New rehabilitation models for neurologic inpatients in Brazil.
OBJECTIVE
To describe the effects of a rehabilitation program in a neurological inpatient unit in terms of independence for activities of daily living and return to work.


METHODS
Retrospective study with 148 adults with stroke, traumatic brain injury (TBI), spinal cord injury, and Guillain-Barré syndrome admitted as rehabilitation inpatients within a 1-year period for hospitalization at the Instituto de Reabilitação Lucy Montoro, Brazil. According to their diagnostic groups, subjects undergone semi-standardized models of intensive multidisciplinary rehabilitation for 4-6 weeks.


METHODS
Functional Independence Measure (FIM), Modified Rankin scale (Rankin), and Glasgow Outcome Scale (GOS Subjects were evaluated at admission, discharge, and 6 months after discharge.


RESULTS
Improvement in motor FIM™, Rankin and GOS was observed in all groups. Cognitive FIM increase was less evident in TBI patients. After 6 months, 37.6% of patients were unemployed, 34% underwent outpatient rehabilitation, and 65.2% maintained gains.


CONCLUSIONS
This is the first report on the effects from an inpatients rehabilitation model in Brazil. After a short intensive rehabilitation, there were motor and cognitive gains in all groups. Heterogeneity in functional gains suggests more individualized programs may be indicated. Controlled studies are required with larger samples to compare inpatient and outpatient programs.
Instituto de Reabilitação Lucy Montoro (IRLM) , São Paulo , Brasil and.
Liliana Lourenço
LL
Jorge
Andressa Mota do Nascimento
AM
de Brito
Flávia Helena Garcia
FH
Marchi
Ana Clara Portela
AC
Hara
Linamara Rizzo
LR
Battistella
Marcelo
M
Riberto
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000534:rehabilitation*; D001938:Brazil; D004185:Disability Evaluation; D005260:Female; D023261:Glasgow Outcome Scale; D020275:Guillain-Barre Syndrome / Q000534:rehabilitation*; D006760:Hospitalization; D006801:Humans; D007297:Inpatients; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012047:Rehabilitation Centers; D012189:Retrospective Studies; D062707:Return to Work; D013119:Spinal Cord Injuries / Q000534:rehabilitation*; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome; D055815:Young Adult
Brain injuries; Guillain–Barre Syndrome; evaluation of the efficacy-effectiveness of interventions; inpatient care units; length of stay; outcome assessment; spinal cord injury; stroke