Is a day hospital rehabilitation programme associated with reduction of handicap in stroke patients?
OBJECTIVE
(1) To assess whether a rehabilitation day hospital programme is associated with a reduced handicap level of stroke patients. (2) To estimate the relationship between the London Handicap Scale (LHS) and other outcome measures. (3) To examine the effect of demographic parameters (age, gender, family status, education) on LHS scores.


METHODS
A prospective longitudinal survey.


METHODS
An urban geriatric rehabilitation day hospital.


METHODS
Two hundred and seven elderly stroke patients admitted between December 1999 and February 2001.


METHODS
London Handicap Scale (LHS), Functional Independent Measure (FIM), Nottingham Extended ADL Index, timed get up and go test.


RESULTS
LHS scores at discharge changed significantly (p < 0.008) for mobility, physical independence and occupation. The overall change in LHS score was 2.3 points (20%); effect size 0.43. A significant relationship was found between discharge score of LHS and admission score of FIM, Nottingham Index, timed get up and go and age. Multiple linear regressions did not identify a good predictor for the discharge score of LHS. Higher education was associated with higher LHS scores on admission (p = 0.016) but with less success in correcting handicap (p = 0.046).


CONCLUSIONS
A day hospital programme is associated with reduced level of handicap in stroke patients. The LHS is a useful and simple scale for measuring change in these patients. LHS in stroke patients correlates with other outcome measures, yet they cannot be used interchangeably. A significant relationship between education and level of handicap exists.
Hershkovitz
Avital
A
Beit Rivka Geriatric Rehabilitation Center Day Hospital, Petach Tikva, Israel. avitalhe@clalit.org.il
Beloosesky
Yichayaou
Y
Brill
Shai
S
Gottlieb
Daniel
D
D000368:Aged; D003710:Demography; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006306:Health Surveys; D006801:Humans; D008297:Male; D010045:Outpatients; D011446:Prospective Studies; D012047:Rehabilitation Centers; D012720:Severity of Illness Index; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome; D014505:Urban Population