Rehabilitation outcomes of stroke patients treated with multi-modal endovascular reperfusion therapy
European Journal of Physical and Rehabilitation Medicine,  Clinical Article

Meiner Z et al. – Multi–modal endovascular reperfusion therapy (MMRT)–treated patients have better chances of attaining independence after rehabilitation therapy. However, the additional improvements gained while in active rehabilitation were independent of reperfusion status.

Methods
  • Data from 14 MMRT-treated patients were analyzed and compared to MMRT-ineligible, age and stroke severity-matched patients treated at the same Neurological and Rehabilitation departments.
  • Neurological evaluation was assessed with the NIH stroke scale (NIHSS).
  • Activity of daily living was measured using the FIMTM instrument.
  • Functional outcome was measured using the modified Rankin scale (mRS).

Results
  • The baseline characteristics of both groups were similar.
  • NIHSS scores were lower in the MMRT group and they had slightly better functional and rehabilitation scores on admission to rehabilitation.
  • At the end of rehabilitation, more MMRT-treated patients reached functional independence (mRS≤2; 50% vs. 7% respectively P=0.03).
  • FIM scores were also higher in the MMRT group (mean score 93.3 vs. 87.7, respectively) but the difference did not reach significance.
  • The delta in FIM and NIHSS scores obtained during rehabilitation did not significantly differ between the groups.
  • MMRT remained a significant modifier of good outcome after regression analysis (OR 21.5 95% CI 1.1-410).

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