Functional independence in individuals with acquired brain injuries submitted to rehabilitation on an outpatient basis
DOI:
https://doi.org/10.11606/issn.2317-0190.v14i2a102795Keywords:
Stroke, Hemiplegia, Functional Status, Prognosis, Ambulatory Care, Rehabilitation CentersAbstract
The acquired brain injury (ABI) may induce a wide variety of impairments and the result of rehabilitation on an outpatient basis is questioned when performed long after its onset. The objective of this study was to evaluate the functional gain of ABI patients submitted to rehabilitation on an outpatient basis. Hospital discharge forms of 118 patients treated at the Division of Rehabilitation Medicine between 1999 and 2001 were reviewed. Functioning is systematically registered by the Functional Independence Measure (FIMTM) at the first evaluation, medical appointments and upon discharge. Mean values of each FIMTM item at the first and last evaluations were compared. The median period from the onset of the impairment was 9 months. There was an increase in the proportion of independent individuals in all FIMTM items at the end of treatment, as well as a significant increase in their mean values. These results differ from those reported by centers in countries where rehabilitation is performed in the early phase after the onset of impairments. This may result from rehabilitation approaches that focus on the physical impairment, without taking the importance of functional independence into account. We conclude that in our country, patients with ABI may present functional gain even if rehabilitation is carried out at later periods.
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Riberto M, Miyazaki MH, Jorge Filho D, Sakamoto H, Battistella LR. Reprodutibilidade da versao brasileira da Medida de Independência Funcional. Acta Fisiatr. 2001;8(1):45-52. Doi: https://doi.org/10.5935/0104-7795.20010002
Riberto M, Miyazaki MH, Jucá SSH, Sakamoto H, Pinto PPN, Battistella LR. Validaçao da versao brasileira da Medida de Independência Funcional. Acta Fisiatr. 2004;11(2):72-6. Doi: https://doi.org/10.5935/0104-7795.20040003
Abreu AB, Farias CA, Iryia GT, Masiero D. Perfil dos pacientes hemiplégicos atendidos no Lar Escola Sao Francisco - Centro de Reabilitação. Acta Fisiatr, 2000;7(3):92-4. Doi: https://doi.org/10.11606/issn.2317-0190.v7i3a102262
Miyazaki MH, Riberto M, Battistella LR, Sobrino JBR, Ayres DVM, Lourençao MIP, et al. Dez anos de reabilitação do hemiplégico. Acta Fisiatr. 1999;6(3):120.
Myiazaki MH, Riberto M, Lourençao MIP, Ayres DVM, Kaihami HM, LR Battistella. Epidemiologia dos pacientes da equipe de hemiplegia da Divisao de Medicina de Reabilitaçao do HCFMUSP. Acta Fisiatr. 1997;4(S2):S182.
Klassen AC, Heaney LM, Lee MC, Kronenberg RS. Altered cerebral inhibition of respiratory and cardiac responses to hypercapnia in acute stroke. Neurology. 1980;30(9):951-5.
Martinez-Garcia MA, Galiano-Blancart R, Soler Cataluna JJ, Cabero-Salt L, Roman- Sanchez P. Improvemento in nocturnal disordered breathing after first-ever ischemic stroke: role of dysfagia. Chest. 2006;129(2):238-45.
Riberto M, Pinto PPN, Sakamoto H, Battistella LR. Independência funcional em pacientes com lesão medular. Acta Fisiatr. 2005;12(2):61-6. Doi: https://doi.org/10.5935/0104-7795.20050004
Franzoi AC, Kagohara N. Correlação do perfil de deambulação e velocidade da marcha em um grupo de pacientes hemiplégicos atendidos em um centro de reabilitação. Acta Fisiatr. 2007;14(2):78-81. Doi: https://doi.org/10.11606/issn.2317-0190.v14i2a102792
Brasil. Decreto lei n.938 de 13 de outubro de 1969. Provê sobre as profissoes de fisioterapeuta e terapeuta ocupacional, e dá outras providências. Diário Oficial da Republica Federativa do Brasil, Brasília (DF); 1969 out 16; Seçao1: 3658.
Makiyama, TY, Battisttella LR, Litvoc J, Martins LC. Estudo sobre a qualidade de vida de pacientes hemiplégicos por acidente vascular cerebral e de seus cuidadores. Acta Fisiatr. 2004;11(3):106-9. Doi: https://doi.org/10.5935/0104-7795.20040004
Bocchi SEM. Vivenciando a sobrecarga ao vir-a-ser um cuidador familiar de pessoa com acidente vascular cerebral (AVC): uma análise do conhecimento. Rev Latinoam Enferm. 2004;12(1):115-21.
Grant JS, Glandon GL, Elliot TR, Giger Jn, Weaver M. Problems and associated feelings experienced by family caregivers of stroke survivors the second and third month postdischarge. Top Stroke Rehabil. 2006;13(3):66-74.
Lundgren-Nilsson A, Grimby G, Ring H, Tesio L, Lawton G, Slade A, et al. Cross-cultural validity of FIM items in stroke in six European countries: a Rasch perspective. J Rehabil Med. 2005;37:23-31.
Küçükdeveci AA, Yavuzes G, Elhan AH, Sonel B, Tennant A. Adaptation of the Functional Independence Measure for use in Turkey. Clin Rehabil. 2001;15:311-9.
Ramos AM, Riberto M, Honji VY, Miyazaki MH, Battistella LR. Disfunçao urológica após AVC. Acta Fisiatr. 2002;9(1):19.
Nakayama H, Jørgensen HS, Pedersen PM, Raaschou HO, Olsen TS. Prevalence and risk factors of incontinence after stroke. The Copenhagen Stroke Study. Stroke. 1997;28(1):58-62.
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