Intensive Rehabilitation Program in Older Adults with Stroke

The main objective was to assess the feasibility of an intensive rehabilitation program (IRP) for stroke patients; and secondly, to detect eventual age-related differences in content, duration, tolerability, and safety in a prospective observational cohort of patients diagnosed with subacute stroke,...

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Detalles Bibliográficos
Autores: Morgado-Pérez, Andrea|||0000-0002-6162-2191, Coll Molinos, Maria, Valero, Ruben, Llobet, Miriam, Rueda, Nohora, Martínez, Andrea, Nieto, Sonia, Ramírez, Cindry|||0000-0001-5244-4015, Sánchez-Rodríguez, Dolores|||0000-0001-8662-5172, Marco, Ester|||0000-0002-3412-0356, Puig, Josep|||0000-0003-2791-6599, Duarte Oller, Esther|||0000-0002-4058-1802
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:281411
Acceso en línea:https://ddd.uab.cat/record/281411
https://dx.doi.org/urn:doi:10.3390/ijerph20064696
Access Level:acceso abierto
Palabra clave:Feasibility
Intensive rehabilitation program
Older adults
Stroke
Descripción
Sumario:The main objective was to assess the feasibility of an intensive rehabilitation program (IRP) for stroke patients; and secondly, to detect eventual age-related differences in content, duration, tolerability, and safety in a prospective observational cohort of patients diagnosed with subacute stroke, admitted to inpatient rehabilitation (BRAIN-CONNECTS project). Activities during physical, occupational and speech therapy, and time dedicated to each one were recorded. Forty-five subjects (63.0 years, 77.8% men) were included. The mean time of therapy was 173.8 (SD 31.5) minutes per day. The only age-related differences when comparing patients ≥65 and <65 years were a shorter time allocated for occupational therapy (-7.5 min (95% CI -12.5 to -2.6), p = 0.004) and a greater need of speech therapy (90% vs. 44%) in the older adults. Gait training, movement patterns of upper limbs, and lingual praxis were the most commonly performed activities. Regarding tolerability and safety, there were no losses to follow-up, and the attendance ratio was above 95%. No adverse events occurred during any session in all patients. Conclusion: IRP is a feasible intervention in patients with subacute stroke, regardless of age, and there are no relevant differences on content or duration of therapy.