Impact of Rehabilitation Team Approach on Disability in Patients with Stroke

Authors

  • Farzana Khan Shoma Department of Physical Medicine and Rehabilitation, Bangladesh Medical University, Dhaka, Bangladesh
  • Md Abdus Shakoor Department of Physical Medicine and Rehabilitation, Bangladesh Medical University, Dhaka, Bangladesh
  • Md Nuruzzaman Khandaker , Department of Physical Medicine and Rehabilitation, Bangladesh Medical University, Dhaka, Bangladesh
  • Lilian Catherene Gomes Department of Physical Medicine and Rehabilitation, Bangladesh Medical University, Dhaka, Bangladesh
  • Mohammod Hossain Department of Physical Medicine and Rehabilitation, Bangladesh Medical University, Dhaka, Bangladesh
  • Ziaur Rahman Chowdhury Department of Physical Medicine and Rehabilitation, Bangladesh Medical University, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bmrcb.v50i3.78914

Keywords:

Rehabilitation Team Approach, Conventional Team Approach, FIM, Stroke

Abstract

Background: Stroke is a leading cause of death globally and many stroke survivors lead their lives with multiple disabilities. Rehabilitation is a set of interventions designed to optimize functioning and reduce disability in individuals with health conditions in interaction with their environment. Stroke rehabilitation is a continuum, starting within days of onset and ending only when it no longer produces any positive effects.

Objective: To evaluate the impact of the rehabilitation team approach on disability among stroke patients.  

Methods: This was a quasi experimental study where 136 subjects were randomly selected and divided in two groups: Group-A (received Rehabilitation Team Approach) and Group-B (received Conventional Rehabilitation Approach) by lottery. Respondents were assessed at 6th weeks, 12th weeks, and 26th weeks. Outcomes were measured by FIM (Functional Independence Measure) scores.

Result: Among 136 patients, 68 patients in group A and 68 patients in group B had completed 26th week follow up.  The mean age of the patients in group A and B were 57.25 (± 7.22) and 57.09 (± 6.38) years respectively. Majority of the patients were male (72.06 % & 76.47 % in group A & B respectively). Among the study people Main cause of disability was ischemic 88(64.71%) and hemorrhagic 48(35.29%) stroke. At baseline and after 6th week of treatment, there were no significant statistical differences between the two groups regarding FIM scores. In 12th week, FIM significantly increased in group A (108.17 ± 9.52) compared to group B (103.79 ± 7.37) respectively with a p-value 0.0032 which persisted till 26th week 115.62 ±5.07 & 110.22 ± 4.97 with a p-value <0.0001 in group A & B respectively.

Conclusion: In this study found out that rehabilitation team approach significantly reduces disability of the stroke patients. 

Bangladesh Med Res Counc Bull 2024; 50: 141-147

Downloads

Download data is not yet available.
Abstract
49
PDF
42

Downloads

Published

2024-12-01

How to Cite

Shoma, F. K., Shakoor, M. A., Khandaker, M. N., Gomes, L. C., Hossain, M., & Chowdhury, Z. R. (2024). Impact of Rehabilitation Team Approach on Disability in Patients with Stroke. Bangladesh Medical Research Council Bulletin, 50(3), 141–147. https://doi.org/10.3329/bmrcb.v50i3.78914

Issue

Vol. 50 No. 3 (2024)

Section

Research Papers

License

Copyright (c) 2024 Farzana Khan Shoma, Md. Abdus Shakoor, Md. Nuruzzaman Khandaker, Lilian Catherene Gomes, Mohammod Hossain, Ziaur Rahman Chowdhury

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms.

Authors retain copyright and grant the journal right of first publication.

Creative Commons Licence
Articles in the Bangladesh Medical Research Council Bulletin are licensed under a Creative Commons Attribution 4.0 International License (CC-BY) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).