INPATIENT REHABILITATION AND ITS IMPACT ON POSTURAL CONTROL, BALANCE, MOBILITY, MOTOR PERFORMANCE, AND PHYSICAL ACTIVITY IN PEOPLE WITH ACUTE STROKE: A CASE SERIES

Abstract

Purpose: Early rehabilitation in people with stroke has been demonstrated to be important for the maintenance of functional independence, but there is little data on their physical activity during inpatient rehabilitation. This study aimed to investigate the effects of inpatient rehabilitation on postural control, balance, mobility, motor performance, and physical activity parameters in people with acute ischemic stroke. Case Reports: Six people with acute stroke received inpatient rehabilitation for the duration of their inpatient stay. The postural control, balance, mobility, and motor performance of participants were evaluated with the Postural Assessment Scale for Stroke Patients (PASS-T), Mobility Scale for Acute Stroke Patients (MSAS), Rivermead Mobility Index (RMI) and Fugl-Meyer Assessment (FMA) before and after rehabilitation, respectively. The ActiGraph GT9X link accelerometer was used to detect the physical activity behavior. Results: Following inpatient rehabilitation, no improvements were observed in PASS-T, MSAS, RMI, and FMA scores except for Case 5. The overall physical activity levels of all participants were sedentary; however, despite daily variability, energy expenditure, light intensity physical activity, moderate to vigorous physical activity, and vector magnitude counts increased from baseline to discharge. Conclusion: Inpatient rehabilitation has a positive effect on the activity participation of people with acute stroke. For early mobilization and increasing activity participation of people with acute conditions, early inpatient rehabilitation is recommended.

Keywords

• Rehabilitation
• Stroke
• Physical Activity

Supporting Institution

The Department of Scientific Research Projects of Dokuz Eylul University

Project Number

The Department of Scientific Research Projects of Dokuz Eylul University (Grant ID: 2020.KB.SAG.011)

Ethical Statement

The study was carried out with the approval of Dokuz Eylul University, Non-interventional Research Ethics Committee (Protocol number: 4719- GOA).

Thanks

The authors would like to acknowledge Beyza Nur Aslantaş Serin for assistance with data collection.

Akut İnme Tanılı Bireylerde Hastane İçi Rehabilitasyonun Postüral Kontrol, Denge, Mobilite, Motor Performans ve Fiziksel Aktivite Üzerindeki Etkileri: Bir Olgu Serisi

Abstract

Amaç: Akut inme tanılı bireylerde erken rehabilitasyonun, fonksiyonel bağımsızlığın sürdürülmesi açısından önemli olduğu gösterilmiştir; ancak hastane içi rehabilitasyon süresince gösterdikleri fiziksel aktivite düzeylerine ilişkin veriler sınırlıdır. Bu çalışmanın amacı, akut iskemik inme tanılı bireylerde hastane içi rehabilitasyonun postüral kontrol, denge, mobilite, motor performans ve fiziksel aktivite parametreleri üzerindeki etkilerini incelemekti. Olgu raporları: Akut inme tanılı 6 birey, hastanede yatış süreleri boyunca hastane içi rehabilitasyon programına alındı. Katılımcıların rehabilitasyon öncesi ve sonrasında postüral kontrol, denge, mobilite ve motor performansları sırasıyla İnmeli Hastalar için Postüral Değerlendirme Ölçeği (İHİPDÖ), Akut İnme Hastaları için Geliştirilmiş Mobilite Ölçeği (AİHGMÖ), Rivermead Mobilite İndeksi (RMİ) ve Fugl-Meyer Değerlendirme Ölçeği (FMDÖ) ile değerlendirildi. Fiziksel aktivite davranışlarının belirlenmesinde ActiGraph GT9X link akselerometre kullanıldı. Bulgular: Hastane içi rehabilitasyonu takiben, Olgu 5 haricinde İHİPDÖ, AİHGMÖ, RMI ve FDMÖ skorlarında belirgin bir iyileşme gözlenmedi. Tüm katılımcıların genel fiziksel aktivite düzeyleri olarak sedanterdi; ancak gün içerisindeki değişkenliğe rağmen enerji harcaması, hafif yoğunlukta fiziksel aktivite, orta-yüksek yoğunlukta fiziksel aktivite ve vektör büyüklüğü sayımları başlangıç değerlendirmesinden taburculuğa kadar artış gösterdi. Sonuç: Hastane içi rehabilitasyon, akut inme tanılı bireylerin aktivitelere katılımı üzerinde olumlu etkiye sahiptir. Akut inme tanılı bireylerin erken mobilizasyonu ve aktivitelere katılımını arttırmak için erken dönemde hastane içi rehabilitasyon önerilmektedir.

Keywords

• Rehabilitasyon
• İnme
• Fiziksel Aktivite

Project Number

The Department of Scientific Research Projects of Dokuz Eylul University (Grant ID: 2020.KB.SAG.011)

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