Hammad Uzair, Anderson Abigail W, Scammon Emma, Whiting Reid, Rodriguez Juan Pablo, Lazaro Rolando T, Beato Morris Casano
Orlando Health Advanced Rehabilitation Institute, Orlando, FL 32806, USA.
School of Kinesiology and Rehabilitation Sciences, College of Health Professions and Sciences, University of Central Florida, Orlando, FL 32816, USA.
Nurs Rep. 2024 Oct 10;14(4):2935-2945. doi: 10.3390/nursrep14040214.
BACKGROUND/OBJECTIVES: Cerebellar strokes account for only 2-3% of all strokes occurring annually in the United States but represent a disproportionally higher share of morbidity and mortality. Evidence examining the effect of inpatient rehabilitation on functional outcomes following a cerebellar stroke is limited. This study aimed to examine the effects of inpatient rehabilitation on balance and walking speed in individuals with cerebellar stroke. A secondary purpose of this study was to examine the length of inpatient rehabilitation stay of the included patients.
A retrospective analysis was conducted using review of patient records during their inpatient rehabilitation stay from January 2021 to February 2022 at a large hospital system in the southeast United States. Balance and gait outcomes were examined on admission and discharge from inpatient rehabilitation that included physical therapy interventions. A paired -test examined for changes in outcomes from admission to discharge. Pearson correlation examined for the association between length of stay and outcomes.
A total of 15 records were reviewed. There were significant improvements in the Berg Balance Scale (BBS), Postural Assessment Scale for Stroke (PASS), and the 10-Meter Walk Test (10MWT) ('s < 0.01) from admission to discharge with large effect sizes (range d = 0.70-1.67) following inpatient rehabilitation. The average length of stay was 12.67 days (SD = 6.5) and the mean total hours of combined occupational, physical, and speech therapy was 27.33 (SD = 6.52) h. There was a moderate association between length of stay and PASS (r = 0.525, = 0.04) and BBS (r = 0.546, = 0.04) outcomes.
Patients who underwent inpatient rehabilitation following acute cerebellar strokes demonstrated improvements in balance and gait speed. Study results could assist clinicians designing interventions for patients with cerebellar strokes in the inpatient rehabilitation setting.
背景/目的：在美国，每年发生的所有中风病例中，小脑中风仅占2%-3%，但其在发病率和死亡率中所占比例却高得不成比例。关于住院康复对小脑中风后功能结局影响的证据有限。本研究旨在探讨住院康复对小脑中风患者平衡能力和步行速度的影响。本研究的第二个目的是调查纳入患者的住院康复时间。
对2021年1月至2022年2月期间在美国东南部一家大型医院系统住院康复的患者记录进行回顾性分析。在住院康复入院和出院时检查平衡和步态结局，其中包括物理治疗干预。采用配对t检验检查从入院到出院结局的变化。采用Pearson相关性分析检查住院时间与结局之间的关联。
共审查了15份记录。住院康复后，从入院到出院，伯格平衡量表（BBS）、中风姿势评估量表（PASS）和10米步行测试（10MWT）均有显著改善（P<0.01），效应量较大（范围d = 0.70-1.67）。平均住院时间为12.67天（标准差 = 6.5），职业、物理和言语治疗的平均总时长为27.33小时（标准差 = 6.52）。住院时间与PASS（r = 0.525，P = 0.04）和BBS（r = 0.546，P = 0.04）结局之间存在中度关联。
急性小脑中风后接受住院康复的患者在平衡能力和步态速度方面有改善。研究结果可为临床医生在住院康复环境中为小脑中风患者设计干预措施提供帮助。
