 D 补充的患者 FAC 和 Brunnstrom 评分的变化更高（p=0.005 和 p=0.018）。首次接受康复治疗和/或脑卒中后 3 个月内的患者，接受维生素 D 补充的患者 FAC 和 Brunnstrom 评分变化更高，与未接受维生素 D 补充的患者相比差异有统计学意义（p<0.05）。在脑卒中后 3 个月内的患者中，维生素 D 治疗并未影响 FAC 和 Brunnstrom 评分。
维生素 D 补充可能会增加脑卒中后前 3 个月患者康复治疗的成功率。
