Early versus late rehabilitation for stroke survivors: A prospective study

  • Moshiur Rahman Khasru Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • A. K. M. Salek Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Mohammad Moniruzzaman Department of Physical Medicine and Rehabilitation, Dhaka Medical College, Dhaka
  • Tangila Marzen Department of Internal Medicine, Dhaka Medical College, Dhaka
  • Fariha Haseen Department of Public Health and Informatics, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Abu Bakar Siddiq Feni Diabetic Hospital, Feni
  • Abu Naser Rizvi Department of Neurology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md. Ariful Islam Department of Physical Medicine and Rehabilitation, Rangpur Medical College, Rangpur
  • Zakir Hossain Department of Internal Medicine, Rangpur Medical College, Rangpur
  • Md. Shahdat Hossain Department of Physical Medicine and Rehabilitation, Shaheed Suhrawardi Medical College, Dhaka
  • Nayeem Anowar Department of Neurology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md. Hasan Universal Health Coverage, Health Systems and Population Studies, ICDDR’B, Dhaka
  • Badrunnesa Ahmed Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • David Wilkinson NIHR Research Design Service South East, School of Psychology, University of Kent, Canterbury
  • Mohamed Sakel Rehabilitation Medicine and Neurorehabilitation, East Kent Hospitals University
Keywords: Stroke, Rehabilitation, Early Vs Late, Multicentre Rehab

Abstract

The aim of this study was to examine the optimum time of rehabilitation initiation after stroke in terms of disabilities, mobility and fall risk assessment. Data were collected prospectively at seven tertiary level health care centers in Bangladesh during the 36 months period from 2013 to 2016. All respondents were divided into four groups based on the initiation of rehabilitation as: a) 0-24 hours, b) 25-72 hours, c) 4-7 days and d) 8-60 days. Results show that significant improvement on stroke recovery, disabilities reduction, improvement in mobility restriction and reduction of fall risks in all the four groups but more improvement was observed in 0-24 hour’s group during follow-up after 3 and 12 weeks. On multinomial logistic regression analysis, the independent factors shows the mobility restriction and fall risk were more in the younger patients, male gender, married, hemorrhagic lesion and bilateral stroke.

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Author Biographies

Moshiur Rahman Khasru, Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka
Assistant Professor
A. K. M. Salek, Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka
Professor
Tangila Marzen, Department of Internal Medicine, Dhaka Medical College, Dhaka
MS Thesis Student
Fariha Haseen, Department of Public Health and Informatics, Bangabandhu Sheikh Mujib Medical University, Dhaka
Assistant Professor
Abu Bakar Siddiq, Feni Diabetic Hospital, Feni
Consultant
Abu Naser Rizvi, Department of Neurology, Bangabandhu Sheikh Mujib Medical University, Dhaka
Professor
Md. Ariful Islam, Department of Physical Medicine and Rehabilitation, Rangpur Medical College, Rangpur
Assistant Professor
Zakir Hossain, Department of Internal Medicine, Rangpur Medical College, Rangpur
Professor
Md. Shahdat Hossain, Department of Physical Medicine and Rehabilitation, Shaheed Suhrawardi Medical College, Dhaka
Associate Professor
Nayeem Anowar, Department of Neurology, Bangabandhu Sheikh Mujib Medical University, Dhaka
Resident
Md. Hasan, Universal Health Coverage, Health Systems and Population Studies, ICDDR’B, Dhaka
Statistician
Badrunnesa Ahmed, Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka
Assistant Professor
David Wilkinson, NIHR Research Design Service South East, School of Psychology, University of Kent, Canterbury
Director
Mohamed Sakel, Rehabilitation Medicine and Neurorehabilitation, East Kent Hospitals University
Director
Published
2017-11-25
How to Cite
Khasru, M. R., Salek, A. K. M., Moniruzzaman, M., Marzen, T., Haseen, F., Siddiq, A., Rizvi, A., Islam, M., Hossain, Z., Hossain, M., Anowar, N., Hasan, M., Ahmed, B., Wilkinson, D., & Sakel, M. (2017). Early versus late rehabilitation for stroke survivors: A prospective study. Bangabandhu Sheikh Mujib Medical University Journal, 10(4), 204-209. https://doi.org/10.3329/bsmmuj.v10i4.34466
Section
Original Articles