Rehabilitation outcomes of stroke patients treated with multi-modal endovascular reperfusion therapy
European Journal of Physical and Rehabilitation Medicine, 05/15/2012
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).
- 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).