Early versus late rehabilitation for stroke survivors: A prospective study

Authors

  • 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

DOI:

https://doi.org/10.3329/bsmmuj.v10i4.34466

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. B., Rizvi, A. N., Islam, M. A., Hossain, Z., Hossain, M. S., 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

Issue

Section

Original Articles