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Determinants of Neurological Functional Recovery Potential after Stroke in Young Adults
BACKGROUND/OBJECTIVES: Despite recent progress in stroke prevention and acute treatment, neurorehabilitation remains one of the main methods of treatment in the management of stroke patients. The aim of this study is to point out some important predicting factors of in-hospital neurorehabilitation o...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4024500/ https://www.ncbi.nlm.nih.gov/pubmed/24847344 http://dx.doi.org/10.1159/000360218 |
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author | Haselbach, Daniel Renggli, Anastasia Carda, Stefano Croquelois, Alexandre |
author_facet | Haselbach, Daniel Renggli, Anastasia Carda, Stefano Croquelois, Alexandre |
author_sort | Haselbach, Daniel |
collection | PubMed |
description | BACKGROUND/OBJECTIVES: Despite recent progress in stroke prevention and acute treatment, neurorehabilitation remains one of the main methods of treatment in the management of stroke patients. The aim of this study is to point out some important predicting factors of in-hospital neurorehabilitation outcomes. METHODS: A rehabilitation registry including all patients who had undergone a standardized program of neurorehabilitation at the neurorehabilitation unit of the Lausanne University Hospital, Lausanne, Switzerland, was created. Patients aged <65 years and having experienced a first ever nontraumatic stroke from 2005 to 2010 were admitted. Using logistical regression models, predicting factors for each patient were compared to the exit Functional Independence Measure (FIM) score. RESULTS: Age >55 years, gender, aphasia, hemilateral spatial neglect, spasticity, complications, length of stay >70 days, entry FIM >100 and relative possible FIM gain/week of >10% were considered to be significant and independent predicting factors of the neurorehabilitation outcome. DISCUSSION/CONCLUSION: Some factors of the in-hospital rehabilitation period have been identified before (spasticity, complications, length of stay, relative possible FIM gain/week) and should be considered for a better management of the neurorehabilitation therapy. In addition, a personalized rehabilitation strategy based on the patient's individual needs should be aimed at. The question of resource allocation can also be addressed with regard to the present findings. |
format | Online Article Text |
id | pubmed-4024500 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-40245002014-05-20 Determinants of Neurological Functional Recovery Potential after Stroke in Young Adults Haselbach, Daniel Renggli, Anastasia Carda, Stefano Croquelois, Alexandre Cerebrovasc Dis Extra Original Paper BACKGROUND/OBJECTIVES: Despite recent progress in stroke prevention and acute treatment, neurorehabilitation remains one of the main methods of treatment in the management of stroke patients. The aim of this study is to point out some important predicting factors of in-hospital neurorehabilitation outcomes. METHODS: A rehabilitation registry including all patients who had undergone a standardized program of neurorehabilitation at the neurorehabilitation unit of the Lausanne University Hospital, Lausanne, Switzerland, was created. Patients aged <65 years and having experienced a first ever nontraumatic stroke from 2005 to 2010 were admitted. Using logistical regression models, predicting factors for each patient were compared to the exit Functional Independence Measure (FIM) score. RESULTS: Age >55 years, gender, aphasia, hemilateral spatial neglect, spasticity, complications, length of stay >70 days, entry FIM >100 and relative possible FIM gain/week of >10% were considered to be significant and independent predicting factors of the neurorehabilitation outcome. DISCUSSION/CONCLUSION: Some factors of the in-hospital rehabilitation period have been identified before (spasticity, complications, length of stay, relative possible FIM gain/week) and should be considered for a better management of the neurorehabilitation therapy. In addition, a personalized rehabilitation strategy based on the patient's individual needs should be aimed at. The question of resource allocation can also be addressed with regard to the present findings. S. Karger AG 2014-04-17 /pmc/articles/PMC4024500/ /pubmed/24847344 http://dx.doi.org/10.1159/000360218 Text en Copyright © 2014 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions. |
spellingShingle | Original Paper Haselbach, Daniel Renggli, Anastasia Carda, Stefano Croquelois, Alexandre Determinants of Neurological Functional Recovery Potential after Stroke in Young Adults |
title | Determinants of Neurological Functional Recovery Potential after Stroke in Young Adults |
title_full | Determinants of Neurological Functional Recovery Potential after Stroke in Young Adults |
title_fullStr | Determinants of Neurological Functional Recovery Potential after Stroke in Young Adults |
title_full_unstemmed | Determinants of Neurological Functional Recovery Potential after Stroke in Young Adults |
title_short | Determinants of Neurological Functional Recovery Potential after Stroke in Young Adults |
title_sort | determinants of neurological functional recovery potential after stroke in young adults |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4024500/ https://www.ncbi.nlm.nih.gov/pubmed/24847344 http://dx.doi.org/10.1159/000360218 |
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