Effect of very early mobilisation on functional status in patients with acute stroke: a single-blind, randomized controlled trail.

Abstract:

OBJECTIVE:To evaluate the effect of very early mobilisation on functional status following acute stroke. DESIGN:Single blind, randomized controlled trial. SETTING:University hospital. SUBJECTS:Eighty-six patients with acute stroke (42 men and 38 women) aged 30-80 years were randomized to an Intervention group and a Standard care group. INTERVENTIONS:All participants received 45 minutes standard care once a day for seven days. In addition, the intervention group (n=43) performed very early mobilisation consisting of early and frequent out of bed activities which started within 24 hours of stroke onset for 5 to 30 minutes at least twice a day, for seven days. OUTCOME MEASURES:Functional status was measured with Barthel ADL Index on admission, discharge and three months follow up. RESULTS:Intervention group showed a significant improvement in Barthel Index change scores (discharge - admission) (median=35, IQR=30-38.75 versus median=17.50, IQR=10-30) than the standard care group. Intervention group showed a significant improvement in Barthel Index change scores (three month follow up - admission) (median=42.50, IQR=35-55) versus (median=30, IQR=20-35) than the standard care group. The Intervention group reported statistically significant improvement in functional status at discharge (P<0.001) and at three months follow up (P<0.001) compared with the Standard care group. CONCLUSIONS:The results indicate that very early mobilisation in addition to the standard care may be effective in improving the functional status following acute stroke.

journal_name

Clin Rehabil

journal_title

Clinical rehabilitation

authors

Chippala P,Sharma R

doi

10.1177/0269215515596054

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

669-75

issue

7

eissn

0269-2155

issn

1477-0873

pii

0269215515596054

journal_volume

30

pub_type

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