The Role of Early Rehabilitation in Improving Stroke Systems of Care

Study Overview
=================
Brief Summary
-----------------
To assess the effect of implementing stroke early rehabilitation using telemedicine if avialable in the stroke unit of the Neurology Department , Assuit university hospitalis , Egypt. Importance and impact of this programme on function and quality of life after stroke

Detailed Description
-----------------
In this case control study,we will analyzed Patients admitted to Neurology Depatment in assuit university hospitals from 1/2023 until 1/2024 and divide them in two groups , Group receive early rehabilitation services with the personnel get tele-rehab training and the other group get training with the usual pathway in the hospital by other personnel, and we could follow up the two groups for 3 months and comparing both groups .

Official Title
-----------------
The Role of Early Rehabilitation in Improving Stroke Systems of Care

Conditions
-----------------
Cerebrovascular Disorders

Intervention / Treatment
-----------------
* Other: Rehabilitation


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Mild to Moderate stroke Patients (ischemic or hemorrhagic) admitted to AUH within 24 hour after admission. ALL age Groups . Both Sex. Group receive rehab services with the personnel get tele-rehab training and the other group get training with the usual pathway in the hospital by other personnel, and we could follow up the two groups for 3 months and comparing both groups . Exclusion Criteria: Severe Stroke. Stroke Mimmics . Pregnancy. Stroke with severe hepatic ,renal and Pulmonary diseases limiting or affecting early rehabilitation .

Ages Eligible for Study
-----------------
Minimum Age: 40 Years
Maximum Age: 70 Years

Sexes Eligible for Study
-----------------
All

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Group 1 experimental group will subject to implanted rehabilitation programme<br>50 case of acute cerebrovascular stroke patients will subject to implanted rehabilitation programme based on telemedicine if avilable . | Other: Rehabilitation<br>* 50 case of acute cerebrovascular stroke patients will subject to implanted early rehabilitation programme based on telemedicine if avilable . 50 control patients of acute cerebrovascular stroke patients will subject to ordinary rehabilitation techniques .<br>|
| Group 2 control group will subject to ordinary rehabilitation techniques<br>50 control patients of acute cerebrovascular stroke patients will subject to ordinary rehabilitation techniques . | Other: Rehabilitation<br>* 50 case of acute cerebrovascular stroke patients will subject to implanted early rehabilitation programme based on telemedicine if avilable . 50 control patients of acute cerebrovascular stroke patients will subject to ordinary rehabilitation techniques .<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| • To assess the effect of implementing stroke early rehabilitation using telemedicine if avilable in the stroke unit of the Neurology Department , Assuit university hospitalis , Egypt. | In this case control study,we will analyzed Patients admitted to Neurology Depatment in assuit university hospitals from 1/2023 until 1/2024 and divide them in two groups , Group receive rehab services with the personnel get tele-rehab training and the other group get training with the usual pathway in the hospital by other personnel, and we could follow up the two groups for 3 months and comparing both groups . And we will analyize the effect of implanted programme on patients with cerebrovascular stroke . | 2 years |