İnmede Erken Dönem Rehabilitasyon

Öz

İnme sonrası rehabilitasyon akut dönemden toplum içerisine entegrasyona kadar devam eden bir süreçtir. İnme sonrası erken rehabilitasyon ile fonksiyonel düzelme ve bağımsızlık düzeyi arasında ilişki gösterilmiş olup, bu ilişkiyi kuvvetlendirecek optimal bir süre henüz saptanamamıştır. Bu derleme yazısında konu ile ilgili son kaynaklar gözden geçirilmiş ve tartışılmıştır. Sonuçta inmede erken dönem rehabilitasyonun önemi vurgulanmıştır.

Anahtar Kelimeler

• akut inme
• erken ambulasyon
• erken mobilizasyon
• yoğun bakım
• akut inme, erken ambulasyon, erken mobilizasyon, yoğun bakım

Early Rehabilitation Approach in Patients With Stroke

Öz

Post-stroke rehabilitation is a process that begins from the acute stage and continues to entegration with the population. It was stated that there was a relation between the functional improvement and independence level after very early rehabilitation in these patients. But there is no concensus on the optimal early rehabilitation protochol for timing and the duration of this acute stage. We discussed the last literature about the very early rehabilitation in stroke patients in this review. In conclusion, we emphasized the importance of early rehabilitation in this patients.

Anahtar Kelimeler

• acute stroke
• early ambulation
• early mobilization
• intensive care unit
• acute stroke, early ambulation, early mobilization, intensive care unit

Kaynakça

1. 1.Beyazova M, Gökçe Kutsal Y: Fiziksel Tıp ve Rehabilitasyon, Ankara, 2013.
2. 2. Eyigör S. İnmeli hastalarda genel rehabilitasyon prensipleri, Türk Fiz Tıp Rehab Derg 2007; 53 (1), 19- 25.
3. 3. Europian Stroke Organization: İskemik İnme ve Geçici İskemik Atağa Yaklaşım Rehberi, 2008.
4. 4. Langhorne P, et all.: Do stroke units save life. Lancet,. 1993 Aug 14;342(8868):395-8.
5. 5. Stroke Unit Trialists’ Collaboration. Organised inpatient (stroke unit) care for stroke. Cochrane Database of Systematic Reviews 2013, Issue 9. Art. No.: CD000197. DOI: 10.1002/14651858.CD000197. pub3.
6. 6. Chan DK, et all.: Comprehensive stroke units: a review of comparative evidence and experience. Int J Stroke 2013; 8(4): 260-4.
7. 7. Inderevaik P. Et all.: Treathment in a combined acute and rehabilitation stroke unit: which aspects are most important. Stroke 1999 May; 30(5): 917-23.
8. 8. Barbay S et all.: Delayed rehabilitative training following a small ischaemic infarct in non-human primate primary cortex. Soc Neurosci 2001;(27):931-934.

9. 9. Allen P. Et all: Bed rest: a potantially harmful treathment needing more carefull evaluation. Review,Lancet. 1999 Oct 9;354(9186):1229-33
10. 10. Bamford J et all.: Evidence for the efficacy of stroke rehabilitation. JNNP 1990; 53: 824-9.
11. 11. Bernharth J et all.: A very early rehabilitation trial 2006. Int J Stroke 2006; Aug;1(3):169-71
12. 12. Bernharth J et all.: A very early rehabilitation trial 2: safety and feasiblity, Stroke 2008; (39): 390-6.
13. 13. Donnan G et all: Neuroimaging the ischaemic penumbra, and selection of patients for acute stroke therapy, review. Lancet 2002; Nov;1(7):417-25
14. 14. Ginsberg MD et all.: Adventures in the pathophysiology of brain ischemia: penumbra, gene