Benefit of inpatient multidisciplinary rehabilitation up to 1 year after stroke.
OBJECTIVE
To analyze the benefit of inpatient multidisciplinary rehabilitation up to 1 year after stroke.


METHODS
Retrospective cohort study.


METHODS
Inpatient rehabilitation hospital in Japan.


METHODS
A total of 1056 patients with stroke were divided into 3 groups based on the interval between stroke onset and admission to the rehabilitation hospital: group I, within 90 days (n=507, 48%); group II, 91 to 180 days (n=377, 36%); and group III, more than 180 days (n=172, 16%).


METHODS
Not applicable.


METHODS
Functional outcome (A to D; independent to totally dependent) in walking, affected upper extremity, and activities of daily living (ADLs) and discharge disposition.


RESULTS
Walking status improved in 70.9% of nonambulatory patients in group I, in 54.8% in group II, and in 43.9% in group III. Similarly, ADLs improved in 66.7% of the totally dependent patients in group I and in approximately 50% in groups II and III. Functional gain in those with a totally nonfunctional upper extremity at admission was poor (29.7%). Initial functional categories affected each outcome (P<.0001). On discharge, 73.8% in group I and approximately 60% in groups II and III went home.


CONCLUSIONS
Approximately half of all patients regained their abilities in walking and ADLs after inpatient multidisciplinary rehabilitation up to 1 year after stroke. However, there was considerable limitation in functional recovery of the affected upper extremity.
Yagura
Hajime
H
Neurorehabilitation Research Institute, Bobath Memorial Hospital, Osaka, Japan. hiro-1@af6.so-net.ne.jp
Miyai
Ichiro
I
Seike
Yujiro
Y
Suzuki
Tsunehiko
T
Yanagihara
Takehiko
T
D000203:Activities of Daily Living; D005260:Female; D006801:Humans; D007564:Japan; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome