Results of rehabilitation in patients after subarachnoid haemorrhage from ruptured intracranial aneurysm and after surgical treatment.
OBJECTIVE
Non-traumatic, or spontaneous subarachnoid haemorrhage (SAH) is responsible for 5-7% of strokes. In Podkarpackie voivodeship, 217 patients were hospitalized in 2003 with spontaneous SAH. The aim of this study was to assess the relationship between the results of rehabilitation carried out in patients after surgical treatment of SAH estimated on the Brunnström, Barthel, and Rankin scales and patients' initial condition measured by means of the Hunt-Hess Scale.


METHODS
The examined group consisted of 55 patients after surgically treated SAH (clipping). Severity of bleeding was graded with the Hunt-Hess Scale on admission to the neurosurgery ward. Patients' clinical status was assessed with the Barthel Index and Rankin and Brunnström scales on admission to a rehabilitation ward, and rehabilitation effects were assessed after 4 weeks of the rehabilitation period and after at least 6 months from the end of rehabilitation on the ward.


RESULTS
The study did not reveal any significant correlation between severity of bleeding and the results of rehabilitation. No explicit advantage was observed in the process of treatment of patients with grade I or II grade according to the Hunt-Hess Scale in the later period. In each group of patients (grades I to IV) there were patients whose final condition improved evidently.


CONCLUSIONS
No significant correlation was observed between the clinical status at the onset of the disease and clinical or functional status in early and late periods of rehabilitation.
Szydełko
Magdalena
M
Instytut Fizjoterapii Uniwersytetu Rzeszowskiego, Kliniczny Oddział Rehabilitacji Szpitala Wojewódzkiego Nr 2 w Rzeszowie. megiszy@poczta.fm
Kwolek
Andrzej
A
Druzbicki
Mariusz
M
D000328:Adult; D000368:Aged; D017542:Aneurysm, Ruptured / Q000150:complications / Q000534:rehabilitation* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000534:rehabilitation* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011044:Poland; D011788:Quality of Life; D012422:Rupture, Spontaneous; D012720:Severity of Illness Index; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000534:rehabilitation* / Q000601:surgery*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome