Effects of early rehabilitation on the outcome of cerebro-vascular insult rehabilitation in women over 65 in correlation with initial neurological deficit gravity

Authors

  • Ljubica Nikcevic Hospital Saint Sava, Belgrade
  • Milan Savic Hospital Saint Sava, Belgrade
  • Nevenka Zaric Hospital Saint Sava, Belgrade
  • Dejan Nikolic University of Belgrade
  • Aleksandra Plavsic Military Medical Academy
  • Natasa Mujovic Clinical Center of Serbia

DOI:

https://doi.org/10.11606/issn.2317-0190.v14i4a102870

Keywords:

Stroke, Women, Rehabilitation, Aged

Abstract

This study aims at verifying the effects of short- and long-term rehabilitation on the outcome of encephalic vascular accident (EVA) in women older than 65 years; establishing the correlation between the impact of the neurological deficit severity on the prediction of the rehabilitation treatment outcome as well as investigating the possibility of the follow-up of individual parameters at the Functional Independence Measure (FIM) when predicting the EVA rehabilitation outcome. The EVA is currently the third major cause of death in the world’s population, as well as the main cause of permanent disability. In the present scenario, cardiovascular and cerebrovascular diseases, which used to be observed almost exclusively in the male population, now affect the female population as well. On the other hand, we observe a linear correlation between aging and the occurrence of these diseases. We conclude that the implementation of early rehabilitation leads to a significant acceleration in the treatment and recovery process post-EVA in women older than 65 years. We also conclude that certain FIM parameters can be used to predict the patient’s overall recovery, as they present the same evolution pattern.

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References

Wolf PA, D'Agostino RB, Belanger AJ, Kannel WB. Probability of stroke: a risk profile from the Framingham Study. Stroke.1991;22(3):312-8.

World Health Organization. International Classification of Functioning Disability and Health. Geneva: WHO; 2001.

Recommendations on stroke prevention, diagnosis, and therapy. Report of the WHO Task Force on Stroke and other Cerebrovascular Disorders. Stroke. 1989;20(10):1407-31.

Barbara M. Managing cardiovascular risk in oldar woman. Geriatric Times. 2003:IV(1).

American Heart Assosiation. Heart and stroke facts. Dallas: American Heart Assosiation; 1991.

McNaughton H, McPherson K, Taylor W, Weatherall M. Relationship between process and outcome in stroke care. Stroke. 2003;34(3):713-7.

Roth EJ. Medical rehabilitation of the stroke patient. Be Stroke Smart: National Stroke Association Newsletter. 1992;8:8.

Centers for Disease Control and Prevention (CDC). Outpatient rehabilitation among stroke survivors -21 States and the District of Columbia, 2005. MMWR Morb Mortal Wkly Rep. 2007;56(20):504-7.

Wade DT. Barriers to rehabilitation research, and overcoming them. Clin Rehabil. 2003;17(1):1-4.

Counsell C, Dennis M, McDowall M, Warlow C. Predicting outcome after acute and subacute stroke: development and validation of new prognostic models. Stroke. 2002;33(4):1041-7.

Nyberg L, Gustafson Y. Fall prediction index for patients in stroke rehabilitation. Stroke. 1997;28(4):716-21.

Lindsay MP, Kapral MK, Gladstone D, Holloway R, Tu JV, Laupacis A, et al. The Canadian Stroke Quality of Care Study: establishing indicators for optimal acute stroke care. CMAJ. 2005;172(3):363-5.

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Published

2007-12-09

Issue

Section

Case Report

How to Cite

1.
Nikcevic L, Savic M, Zaric N, Nikolic D, Plavsic A, Mujovic N. Effects of early rehabilitation on the outcome of cerebro-vascular insult rehabilitation in women over 65 in correlation with initial neurological deficit gravity. Acta Fisiátr. [Internet]. 2007 Dec. 9 [cited 2024 May 21];14(4):237-41. Available from: https://www.revistas.usp.br/actafisiatrica/article/view/102870