ผลการฟื้นฟูสมรรถภาพของการใช้งานรยางค์บนและล่างใน ผู้ป่วยโรคหลอดเลือดสมองระยะกึ่งเฉียบพลันและระยะเรื้อรัง ณ รพ.รามาธิบดี
ผลการฟื้นฟูสมรรถภาพของการใช้งานรยางค์บนและล่างใน ผู้ป่วยโรคหลอดเลือดสมองระยะกึ่งเฉียบพลันและระยะเรื้อรัง ณ รพ.รามาธิบดี
Keywords:
functional outcomes, stroke rehabilitation, outpatient-based rehabilitationAbstract
Objective: To study upper and lower limb function of sub-acute and chronic stroke patients after outpatient-based rehabilitation.
Study design: Descriptive, retrospective study
Setting: Stroke rehabilitation clinic at Ramathibodi Hospital
Subjects: Stroke patients aged more than eighteen years who underwent rehabilitation during September 2011 to August 2013
Methods: The data was collected from medical recordsbefore, and after rehabilitation program every 3 months until 15months. Functional scales were measured by the Ramathibodimodification of Box and Block Test (R-BBT), Functional ReachTest (FRT), Gait Velocity (GV) and Berg Balance Scale (BBS).
Results: The data were recruited from 48 stroke patients withaverage age of 55.9 (SD 16.4) years; 34 males 14 females;27 ischemic, 20 hemorrhagic and 1 ischemic and hemorrhagicstroke; 18 sub-acute, 30 chronic stroke; 22 left sided, 23right sided-weakness and 3 bilateral weakness. Therehabilitation program was OPD-based. The R-BBT and theBBS were statistically significantly improved in the first trimesterin both sub-acute and chronic groups. The mean differencescore (95%CI) of the R-BBT in sub-acute and chronic groupswere 10.75 (4.24-17.25) and 3.37 (0.48-6.26) points, respectivelyand 7.78 (3.33-12.22), 5.50 (1.55-9.44) points for the BBS. The GV was statistically significant improved in the first and secondtrimesters only in sub-acute group and the mean differenceof score (95%CI) were 0.19 (0.08-0.30) and 0.08 (0.01-0.14)m/s, respectively. The FRT showed no statistically significantchange.
Conclusion: After receiving an outpatient-based rehabilitation program at Ramathibodi Hospital, the RBBT and the BBS of the sub-acute stroke patients were statistically significant improved in the first trimester in both sub-acute and chronic groups. The GV was significantly improved in the first and second trimester only in sub-acute group. FRT was not significant change.
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