Abstract
Inpatient rehabilitation has been traditionally employed in developed countries, while in developing countries, outpatient rehabilitation is the rule. The purpose of this study was to compare the patterns of recovery of upper extremity (UE) function, global impairment and independence in activities of daily living (ADL) during the first month after ischemic stroke in inpatient (United States) and outpatient (Brazil) rehabilitation settings.This is a prospective cohort comparison study. Twenty patients from each country were selected using identical inclusion criteria.The study measures employed were the UE portion of the Fugl-Meyer scale, the Action Research Arm test, the National Institutes of Health Stroke Scale and Barthel Index. Changes from baseline to the end of treatment, efficiency and effectiveness of each treatment were compared.Both populations exhibited significant improvement between the first and second evaluations in the four outcome scales (p<0.0001). There were no differences between the two rehabilitation settings on any of the four dependent measures (p>0.05).Substantially different treatment approaches after ischemic stroke led to similar results in UE function, global impairment and ADL. Further studies in larger populations should be performed in order to confirm the present results.
Highlights
Cy of autonomic n dysfunction (AD) in multiple sclerosis (MS) patients, assessed by sympathetic skin response (SSR) and a symptoms questionnaire, and look for an association between these methods
One hundred clinically definite MS patients were randomly selected from a larger cohort of patients who were followed in the MS outpatient clinic.[7]
Patients (68 females, 68%), the mean age of Values are expressed as mean with standard deviation
Summary
This prospective study was carried out in the MS Clinic of the Department of Neurology, Okmeydani Training and Research Hospital. One hundred clinically definite MS patients were randomly selected from a larger cohort of patients who were followed in the MS outpatient clinic.[7] McDonald criteria is the latest and commonly accepted diagnostic criteria, we. 2009 Licensee PAGEPress, Italy Neurology International 2009; 1:e5 doi:10.4081/ni.2009.e5 liver failure, and peripheral neuropathy). Patients were asked to stop anticholinergic medications 48 hours before testing, and drugs such as antidepressants, sympathomimetics, parasympathomimetics, and ß blockers were discontinued 24 hours prior to testing. The purpose of the test was fully explained to the patients and informed consent was obtained
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