[en] The main objective was to assess the feasibility of an intensive rehabilitation program (IRP) for stroke patients; and secondly, to detect eventual age-related differences in content, duration, tolerability, and safety in a prospective observational cohort of patients diagnosed with subacute stroke, admitted to inpatient rehabilitation (BRAIN-CONNECTS project). Activities during physical, occupational and speech therapy, and time dedicated to each one were recorded. Forty-five subjects (63.0 years, 77.8% men) were included. The mean time of therapy was 173.8 (SD 31.5) minutes per day. The only age-related differences when comparing patients ≥65 and <65 years were a shorter time allocated for occupational therapy (-7.5 min (95% CI -12.5 to -2.6), p = 0.004) and a greater need of speech therapy (90% vs. 44%) in the older adults. Gait training, movement patterns of upper limbs, and lingual praxis were the most commonly performed activities. Regarding tolerability and safety, there were no losses to follow-up, and the attendance ratio was above 95%. No adverse events occurred during any session in all patients. Conclusion: IRP is a feasible intervention in patients with subacute stroke, regardless of age, and there are no relevant differences on content or duration of therapy.
Disciplines :
Geriatrics
Author, co-author :
Morgado-Pérez, Andrea ; Rehabilitation Research Group, Hospital del Mar Research Institute, Dr. Aiguader, 88, 08003 Barcelona, Catalonia, Spain ; Physical Medicine and Rehabilitation Department, Parc de Salut Mar (Hospital de l'Esperança), Sant Josep de la Muntanya 12, 08024 Barcelona, Catalonia, Spain ; Department of Medicine, Universitat Autònoma de Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Catalonia, Spain
Coll-Molinos, Maria; Physical Medicine and Rehabilitation Department, Parc de Salut Mar (Hospital de l'Esperança), Sant Josep de la Muntanya 12, 08024 Barcelona, Catalonia, Spain
Valero, Ruben; Physical Medicine and Rehabilitation Department, Parc de Salut Mar (Hospital de l'Esperança), Sant Josep de la Muntanya 12, 08024 Barcelona, Catalonia, Spain
Llobet, Miriam; Physical Medicine and Rehabilitation Department, Parc de Salut Mar (Hospital de l'Esperança), Sant Josep de la Muntanya 12, 08024 Barcelona, Catalonia, Spain
Rueda, Nohora; Physical Medicine and Rehabilitation Department, Parc de Salut Mar (Hospital de l'Esperança), Sant Josep de la Muntanya 12, 08024 Barcelona, Catalonia, Spain
Martínez, Andrea; Physical Medicine and Rehabilitation Department, Parc de Salut Mar (Hospital de l'Esperança), Sant Josep de la Muntanya 12, 08024 Barcelona, Catalonia, Spain
Nieto, Sonia; Physical Medicine and Rehabilitation Department, Parc de Salut Mar (Hospital de l'Esperança), Sant Josep de la Muntanya 12, 08024 Barcelona, Catalonia, Spain
Ramírez-Fuentes, Cindry; Rehabilitation Research Group, Hospital del Mar Research Institute, Dr. Aiguader, 88, 08003 Barcelona, Catalonia, Spain ; Physical Medicine and Rehabilitation Department, Parc de Salut Mar (Hospital de l'Esperança), Sant Josep de la Muntanya 12, 08024 Barcelona, Catalonia, Spain
Sanchez Rodriguez, Maria Dolores Carmen ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Marco, Ester; Rehabilitation Research Group, Hospital del Mar Research Institute, Dr. Aiguader, 88, 08003 Barcelona, Catalonia, Spain ; Physical Medicine and Rehabilitation Department, Parc de Salut Mar (Hospital de l'Esperança), Sant Josep de la Muntanya 12, 08024 Barcelona, Catalonia, Spain ; Faculty of Health and Life Sciences, Universitat Pompeu Fabra, Aiguader 80, 08003 Barcelona, Catalonia, Spain
Puig, Josep ; Department of Radiology, Biomedical Research Institute Imaging Research Unit, Diagnostic Imaging Institute, Doctor Josep Trueta University Hospital of Girona, Avinguda de França, s/n, 17007 Girona, Catalonia, Spain
Duarte, Esther; Rehabilitation Research Group, Hospital del Mar Research Institute, Dr. Aiguader, 88, 08003 Barcelona, Catalonia, Spain ; Physical Medicine and Rehabilitation Department, Parc de Salut Mar (Hospital de l'Esperança), Sant Josep de la Muntanya 12, 08024 Barcelona, Catalonia, Spain ; Faculty of Health and Life Sciences, Universitat Pompeu Fabra, Aiguader 80, 08003 Barcelona, Catalonia, Spain
Language :
English
Title :
Intensive Rehabilitation Program in Older Adults with Stroke: Therapy Content and Feasibility-Preliminary Results from the BRAIN-CONNECTS Study.
Publication date :
07 March 2023
Journal title :
International Journal of Environmental Research and Public Health
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