Brain Neurorehabil.  2008 Sep;1(2):190-196. 10.12786/bn.2008.1.2.190.

Influence of Associated Medical Diseases and Complications on Functional Improvement after Rehabilitation in Patients with Stroke

• Park HK
• Kang YJ
• Kim HJ
• Lee KS
• Park KT

• KMID: 2308684
• DOI: http://doi.org/10.12786/bn.2008.1.2.190

Abstract

OBJECTIVE
To investigate the influence of associated medical diseases and complications on functional improvement after in-patient through stroke rehabilitation. METHOD: We performed a retrospective analysis on medical records of 183 stroke patients who had admitted to the department of rehabilitation medicine. Functional Independence Measure (FIM), Modified Barthel Index (MBI) at admission and discharge were used to assess the functional status. We investigated medical diseases, such as hypertension, diabetes, myocardial infarct, atrial fibrillation osteoarthritis, rheumatoid arthritis, previous history of stroke and complications such as dementia, post-stroke depression, central post-stroke pain, complex regional pain syndrome, neglect and aphasia.
RESULTS
Post-stroke patients with myocardial infarct, atrial fibrillation, osteoarthritis, dementia, aphasia and neglect significantly showed lower gain of FIM and MBI, lower FIM and MBI efficacy during inpatient rehabilitation compared to without those (p<0.05). However, hypertension, diabetes, previous history of stroke, post-stroke depression, rheumatoid arthritis, central post-stroke pain and complex regional pain syndrome did not significantly influence on gain and efficacy of FIM and MBI (p>0.05). Total numbers of associated medical diseases and complications negatively affect on FIM and MBI efficacy (p<0.05).
CONCLUSION
Therefore, it may be important to early detect and manage associated medical diseases and complications in post-stroke patients during rehabilitation, which improve the overall functional recovery of the patients.

Keyword

functional independence measure; modified barthel index; rehabilitation; stroke