Effects of Inpatient Rehabilitation on the Functional Outcomes of a Patient after Stroke
Type of Presentation
Event
Location
Hall of Governors
Start Date
4-7-2017 4:00 PM
End Date
4-7-2017 6:00 PM
Abstract
Background/purpose: Stroke is the leading cause of disability worldwide and the third cause of death in the United States. Because of the aging population and the declining early mortality after stroke, the demand for stroke rehabilitation (SR), as well as the economic, social, and family burden of stroke, is expected to increase in the coming years. For this reason, there has been a growing field of interest involved in the prediction of functional outcome after SR as it may have important implications for planning management strategies and informing patients and relatives.
Case Description: The patient was a 73 year-old Hispanic female who experienced a stroke in the left Anterior Cerebral Artery (ACA) territory along with small infarcts in the right posterior Middle Cerebral Artery/Posterior Cerebral Artery (MCA/PCA) watershed distribution, resulting in bilateral involvement, mostly right sided hemiparesis. The patient's primary functional limitations included bed mobility, transfers, ambulation, wheelchair propulsion, and stair negotiation.
Outcomes: Patient completed 26 inpatient rehabilitation treatment sessions and showed a considerable improvement in functional mobility as evidenced by a clinically significant improvement in FIM scores and Chedoke-McMaster Assessment scores. Patient also self-reported an 80% recovery of prior functional mobility upon completion of plan of care. Discussion: The subject's significant improvement in functional outcomes is an indicator that inpatient rehabilitation following a stroke is very effective in the recovery of patients demonstrating significant functional limitations post stroke. Future research is warranted to evaluate whether there is a preferred treatment method for patients post stroke.
Effects of Inpatient Rehabilitation on the Functional Outcomes of a Patient after Stroke
Hall of Governors
Background/purpose: Stroke is the leading cause of disability worldwide and the third cause of death in the United States. Because of the aging population and the declining early mortality after stroke, the demand for stroke rehabilitation (SR), as well as the economic, social, and family burden of stroke, is expected to increase in the coming years. For this reason, there has been a growing field of interest involved in the prediction of functional outcome after SR as it may have important implications for planning management strategies and informing patients and relatives.
Case Description: The patient was a 73 year-old Hispanic female who experienced a stroke in the left Anterior Cerebral Artery (ACA) territory along with small infarcts in the right posterior Middle Cerebral Artery/Posterior Cerebral Artery (MCA/PCA) watershed distribution, resulting in bilateral involvement, mostly right sided hemiparesis. The patient's primary functional limitations included bed mobility, transfers, ambulation, wheelchair propulsion, and stair negotiation.
Outcomes: Patient completed 26 inpatient rehabilitation treatment sessions and showed a considerable improvement in functional mobility as evidenced by a clinically significant improvement in FIM scores and Chedoke-McMaster Assessment scores. Patient also self-reported an 80% recovery of prior functional mobility upon completion of plan of care. Discussion: The subject's significant improvement in functional outcomes is an indicator that inpatient rehabilitation following a stroke is very effective in the recovery of patients demonstrating significant functional limitations post stroke. Future research is warranted to evaluate whether there is a preferred treatment method for patients post stroke.