A study on additional early physiotherapy after stroke and factors affecting functional recovery.
OBJECTIVE
To investigate whether additional early physiotherapy after stroke improved functional recovery in stroke patients.


METHODS
A prospective, randomized, controlled study.


METHODS
One stroke ward and an acute stroke unit in a large teaching hospital, southern China.


METHODS
Patients with first-onset stroke consecutively admitted to the stroke centre.


METHODS
One group (n = 78) received additional early physiotherapy (AEP) for 45 minutes, five days a week for four weeks starting within the first week since stroke onset; the routine therapy (RT) group (n = 78) received no professional rehabilitation therapy.


METHODS
Glasgow Coma Scale, Mini-Mental State Examination, Fugl-Meyer Assessment of Motor Recovery, Clinical Neurological Deficit Scale and Modified Barthel Index (MBI).


RESULTS
Patients from the AEP group had a high drop-out rate (n = 28), but those remaining made relatively better functional recovery at 30 days than those from the RT group if measured by MBI. Multiple linear regression analysis revealed that cognitive disturbance, aphasia, double incontinence, site of lesion and sensory impairment might affect functional recovery after stroke.


CONCLUSIONS
Additional early physiotherapy might improve independence of patients after stroke but failed to show benefit in other aspects in our study. Cognitive disturbance, aphasia, double incontinence, site of lesion as well as sensory impairment might affect functional outcome after stroke.
Fang
Yannan
Y
Department of Neurology, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, People's Republic of China. dyzhu@163.net
Chen
Xiaohua
X
Li
Hua
H
Lin
Jianwen
J
Huang
Ruxun
R
Zeng
Jinsheng
J
D000368:Aged; D002681:China; D004522:Educational Status; D026241:Exercise Movement Techniques; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D020521:Stroke / Q000145:classification; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome