The Relationship Between Type of Stroke and Complications and Rehabilitation Outcomes

Objectives: We examined cases of hemiparesis with various aetiological reasons, before and after treatment in order to analyse the factors which may affect functional recovery rates, motor development and complications. Patients and Methods: Eighty-two patients (52 males; mean age 57.06aplusmn;15.43; range 8-82 and 30 females; mean age 56.17aplusmn;14.41; range 18-78) were retrospectively evaluated. Patient characteristics including age, gender, side of hemiparesis, type of stroke, mental condition, speech ability, the onset to rehabilitation admission interval, Brunnstrom values, the Ashworth index, the Functional Ambulation Categories (FAC), Barthel index (BI) on admission and before discharge from the hospital, complications and length of inpatient stay were recorded. Results: There were significant differences between admission and discharge Brunnstrom values, BI and FACa#39;s in all the patients. There was a negative correlation between the onset to rehabilitation admission interval and the rate of change after treatment. A positive correlation was observed between the length of inpatient stay and the rate of change in the scores. It was determined that infections negatively affected the changes in BI and FACa#39;s after treatment. Conclusions: Our results suggest that the functional outcome of hemiparetic patients was positively affected by rehabilitation, and that the aetiological reasons and complications did not affect the results of the treatment. Turkish Baslik: Strok Tipi ve Komplikasyonlarin Rehabilitasyon Sonuclariyla Iliskisi Anahtar Kelimeler: Serebrovaskuler olay/rehabilitasyon; tedavi sonuclari Amac: Cesitli etyolojik nedenli hemiparezisi olan olgular tedavi oncesi ve sonrasi incelenerek fonksiyonel geri donusum oranlari, motor gelisimleri, olusan komplikasyonlar ve bunlar uzerinde etkisi olabilecek faktorler arastirildi. Hastalar ve Yontemler: Rehabilitasyona alinan 82 hasta (52 erkek; ort. yas 57.06aplusmn;15.43; dagilim 8-82 ve 30 kadin; ort. yas 56.17aplusmn;14.41; dagilim 18-78) retrospektif olarak degerlendirildi. Olgularin yas, cinsiyet, tutulan taraf, etyolojik neden, mental durum, lisan ozelligi, rehabilitasyona baslayana kadar gecen sure, giris ve taburcu oncesi Brunnstrom degerleri, Ashworth indeksleri, fonksiyonel ambulasyon evreleri (FAE), Barthel indeksleri (BI), takip suresince ortaya cikan komplikasyonlar ve hastanede toplam yatis sureleri kaydedildi. Bulgular: Tum hastalarin hastaneden cikis oncesi Brunnstrom degerleri, BI ve FAEa#39;leri hastaneye yatislarina gore anlamli duzeyde farkliydi. Rehabilitasyona baslayana kadar gecen sure ile tedavi sonrasi degisim orani arasinda negatif korelasyon vardi. Hastanede yatis suresi ile skorlardaki degisim oraninin pozitif korelasyon gosterdigi goruldu. Takip sirasinda gelisen enfeksiyonlarin BI ve FAEa#39;deki degisimi olumsuz etkiledigi saptandi. Sonuc: Calismamizin bulgulari hemiparezik olgularin fonksiyonel durumlarinin rehabilitasyonla olumlu yonde etkilendigini, bu degisimin etyolojik nedenlerle iliskisiz oldugunu ve komplikasyonlarin tedavi sonuclarini etkilemedigini gostermektedir.