The rehabilitation of patients after the cerebral stroke including socio-demographic factors

Marzena Kobylańska, Bartosz M. Wójcik, Renata Szczepaniak, Zbigniew Śliwiński

M. Kobylańska, B. M. Wójcik, R. Szczepaniak, Z. Śliwiński – The rehabilitation of patients after the cerebral stroke including socio-demographic factors. FP 2016;16(4);82-97

Abstract

Introduction. According to the World Health Organization, cerebral stroke constitutes the third largest cause of death just after heart disease and cancer. It is estimated that every year 4.6 million people die due to stroke, including 3.2 in developing countries and 1.2 in developed ones. It has been observed that the effectiveness of physiotherapy in patients after a stroke depends on biological factors but also on their socio-economic condition.
The dissertation goal. The goal of this dissertation is to analyze the role of socio-demographic factors in the process of physiotherapy for patients after a cerebral stroke.
Materials and methods. The research has been carried out at the neurological rehabilitation ward of the Wrocław Center for Rehabilitation and Sports Medicine. The research group consisted of 120 patients after cerebral stroke. The examination was conducted at two time intervals – on the first day of the patient’s treatment at the neurological rehabilitation ward, and after three weeks of rehabilitation. All the patients participated in the systematic physiotherapy, which is a standard procedure at the neurological rehabilitation ward, where they had a defined schedule of frequency and time of rehab. A full research cycle lasted for three weeks for every patient. The following methods were used in the research: Barthel Scale (Barthel Index, BI), Lawton Scale (Instrumental Activity of Daily Living (IADL), Rivermead Mobility Index (RMI), Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Generalized Self – Efficacy Scale (GSES), Acceptance of Illness Scale (AIS), and Visual Analogue Scale (VAS).
Results. Factors regarding the biological nature of the patient’s condition such as age, time since the stroke, type of stroke, and number of coexisting diseases have a definite impact on the low effectiveness of the physiotherapy conducted at the neurological rehabilitation ward. Socio-demographic factors, marital status, professional activity, and kind of job, also have an impact on the low effectiveness of the conducted physiotherapy.
Conclusions. Comprehensive rehabilitation of neurological patients after the cerebral stroke, taking into account socio-demographic factors is essential to achieve high effectiveness of physiotherapy.

Keywords:

stroke, physiotherapy, socio-demographic factors

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