Ferda ÖZDEMİR, Derya DEMİRBAĞ, Sadiye MURAT, Siranuş KOKİNO

The relationship between type of stroke and complications and rehabilitation outcomes

Amaç: Çeşitli etyolojik nedenli hemiparezisi olan olgular tedavi öncesi ve sonrası incelenerek fonksiyonel geri dönüşüm oranları, motor gelişimleri, oluşan komplikasyonlar ve bunlar üzerinde etkisi olabilecek faktörler araştırıldı. Hastalar ve Yöntemler: Rehabilitasyona alınan 82 hasta (52 erkek; ort. yaş 57.06±15.43; dağılım 8-82 ve 30 kadın; ort. yaş 56.17±14.41; dağılım 18-78) retrospektif olarak değerlendirildi. Olguların yaş, cinsiyet, tutulan taraf, etyolojik neden, mental durum, lisan özelliği, rehabilitasyona başlayana kadar geçen süre, giriş ve taburcu öncesi Brunnstrom değerleri, Ashworth indeksleri, fonksiyonel ambulasyon evreleri (FAE), Barthel indeksleri (Bİ), takip süresince ortaya çıkan komplikasyonlar ve hastanede toplam yatış süreleri kaydedildi. Bulgular: Tüm hastaların hastaneden çıkış öncesi Brunnstrom değerleri, Bİ ve FAE'leri hastaneye yatışlarına göre anlamlı düzeyde farklıydı. Rehabilitasyona başlayana kadar geçen süre ile tedavi sonrası değişim oranı arasında negatif korelasyon vardı. Hastanede yatış süresi ile skorlardaki değişim oranının pozitif korelasyon gösterdiği görüldü. Takip sırasında gelişen enfeksiyonların Bİ ve FAE'deki değişimi olumsuz etkilediği saptandı. Sonuç: Çalışmamızın bulguları hemiparezik olguların fonksiyonel durumlarının rehabilitasyonla olumlu yönde etkilendiğini, bu değişimin etyolojik nedenlerle ilişkisiz olduğunu ve komplikasyonların tedavi sonuçlarını etkilemediğini göstermektedir.

Anahtar Kelimeler:

Geriyedönük çalışma, Tedavi sonucu, Rehabilitasyon, Serebrovasküler olay, Parezi

Strok tipi komplikasyonların rehabilitasyon sonuçlarıyla ilişkisi

Objectives: We examined cases of hemiparesis with various aetiological reasons, before and after treatment in order to analyse the factors which may affect functional recovery rates, motor development and complications. Patients and Methods: Eighty-two patients (52 males; mean age 57.06±15.43; range 8-82 and 30 females; mean age 56.17±14.41; range 18-78) were retrospectively evaluated. Patient characteristics including age, gender, side of hemiparesis, type of stroke, mental condition, speech ability, the onset to rehabilitation admission interval, Brunnstrom values, the Ashworth index, the Functional Ambulation Categories (FAC), Barthel index (BI) on admission and before discharge from the hospital, complications and length of inpatient stay were recorded. Results: There were significant differences between admission and discharge Brunnstrom values, BI and FAC's in all the patients. There was a negative correlation between the onset to rehabilitation admission interval and the rate of change after treatment. A positive correlation was observed between the length of inpatient stay and the rate of change in the scores. It was determined that infections negatively affected the changes in BI and FAC's after treatment. Conclusions: Our results suggest that the functional outcome of hemiparetic patients was positively affected by rehabilitation, and that the aetiological reasons and complications did not affect the results of the treatment.

Keywords:

Retrospective Studies, Treatment Outcome, Rehabilitation, Cerebrovascular Accident, Paresis,

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