Intensive Rehabilitation Program in Older Adults with Stroke : Therapy Content and Feasibility-Preliminary Results from the BRAIN-CONNECTS Study
Morgado-Pérez, Andrea (Parc de Salut MAR de Barcelona)
Coll Molinos, Maria (Parc de Salut MAR de Barcelona)
Valero, Ruben (Parc de Salut MAR de Barcelona)
Llobet, Miriam (Parc de Salut MAR de Barcelona)
Rueda, Nohora (Parc de Salut MAR de Barcelona)
Martínez, Andrea (Parc de Salut MAR de Barcelona)
Nieto, Sonia (Parc de Salut MAR de Barcelona)
Ramírez, Cindry (Parc de Salut MAR de Barcelona)
Sánchez-Rodríguez, Dolores (Hospital del Mar (Barcelona, Catalunya))
Marco, Ester (Parc de Salut MAR de Barcelona)
Puig, Josep (Hospital Universitari de Girona Doctor Josep Trueta)
Duarte Oller, Esther (Parc de Salut MAR de Barcelona)
Universitat Autònoma de Barcelona

Data:	2023
Resum:	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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Feasibility ; Intensive rehabilitation program ; Older adults ; Stroke
Publicat a:	International journal of environmental research and public health, Vol. 20 (march 2023) , ISSN 1660-4601

DOI: 10.3390/ijerph20064696
PMID: 36981605

12 p, 1.3 MB

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