Abstract
This study aimed to determine the effectiveness of comprehensive rehabilitation for patients with aneurysmal subarachnoid hemorrhage (aSAH) and to explore the factors influencing the prognosis of rehabilitation. This was a retrospective study. Twenty-five patients with aSAH were treated with physical therapy, occupational therapy, speech therapy, cognitive therapy, music therapy, Chinese acupuncture, hyperbaric oxygen, and transcranial magnetic stimulation. The general data of all patients were collected, and the functional scores at admission were compared with those at discharge. The Mini Mental State Examination, Fugl-Meyer Assessment Scale (FMAS) for motor and balance assessment, Holden Functional Ambulation Classification (FAC), modified Rankin Scale, National Institute of Health Stroke Scale, Modified Barthel Index for activities of daily living (ADL), and Glasgow Outcome Scale were significantly improved among 25 patients with aSAH after 1 month of comprehensive rehabilitation training. Hydrocephalus was an independent factor of the ability to perform ADLs (odds ratio, 0.29; 95% confidence interval, 2.03. 3.15; p = 0.000). The improvement of ADLs in aSAH patients was not related to sex, surgical method, aneurysm location, age, or smoking status. Comprehensive and professional rehabilitation is effective for the cognition, movement, walking, ADLs, and functional prognosis of patients with aSAH, while early hydrocephalus may be a risk factor for poor ADLs.
Highlights
Aneurysmal subarachnoid hemorrhage is a disease associated with high mortality and disability rates [1]
This study aimed to determine the effectiveness of comprehensive rehabilitation for patients with aneurysmal subarachnoid hemorrhage and to explore the factors influencing the prognosis of rehabilitation
The Mini Mental State Examination, Fugl-Meyer Assessment Scale (FMAS) for motor and balance assessment, Holden Functional Ambulation Classification (FAC), modified Rankin Scale, National Institute of Health Stroke Scale, Modified Barthel Index for activities of daily living (ADL), and Glasgow Outcome Scale were significantly improved among 25 patients with aneurysmal subarachnoid hemorrhage (aSAH) after 1 month of comprehensive rehabilitation training
Summary
Aneurysmal subarachnoid hemorrhage (aSAH) is a disease associated with high mortality and disability rates [1]. The management of aSAH has improved significantly in recent years, at least 50% of the patients are left with permanent dysfunction and cognitive impairment, and >90% of the patients have decreased quality of life [2] [3] [4]. Most studies have focused on the efficacy and safety of early rehabilitation for patients with acute subarachnoid hemorrhage and on the effectiveness of a specific rehabilitation method [9] [16] [17] [18]. Prospective studies with large samples on the rehabilitation of patients with aSAH are lacking
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
