Clinical and motor functional of hospitalized elderly after Stroke

Authors

  • Maria Clarice Lopes da Silva Fisioterapeuta, Residência Multiprofissional em Saúde do Idoso do Hospital das Clínicas da Universidade Federal de Minas Gerais – UFMG, Belo Horizonte- MG, Brasil.
  • Janaíne Cunha Polese Fisioterapeuta, Doutoranda em Ciências da Reabilitação, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte-MG, Brasil. Ph.D Candidate in Health Sciences, Universityof Sydney, Sydney, New South Wales, Australia.
  • Juliana Maria Pimenta Starling Fisioterapeuta, Mestranda em Ciências da Reabilitação, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte-MG, Brasil.
  • Leani Souza Máximo Pereira Fisioterapeuta, Doutora, Professora Adjunta do Departamento de Fisioterapia da Universidade Federal de Minas Gerais – UFMG, Belo Horizonte-MG, Brasil.

DOI:

https://doi.org/10.34024/rnc.2014.v22.8069

Keywords:

Stroke, Physical Therapy, Aged, Hospitalization

Abstract

Aim. To characterize a sample of elderly after acute stroke admitted to a stroke unit of a university hospital regarding clinical, functional, and motor variables and check possible motor gains during the period of hospitalization. Method. An exploratory cross-sectional study was conducted with data collection from the physical therapy unit assess­ment standardized files. Sex and age were collected, in addition to clinical and functional and motor variables. In order to characterize the sample, descriptive statistics were performed. Results. A total of 349 elderly post stroke that went through the unit from May 2012 to August 2013, 52 % were men, with an average age of 73±8.1 years, and 85 % suffered ischemic stroke. The average number of physio­therapy sessions received by patients was 8 sessions. There were gains in the percentage values of the variables: trunk control without sup­port, good static balance and ambulation without support for the final physical therapy evaluation compared to baseline (increases by 13%, 12 % and 13 %, respectively). Conclusions. The clinical and motor -functional identification of elderly individuals in a stroke unit can enable the planning and implementation of effective rehabilitation strategies at admission and after discharge.

Metrics

Metrics Loading ...

References

Freitas EV, Ligia PY. Tratado de geriatria e gerontologia. 3ª Ed. Rio de Janeiro: Guanabara Koogan, 2011,1750p.

Ingall T. Stroke – incidence, mortality, morbidity and risk. J Insur Med 2004;36:143-52.

Broeks JG, Lankhorst GJ, Runping K, Prevo AJ. The long-term outcome of arm function after stroke: results of a follow-up study. Disabil Rehabil 1999;21:357-64.

Hopman WM, Verner J. Quality of life during and after inpatient stroke rehabilitation. Stroke 2003;34:801-5. http://dx.doi.org/10.1161/01.STR.0000057978.15397.6F

Kon K, Chua KSG, Tow AP. Clinical characteristics and functional outcome of stroke patients 75 years old and older. Phys Med Rehabil 1998;79:1535-9.

Sandin KJ, Smith BS. The measure of balance in sitting in stroke rehabilitation prognosis. Stroke 1990;21:82-6. http://dx.doi.org/10.1016/S0003-9993(98)90415-4

Kwakkel G, Wagenaar RC, Kollen BJ, Lankhorst GJ. Predicting disability in stroke: A critical review of the literature. Age Ageing 1996;25:479-89. http://dx.doi.org/10.1093/ageing/25.6.479

Loewen SC, Anderson BA. Predictors of stroke outcome using objectivemeasurement scales. Stroke 1990;21:78-81. http://dx.doi.org/10.1161/01.STR.21.1.78

Duarte E, Marco E, Muniesa JM, Belmont R, Diaz P, Tejero M, et al. Trunk control test as a functional predictor in stroke patients. J Rehabil Med 2003;34:267-72.

Denti L, Agosti M, Franceschini M. Outcome predictors of rehabilitation for first stroke in the elderly. Eur J Phys Rehabil Med 2008;44:3-11.

Bagg S, Pombo AP, Hopman W. Effect of age on functional outcomes after stroke rehabilitation. Stroke 2002;33:179-85. http://dx.doi.org/10.1161/hs0102.101224

ArboixA, García-Eroles L, Massons J, Oliveres M, Targa C. Acute stroke in very old people: clinical features and predictors of in-hospital mortality. J Am Geriatr Soc 2000;48:36-41. http://dx.doi.org/10.1161/01.STR.0000077924.71088.02

Portaria MS/GM nº 665, de 12 de abril de 2012 (endereço na internet). Brasil: Ministério da Saúde (atualizado em: 04/2012; acessado em: 12/2013). Disponível em: http://bvsms.saude.gov.br/bvs/saudelegis/gm../2012/PRT0665_12_04_2012. html

Thommenssen B, Bautz-Holter E, Laake K. Predictors of outcome of rehabilitation of elderly stroke patients in a geriatric ward. Clin Rehabil 1999;13:123-8. http://dx.doi.org/10.1191/026921599666507386

Ergeletzis D, Kevorkian CG, Rintala D. Rehabilitation of the older stroke patient: functional outcome and comparison with younger patients. Am J Phys Med Rehabil 2002;81:881-9.

Shah MV. Rehabilitation of the Older Adult with Stroke. Clin Geriatr Med 2006;22:469-89. http://dx.doi.org/10.1016/j.cger.2005.12.012

Schuster RC, Polese JC, Silva SLA, Perin V, Seben YP. Caracterização de internações hospitalares por acidente vascular encefálico na cidade de Passo Fundo – RS. Con Scientiae Saúde 2009;8:581-5.

Carvalho JJ, Alves MB, Viana GA, Machado CB, dos Santos BF, Kanamura AH, et al. Stroke epidemiology, patterns of management, and outcomes in Fortaleza, Brazil: a hospital-based multicenter prospective study. Stroke 2011;42:3341-6. http://dx.doi.org/10.1161/STROKEAHA.111.626523

European Stroke Organization (ESO). Guidelines for Management of Ischaemic Stroke and Transient Ischaemic Attack. Cerebrovas Dis 2008;25:457-507. http://dx.doi.org/10.1159/000131083

Shepherd R, Carr J. Reabilitação Neurológica: otimizando o desempenho motor. Barueri: Manole, 2008, 384p.

Ashburn A. Physical Recovery Following Stroke. Physiotherapy 1997;83:480-90. http://dx.doi.org/10.1016/S0031-9406(05)65636-2

Gray CS, French JM, Bates D, Cartlidge NEF, James OFW, Venables G. Motor Recovery Following Acute Stroke. Age and Ageing 1990;19:179-84. http://dx.doi.org/10.1093/ageing/19.3.179

Kwon S, Hartzema AG, Ducan PW, Min-Lai S. Disability measures in stroke: relationship among the Barthel Index, the Functional Independence Measure, and the Modified Rankin Scale. Stroke 2004;35:918-23. http://dx.doi.org/10.1161/01.STR.0000119385.56094.32

Downloads

Published

2014-09-30

Issue

Vol. 22 No. 3 (2014)

Section

Artigos Originais

How to Cite

1.
Silva MCL da, Polese JC, Starling JMP, Pereira LSM. Clinical and motor functional of hospitalized elderly after Stroke. Rev Neurocienc [Internet]. 2014 Sep. 30 [cited 2025 Dec. 19];22(3):337-43. Available from: https://periodicos.unifesp.br/index.php/neurociencias/article/view/8069