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Neurodevelopmental treatment after stroke: a comparative study.

T B Hafsteinsdóttir1, A Algra, L J Kappelle

  • 1Rudolph Magnus Institute of Neurosciences, Department of Neurology, and Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, Netherlands.

Journal of Neurology, Neurosurgery, and Psychiatry
|May 18, 2005
PubMed
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Neurodevelopmental treatment (NDT) did not improve functional status or quality of life (QoL) in stroke patients one year after stroke. Healthcare professionals should reconsider the use of NDT in stroke care.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Clinical Trials

Background:

  • Neurodevelopmental treatment (NDT) is increasingly utilized for stroke patient care.
  • Evidence supporting the efficacy of NDT in stroke rehabilitation is lacking.

Purpose of the Study:

  • To evaluate the impact of NDT on functional status and quality of life (QoL) in stroke survivors.
  • To assess outcomes one year post-stroke onset.

Main Methods:

  • A prospective, non-randomized study involving 324 stroke patients across 12 Dutch hospitals.
  • Comparison between an experimental group receiving NDT (n=223) and a control group receiving conventional treatment (n=101).
  • Functional status assessed using the Barthel index; primary outcome was 'poor outcome' (Barthel index <12 or death at 1 year). QoL measured by SA-SIP30 and VAS.

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Main Results:

  • No significant difference in 'poor outcome' at 12 months between NDT and control groups (adjusted OR = 1.7; 95% CI, 0.8 to 3.5).
  • No significant differences in QoL measures (SA-SIP30, VAS) were observed at 6 or 12 months post-stroke.
  • Odds ratios for poor outcome at discharge and 6 months also showed no significant differences.

Conclusions:

  • The NDT approach demonstrated no significant effectiveness in improving outcomes for stroke patients within the hospital setting.
  • Healthcare professionals should critically re-evaluate the application of NDT in stroke rehabilitation.
  • Further research may be needed to explore alternative or refined rehabilitation strategies.