Related Experiment Video
Updated: Jul 2, 2026
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Application of ''Protocollo di Minima per l'ictus'' (PMIC- Minimal Protocol for Stroke) for inpatient rehabilitation
D B Piazzini1, P E Ferrara, L Maggi
1Department of Physical Medicine and Rehabilitation Catholic University, Rome, Italy lmaggi@rm.unicatt.it.
Aim:
The aim of this study was to describe the baseline characteristics of a sample of stroke patients admitted to rehabilitation settings with the use of a standardised stroke assessment named ''Protocollo di Minima per l'ictus cerebrale'' (PMIC), to verify the usefulness of the application of PMIC and to compare the data of the authors with the international literature.
Methods:
An observational cross sectional study was conducted on a sample of 102 first-time stroke patients (mean age: 71.9 [+/-11.6], 54 men), in three inpatient rehabilitation centres.
Measurement:
PMIC.
Results:
Most patients were enrolled within 14 days of stroke onset. PMIC assessment took on average 20 minutes and provided the following information: 35% had architectural barriers in their homes; 82% of the cases had 1 or more family assistants; the educational level was low for 53%; 72% were retired; most cases were ischemic stroke without any side predominance being shown; 44% had partial anterior circulation infarcts (PACI) ischemic stroke; 18.6% presented dysphagia; 73% had sphincteral incontinence; there was no hypertone in more than 50% of the cases; 87% required assistance; the median Motricity Index Side Score (Miss) value was 44.1; 38% was affected by mood tone alteration.
Conclusion:
PMIC appeared to be a useful tool for a standardized evaluation of stroke patients. These results provide data with a high correspondence in international reports.
Insights
The Protocollo di Minima per l'ictus cerebrale (PMIC) is a useful tool for assessing stroke patients in rehabilitation. This standardized evaluation provides data consistent with international stroke research.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Clinical Assessment
Background:
- Stroke rehabilitation requires standardized assessment tools for effective patient management.
- Understanding baseline characteristics of stroke survivors is crucial for tailored rehabilitation programs.
Purpose of the Study:
- To describe baseline characteristics of stroke patients using the "Protocollo di Minima per l'ictus cerebrale" (PMIC).
- To assess the utility of the PMIC tool in rehabilitation settings.
- To compare collected data with international stroke literature.
Main Methods:
- An observational, cross-sectional study involving 102 first-time stroke patients in three inpatient rehabilitation centers.
- Utilized the "Protocollo di Minima per l'ictus cerebrale" (PMIC) for standardized patient assessment.
- Data collection focused on demographics, stroke details, functional status, and environmental factors.
Main Results:
- PMIC assessment, averaging 20 minutes, revealed common issues such as architectural barriers (35%), need for family assistance (82%), low educational levels (53%), and high rates of retirement (72%).
- Ischemic stroke was prevalent (most cases), with partial anterior circulation infarcts (PACI) in 44%. Significant findings included dysphagia (18.6%), sphincteral incontinence (73%), and mood alterations (38%).
- Most patients required assistance (87%), with a median Motricity Index Side Score (Miss) of 44.1.
Conclusions:
- The "Protocollo di Minima per l'ictus cerebrale" (PMIC) proved to be a valuable instrument for standardized stroke patient evaluation.
- The study's findings align well with existing international reports on stroke patient characteristics.
- PMIC facilitates consistent data collection, aiding in comparative analysis and improving rehabilitation strategies.