Post stroke ambulation level after intermediate care rehabilitation at Singburi Hospital Sikanjananun S Singburi Hospital
Keywords:
Stroke patients, Intermediate care, Ambulation levelAbstract
Objectives:To study the mobility status of stroke patients after intermediate care rehabilitation at Singburi Hospital. The factors associated with walking ability at 6-month were also explored. Subjects: The 195 stroke patients in Mueang Singburi District after rehabilitation program from January 2019 to December 2019. There were 54 patients included in this study. Methods: The total stroke patients followed up at Singburi Hospital was retrospectively reviewed for demographic data, factors associated with walking ability, Barthel Index and Modified Barthel Index before discharged from hospital and followed-up at 6-month. The mobility status was reported as ambulator and non-ambulator. Based on the Modified Barthel Index, the stroke patients who had mobility score either 2 or 3 were classified as ambulators. Chi-square test was performed to determine any factors associated with the walking ability at 6-month. Results: Of all 54 stroke patients, 64.8%, 33.3%, and 1.9% of patients had mobility skills improved, sustained, and declined respectively. At 6-month patients can regain walking independently, walking with physical assistance, wheelchair ambulators, and immobile were 57.4%, 14.8%, 3.7%, and 24.1% consecutively. Most of independent walking patients were patient previously walked with physical assistance 48.1% and immobile 9.3%. After received rehabilitation program, patients who was unable to walk before discharged after undergoing wheelchair ambulators, walking with physical assistance, and walking independently were 3.7%, 3.7%, and 9.3% repectively. Conclusion: After intermediate care rehabilitation, stroke patients had better ability of walking in 6 months. Patients who need to help when walking before discharged were more likely to be independent walking. Barthel Index score at 6-month was associated with being ambulators at 6-month. Patterns of treatment were not affected to walking ability.
Downloads
References
Shah MV. Rehabilitation of the older adult with stroke. Clin Geriatr Med 2006;22:469–89.
Hanchaiphiboolkul S, Poungvarin N, Nidhinandana S, Suwanwela NC, Puthkhao P, Towanabut S, et al. Prevalence of stroke and stroke risk factors in Thailand: Thai Epidemiologic Stroke (TES) Study. J Med Assoc Thai. 2011;94:427–436.
Kuptniratsaikul V, Thitisakulchai P, Sarika S, et al. The Burden of Stroke on Caregivers at 1-year after Discharge: A Multicenter Study. J Thai Rehabil Med 2018;28(1):8-14.
Hajek VE, Gagnon S, Ruderman JE. Cognitive and Functional assessment of stroke patients: an analysis of their relation. Arch Phys Med Rehabil 1997;78:1331-7.
Scranton RN, Fogel ML, Erdman WJ. Evaluation of Functional levels of patients during and following rehabilitation. Arch Phys Med Rehabil 1970;51:1-21.
Jorgensen HS, Nakayama H, Raaschou HO, et al. Outcome and time course of recovery in stroke. Part II: time course of recovery. The Copenhagen Stroke Study. Arch Phys Med Rehab 1995;76:406–12.
สุชาติ หาญไชยพิบูลย์กุล และคณะ. ความชุกโรคหลอดเลือดสมองและปัจจัยเสี่ยงโรคหลอดเลือดสมองในประเทศไทย: โครงการศึกษาระบาดวิทยาโรคหลอดเลือดสมองในประเทศไทย. จดหมายเหตุทางแพทย์. 2554;94(4):427-36.
Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS. Recovery of walking function in stroke patients: the Copenhagen Stroke Study. Arch Phys Med Rehabil 1995;76:27-32.
Friedman PJ. Gait recovery after hemiplegic stroke. Int Disabil Studies 1991;12:119-22.
Dajpratham P, Kuptniratsaikul V, Putthakumnerd W, et al. Walking Function at 1-Year
after Stroke Rehabilitation: A Multicenter Study. J Med Assoc Thai 2014; 97 (1): 107-12.
Lord SE, McPherson K, McNaughton HK, et al. Community ambulation after stroke: how important and obtainable is it and what measures appear predictive? Arch Phys Med Rehabil 2004;85:234-9.
Viosca E, Lafuente R, Martínez JL, et al. Walking recovery after an acute stroke: assessment with a new functional classification and the Barthel Index. Arch Phys Med Rehabil 2005;86:1239-44.
Downloads
Published
How to Cite
Issue
Section
License
The published articles are copyrighted by Singburi Hospital.
The statements appearing in each article in this academic journal are the personal opinions of each author and are not related in any way to Singburi Hospital or other hospital personnel. Each author is solely responsible for all contents of their article. If there are any errors, each author alone will be responsible for their own article.
