Importance of Early Rehabilitation in Stroke Patients (stroke)

Bezmialem Vakif University

Status

Completed

Conditions

Stroke

Treatments

Other: Demonstration the Importance of Early Rehabilitation in Stroke Patients Based on Diffusion Tensor Imaging Data

Study type

Interventional

Funder types

Other

Identifiers

NCT03965910

28/09/2016-12 /25

Details and patient eligibility

About

Stroke is one of the leading health problems in the community and it is the most common life-threatening neurological disease impairing the quality of life. Early rehabilitation of stroke is very important. The purpose of our study was to evaluate, through clinical examination, whether there was any difference between patients who underwent early rehabilitation and those who underwent late rehabilitation in terms of improvements in motor and functional impairment after rehabilitation, and also to evaluate this difference objectively by analyzing white-matter pathways (corticospinal tracts) using DTI.

Full description

Methods: Twenty-eight (28) adults (12 women, 16 men, average age 58 years) with first-time stroke who met the study criteria were divided into two groups depending on the duration of their stroke at the time of their presentation to our facility. Group 1 consisted of patients who underwent rehabilitation program within the first 1-4 weeks after stroke, whereas Group 2 consisted of patients who underwent rehabilitation program within 5-8 weeks after stroke. Both groups were evaluated using the BRS, FMA scale, FAC and BI scales. For cranial imaging, DTI was obtained 1 day before and 1 day after treatment. FA and ADC values of corticospinal tracts were performed using DTI.

Intervention: Patients were enrolled in a rehabilitation program, which was designed for a total of 4 weeks, with daily sessions lasting a total of 1 h on 5 days of a week.

Enrollment

28 patients

Sex

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients suffering cerebrovascular accident (CVA)-associated stroke for the first time with a cortical or subcortical unilateral ischemia or hemorrhage
The patients aged 35-75 years
Patiients with ability to understand and follow the instructions
Patients with the absence of serious cognitive deficits.

Exclusion criteria

Patients who had spinal-cord lesion
Patients who had history of traumatic brain injury,
Patients who had accompanying neurological disease (multiple sclerosis, Parkinson's disease, dementia)
Patients who had tumor
Patients who had history of convulsions