The effect of premorbid features on post-stroke rehabilitation outcome

  • Ozgur Zeliha Karaahmet Department of Physical Medicine and Rehabilitation, Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
  • Ebru Umay Department of Physical Medicine and Rehabilitation, Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
  • Eda Gurcay Department of Physical Medicine and Rehabilitation, Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
  • Azize Serçe Department of Physical Medicine and Rehabilitation, Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
  • Ibrahim Gundogdu Department of Physical Medicine and Rehabilitation, Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
  • Aytul Cakci Department of Physical Medicine and Rehabilitation, Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
Keywords: Stroke, Rehabilitation, Cerebral Infarction, Prognosis, Rehabilitation Outcome

Abstract

Background: A wide variety of factors influence stroke prognosis, including age, stroke severity, stroke mechanism, infarct location, comorbid conditions, clinical findings, and related complications. The aim of this study was to detect the prognostic determinants in patients with acute stroke for guiding rehabilitation.Methods: Patients with ischemic acute stroke were included in the study. Patients’ age, sex, education level, and marital status, premorbid personality traits, comorbidities such as current smoking status and alcohol consumption, regular exercise habits, and sleeping disorder were recorded. Motor assessment and daily activity skills were evaluated according to the Brunnstrom staging and Functional Independence Measure (FIM), respectively.Results: A total of 85 patients were studied. All patients’ motor and functional stages were significantly improved with the rehabilitation. The improvements in the upper extremity motor levels were less in whom over 76 years and smokers, in patients who had 4 and more comorbidities and sleep disorders. The functional improvement was less in whom over 76 years and men, and in patients who had 4 and more comorbidities and sleep disorders.Conclusion: The significant post-stroke predictor of insufficiency in functioning was having 4 or more risk factors.

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Published
2018-01-15
How to Cite
1.
Karaahmet O, Umay E, Gurcay E, Serçe A, Gundogdu I, Cakci A. The effect of premorbid features on post-stroke rehabilitation outcome. IJNL. 17(1):38-6.
Section
Original Article(s)