Tag: functional status

The effect of early rehabilitation on locomotor function in post-stroke patients – preliminary report

Emil Domański, Magdalena Wilk, Wojciech Kiebzak, Zbigniew Śliwiński

Emil Domański, Magdalena Wilk, Wojciech Kiebzak, Zbigniew Śliwiński – The effect of early rehabilitation on locomotor function in post-stroke patients – preliminary report. Fizjoterapia Polska 2008; 8(1); 83-95

Abstract
Background. Cerebral stroke is defined by the WHO as sudden onset of rapidly developing clinical signs of focal disturbance of cerebral function, with symptoms lasting longer then 24h, or leading to death, caused by changes in the arterial or vascular system of the brain. The aim of this study was to assess the effect to early rehabilitation on the locomotor function in stroke patients. Material and method. A group of 30 patients with hemiparesis within 24h after the onset of stroke and after 14 days of rehabilitation. The locomotor assessment was carried out according to the PNF functional status of muscles and gait patterns. Activities of daily living were evaluated according to the Repty Functional Index (RFI) and the Simple Chart of Locomotor Activities (PKCM). The level of disability was graded to the Rankin scale. For logistic reasons, the study did not include a control group, so that the paper is treated as a preliminary report.Results. Locomotor improvement was achieved in 40% of patients, with reduction in disability in 50%. Improved locomotor function led to urinary function improvement in 50% of patients. Motor dysfunction of the upper limb was reduced thanks to physiotherapy in 40% of patients. Conclusions. Early rehabilitation leads to improved function as defined by the functional status of muscles and hait patterns. The adopted rehabilitation programme resulted in improved functional indepedence evaluated on the basis of the Repty Functional Index (WFR) and Simple Chart of Activities (PKCM). The locomotor improvement resulted in urinary improvement in 50% of patients. Early rehabilitation improved the locomotor function of the paretic upper limb. The conclusions need to be verified in further studies with control groups.
Key words:
cerebral stroke, hemiparesis, early rehabilitation, functional status
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Factors influencing functional performance of patients after hip joint arthroplasty

Małgorzata Kilon, Agnieszka Przedborska, Joanna Kostka, Agnieszka Leszczyńska, Jan W. Raczkowski

M. Kilon, A. Przedborska, J. Kostka, A. Leszczyńska, J. W. Raczkowski – Factors influencing functional performance of patients after hip joint arthroplasty. Fizjoterapia Polska 2019; 19(2); 122-128

Abstract
Aim. The aim of the study was to assess factors affecting functional status of patients after total unilateral hip arthroplasty.
Material and methods. A total of 50 patients (33 women, 17 men), aged 29-88 years (mean 66,7 ± 13 years) with unilateral hip joint prosthesis were included in the study. The assessment of the balance and gait function was made on the basis of the following tests: Tinetti, Timed Up and Go (TUG) and the two scales test, on the basis of which the Symmetry Index (SI) was calculated. The degree of pain sensation while walking on a flat surface and on stairs and the level of stiffness were estimated using the Likert scale. To assess the ability to perform simple and complex daily activities, the Katz ADL (Activities of Daily Living) and the Lawton IADL (Instrumental Activities of Daily Living) scales were used. Self-assessment of the quality of life was also made on the basis of a numerical rating scale. Moreover, the body mass index (BMI) was calculated.
Results. Age of patients, pain and stiffness determined the majority of test results and functional scales. Patients suffering from more diseases achieved worse results in the Tinetti test. Only the severity of pain while climbing the stairs affected the SI result. Patients reporting more severe pain and morning stiffness were characterized by poorer self-assessment of their quality of life.
Conclusions. Age, pain and morning stiffness affect the functional status and the quality of life of patients with unilateral hip prosthesis. BMI and the time that elapsed since surgery did not affect the patients’ condition.

Key words:
hip joint arthroplasty, quality of life, functional status

 

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