Comparing stroke rehabilitation outcomes between acute inpatient and nonintense home settings

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dc.contributor.authorÖzdemir, F
dc.contributor.authorBirtane, M
dc.contributor.authorTabatabaei, R
dc.contributor.authorKokino, S
dc.contributor.authorEkuklu, G
dc.date.accessioned2024-06-12T10:56:05Z
dc.date.available2024-06-12T10:56:05Z
dc.date.issued2001
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective: To compare outcomes in stroke survivors who received rehabilitation services in an acute inpatient rehabilitation setting (multidisciplinary rehabilitation team) with outcomes in survivors in a home-based setting (family caregivers, limited team supervision). Design: Randomized clinical trial, with mean follow-up after 60 days. Setting: Inpatient rehabilitation setting and home-based settings. Patients: Sixty patients (age range, 43-80yr) who had a stroke between 1996 and 1999 and had been referred after medical stabilization, randomly divided into 2 groups: group 1, inpatient rehabilitation; group 2, home-based rehabilitation. Interventions: Group 1: therapeutical and neuromuscular exercises with occupational therapy with professional supervision; group 2: conventional exercises with family caregiver and limited professional supervision. Main Outcome Measures: Spasticity was evaluated with the Ashworth Scale, motor status with Brunnstrom's stages, functional status with the FIMTM instrument, and cognitive status with the Mini-Mental State Examination before and after rehabilitation. Results: Patients rehabilitated in acute inpatient settings had better motor, functional, and cognitive outcomes (p < .05). Spasticity changes did not differ between the groups. Conclusion: Intense inpatient rehabilitation services for stroke survivors provide significantly more favorable functional and cognitive outcomes with relatively low complications than did nonintense rehabilitation efforts in home settings.en_US
dc.identifier.doi10.1053/apmr.2001.25973
dc.identifier.endpage1379en_US
dc.identifier.issn0003-9993
dc.identifier.issn1532-821X
dc.identifier.issue10en_US
dc.identifier.pmid11588740en_US
dc.identifier.scopus2-s2.0-0034794958en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1375en_US
dc.identifier.urihttps://doi.org/10.1053/apmr.2001.25973
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19667
dc.identifier.volume82en_US
dc.identifier.wosWOS:000171410800005en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofArchives Of Physical Medicine And Rehabilitationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCerebrovascular Accidenten_US
dc.subjectHome Nursingen_US
dc.subjectInpatientsen_US
dc.subjectRehabilitationen_US
dc.subjectRandomized Controlled-Trialen_US
dc.subjectIntensityen_US
dc.subjectDischargeen_US
dc.titleComparing stroke rehabilitation outcomes between acute inpatient and nonintense home settingsen_US
dc.typeArticleen_US

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