Physical Medicine and Rehabilitation Clinic, Dr Hulusi Alataş Elmadağ State Hospital, Ankara, Turkey.
Neurol India. 2024 Jul 1;72(4):824-829. doi: 10.4103/neurol-india.ni_188_22. Epub 2024 Aug 31.
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.
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.
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).
Knowing some of the pre-stroke characteristics of patients while applying rehabilitation programs may be useful in estimating the ambulatory levels on returning home.
恢复步行能力是中风康复的主要目标。本研究旨在探讨急性中风患者发病前特征对步行能力的影响。
本研究纳入了 174 名在中风发病后 1 个月内到我院康复科就诊的患者。从患者病历和既往史中询问患者的人口统计学特征、发病前症状和中风特征。使用功能性步行分类评估患者康复前后的步行能力。检查患者的人口统计学特征、发病前症状、中风特征与康复前后步行能力之间的关系。
中风前存在冠心病、心房颤动和恶心/呕吐是康复前后步行能力的独立负风险因素（P<0.05）。此外，高龄、吸氧和机械通气需求也是康复后步行能力的其他独立负风险因素（P<0.05）。
在实施康复计划时了解患者的一些发病前特征，可能有助于估计患者出院时的步行能力。
