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The effect of prolonged inpatient rehabilitation therapy in subacute stroke patients
Jong Hwa Lee1, Sang Beom Kim, Kyeong Woo Lee
1Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine and Regional CardioCerebroVascular Center, Dong-A University Hospital, Busan 602-715, Korea.
Objective:
To evaluate the effect of prolonged inpatient rehabilitation therapy in subacute stroke patients.
Method:
We enrolled 52 subacute stroke patients who had received 3 months of inpatient rehabilitation therapy. Thirty stroke patients received additional inpatient rehabilitation therapy for 3 months and 22 control patients received only home-based care. The evaluation was measured at 3 and at 6 months after stroke occurrence. Functional improvement was measured using the modified motor assessment scale (MMAS), the timed up and go test (TUG), the 10-meter walking time (10 mWT), the Berg balance scale (BBS) and the Korean-modified Barthel index (K-MBI). The health-related quality of life was evaluated using the medical outcome study, 36-item short form survey (SF-36).
Results:
In the experimental group, significant improvements were observed for all parameters at 6 months (p<0.05). However, significant improvements were observed only in MMAS, BBS, and K-MBI at 6 months in the Control group (p<0.05). In comparing the 2 groups, significant difference were observed in all parameters (p<0.05) except 10 meter walking time (p=0.73). The improvement in SF-36 was meaningfully higher in experimental group compared to control group.
Conclusion:
This study demonstrates that subacute stroke patients can achieve functional improvements and an enhanced quality of life through prolonged inpatient rehabilitation therapy.