Balance and Walking Speed Outcomes in Individuals Receiving Inpatient Rehabilitation for Acute Cerebellar Stroke.

IF 2.4 Q1 NURSING Nursing Reports Pub Date : 2024-10-10 DOI:10.3390/nursrep14040214

Uzair Hammad, Abigail W Anderson, Emma Scammon, Reid Whiting, Juan Pablo Rodriguez, Rolando T Lazaro, Morris Casano Beato

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Abstract

Background/objectives: Cerebellar strokes account for only 2-3% of all strokes occurring annually in the United States but represent a disproportionally higher share of morbidity and mortality. Evidence examining the effect of inpatient rehabilitation on functional outcomes following a cerebellar stroke is limited. This study aimed to examine the effects of inpatient rehabilitation on balance and walking speed in individuals with cerebellar stroke. A secondary purpose of this study was to examine the length of inpatient rehabilitation stay of the included patients.

Methods: A retrospective analysis was conducted using review of patient records during their inpatient rehabilitation stay from January 2021 to February 2022 at a large hospital system in the southeast United States. Balance and gait outcomes were examined on admission and discharge from inpatient rehabilitation that included physical therapy interventions. A paired t-test examined for changes in outcomes from admission to discharge. Pearson correlation examined for the association between length of stay and outcomes.

Results: A total of 15 records were reviewed. There were significant improvements in the Berg Balance Scale (BBS), Postural Assessment Scale for Stroke (PASS), and the 10-Meter Walk Test (10MWT) (p's < 0.01) from admission to discharge with large effect sizes (range d = 0.70-1.67) following inpatient rehabilitation. The average length of stay was 12.67 days (SD = 6.5) and the mean total hours of combined occupational, physical, and speech therapy was 27.33 (SD = 6.52) h. There was a moderate association between length of stay and PASS (r = 0.525, p = 0.04) and BBS (r = 0.546, p = 0.04) outcomes.

Conclusions: Patients who underwent inpatient rehabilitation following acute cerebellar strokes demonstrated improvements in balance and gait speed. Study results could assist clinicians designing interventions for patients with cerebellar strokes in the inpatient rehabilitation setting.

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接受急性小脑卒中住院康复治疗的患者的平衡能力和行走速度效果。

背景/目的：在美国每年发生的所有脑卒中中，小脑卒中仅占 2-3%，但其发病率和死亡率却高得不成比例。研究住院康复对小脑卒中后功能预后影响的证据非常有限。本研究旨在探讨住院康复治疗对小脑卒中患者平衡能力和行走速度的影响。本研究的另一个目的是研究纳入患者的住院康复时间：方法：研究人员对美国东南部一家大型医院系统 2021 年 1 月至 2022 年 2 月期间住院康复患者的病历进行了回顾性分析。对住院康复患者入院和出院时的平衡和步态结果进行了研究，其中包括物理治疗干预。配对 t 检验检测了从入院到出院期间的结果变化。皮尔逊相关性检验了住院时间与结果之间的关联：共审查了 15 份记录。住院康复治疗后，从入院到出院，Berg 平衡量表（BBS）、卒中姿势评估量表（PASS）和 10 米步行测试（10MWT）均有明显改善（p's < 0.01），且影响大小较大（范围 d = 0.70-1.67）。住院时间与PASS（r = 0.525，p = 0.04）和BBS（r = 0.546，p = 0.04）结果之间存在中度关联：结论：急性小脑卒中后接受住院康复治疗的患者在平衡能力和步速方面都有所改善。研究结果有助于临床医生在住院康复环境中为小脑卒中患者设计干预措施。

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来源期刊

Nursing Reports NURSING-

CiteScore

2.50

自引率

4.20%

发文量

期刊介绍： Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.