title: Effects of professional rehabilitation training on the recovery of neurological function in young stroke patients.
abstract: Young stroke patients have a strong desire to return to the society, but few studies have been conducted on their rehabilitation training items, intensity, and prognosis. We analyzed clinical data of young and middle-aged/older stroke patients hospitalized in the Department of Neurological Rehabilitation, China Rehabilitation Research Center, Capital Medical University, China from February 2014 to May 2015. Results demonstrated that hemorrhagic stroke (59.6%) was the primary stroke type found in the young group, while ischemic stroke (60.0%) was the main type detected in the middle-aged/older group. Compared with older stroke patients, education level and incidence of hyperhomocysteinemia were higher in younger stroke patients, whereas, incidences of hypertension, diabetes, and heart disease were lower. The average length of hospital stay was longer in the young group than in the middle-aged/older group. The main risk factors observed in the young stroke patients were hypertension, drinking, smoking, hyperlipidemia, hyperhomocysteinemia, diabetes, previous history of stroke, and heart disease. The most accepted rehabilitation program consisted of physiotherapy, occupational therapy, speech therapy, acupuncture and moxibustion. Average rehabilitation training time was 2.5 hours/day. Barthel Index and modified Rankin Scale scores were increased at discharge. Six months after discharge, the degree of occupational and economic satisfaction declined, and there were no changes in family life satisfaction. The degrees of other life satisfaction (such as friendship) improved. The degree of disability and functional status improved significantly in young stroke patients after professional rehabilitation, but the number of patients who returned to society within 6 months after stroke was still small.
authors.affiliation: School of Rehabilitation Medicine, Capital Medical University, Beijing, China; Department of Neurological Rehabilitation, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China.
authors.forename: Chao-Jin-Zi
authors.initials: CJ
authors.lastname: Li
authors.affiliation: School of Rehabilitation Medicine, Capital Medical University, Beijing, China; Department of Neurological Rehabilitation, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China.
authors.forename: Xiao-Xia
authors.identifier: 0000-0001-7944-2474
authors.initials: XX
authors.lastname: Du
authors.affiliation: Department of Neurology, Xi'an Gaoxin Hospital, Xi'an, Shaanxi Province, China.
authors.forename: Kun
authors.initials: K
authors.lastname: Yang
authors.affiliation: School of Rehabilitation Medicine, Capital Medical University, Beijing, China; Department of Neurological Rehabilitation, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China.
authors.forename: Lu-Ping
authors.initials: LP
authors.lastname: Song
authors.affiliation: School of Rehabilitation Medicine, Capital Medical University, Beijing, China; Room of Medical Records, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China.
authors.forename: Peng-Kun
authors.initials: PK
authors.lastname: Li
authors.affiliation: School of Rehabilitation Medicine, Capital Medical University, Beijing, China; Department of Neurological Rehabilitation, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Wang
authors.affiliation: School of Rehabilitation Medicine, Capital Medical University, Beijing, China; Department of Neurological Rehabilitation, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China.
authors.forename: Rong
authors.initials: R
authors.lastname: Sun
authors.affiliation: School of Rehabilitation Medicine, Capital Medical University, Beijing, China.
authors.forename: Xiao-Ling
authors.initials: XL
authors.lastname: Lin
authors.affiliation: School of Rehabilitation Medicine, Capital Medical University, Beijing, China.
authors.forename: Hong-Yu
authors.initials: HY
authors.lastname: Lu
authors.affiliation: School of Rehabilitation Medicine, Capital Medical University, Beijing, China; Department of Neurological Rehabilitation, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China.
authors.forename: Tong
authors.initials: T
authors.lastname: Zhang
keywords: Barthel Index; Life Satisfaction Questionnaire; modified Rank Scale; nerve regeneration; neural regeneration; prognosis; recovery of neurological function; risk factors; young stroke patients