The benefits of coordinated rehabilitation in the treatment of stroke patients: A literature review

Authors

DOI:

https://doi.org/10.26641/2307-0404.2023.1.275869

Keywords:

post-stroke rehabilitation, FIM, rehabilitation after stroke, neurorehabilitation, community based rehabilitation

Abstract

The article reveals the features of coordinated rehabilitation – a process that leads to rehabilitating of people with neurological damage that limits their functionality. The purpose of the article is a literature review within the framework of GAJU 066/2022/S, funded by the grant agency of the South Bohemian University of Czech Budejovice, Czech Republic, examining the effectiveness of coordinated rehabilitation in patients recovering from strokes and the use of the standardized Functional Independence Measure (FIM) test to assess the patient’s condition. Data come from current Czech and foreign publications. The EDS multi-finder was used to search for literary sources. Document searches were from 2016-2022 in Czech and English. Search terms include post-stroke rehabilitation, FIM, rehabilitation after stroke, neurorehabilitation, and community based rehabilitation. The start of coordinated rehabilitation of stroke patients should be timely, long-term, comprehensive, and effective, involving a multidisciplinary approach and teamwork. It is essential to develop an individual approach and create a suitable individual plan that allows the use of the FIM test. This is the only way to establish long-term and mutually beneficial cooperation. As the cost of rehabilitation increases, the financial burden on the healthcare system also increases. Caring for a stroke patient also puts various burdens on the family. Successful rehabilitation can reduce the use of costly medicines and materials and decrease the need for nursing care and the term of hospital stay. The social costs of strokes are associated with long-term dependence and a low degree of resocialization. Considering the frequency of strokes and the associated disability, there is an increasing need for coordinated services within coordinated rehabilitation. Gaps in data on coordinated stroke rehabilitation should be filled by providing necessary information about long-term participation in community-based programs.

References

World Health Organization (WHO). Health statistics and information systems [Internet]. 2015 [cited 2022 Oct 26]. Available from: https://www.who.int/healthinfo/global_burden_disease/en

[General Health Insurance Company of the Czech Republic, Main Page General Health Insurance Company of the Czech Republic, main page]. [Internet]. 2022 [cited 2022 Oct 26]. Czech. Available from: https://www.vzp.cz/o-nas/aktuality/s-mrtvici-se-vloni-lecilo-o-13-mene-klientu-vzp-nez-pred-5-lety-diky-moderni-lecbe-mohou-byt-jeji-nasledky-mirnejsi

[Archive of applications 2022 Military Health Insurance Company ČR 201]. [Internet]. 2022 [ci-ted 2022 Oct 26]. Czech. Available from: https://www.vozp.cz/archiv-zadosti-2022

[Czech Republic fragment No. f4519046 of Dec-ree No. 39/2012 Coll., on dispensary care – wording from 1 May 2021. In: Laws for people]. [Internet]. 2010-2022 [cited 2022 Oct 26]. Czech. Available from: https://www.zakonyprolidi.cz/cs/2012-39#f4519046

RES-Q. [Internet]. [cited 2022 Oct 26]. Available from: https://qualityregistry.eu/the-project/about-uk

World Health Organization (WHO). Indicator Metadata Registry Lis. [Internet]. [cited 2022 Oct 26]. Available from: https://www.who.int/data/gho/indicator-metadata-registry/imr-details/158

Lindsay MP, Norrving B, Sacco RL, Brainin M, Hacke W, Martins S, et al. World Stroke Organization (WSO): Global Stroke Fact Sheet 2019. Int J Stroke. 2019 Oct;14(8):806-17. doi: https://doi.org/10.1177/1747493019881353

Thrift AG, Howard G, Cadilhac DA, Howard VJ, Rothwell PM, Thayabaranathan T, et al. Global stroke statistics: An update of mortality data from countries using a broad code of “cerebrovascular diseases.” Int J Stroke. 2017 Oct;12(8):796-801. doi: https://doi.org/10.1177/1747493017730782

Kim J, Thayabaranathan T, Donnan GA, Howard G, Howard VJ, Rothwell PM, et al. Global Stroke Statistics 2019. Int J Stroke. 2020 Oct;15(8):819-38. doi: https://doi.org/10.1177/1747493020909545

GBD 2016 Stroke Collaborators. Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2019 May;18(5):439-58. doi: https://doi.org/10.1016/S1474-4422(19)30034-1

Dunbar SB, Khavjou OA, Bakas T, Hunt G, Kirch RA, Leib AR, et al. Projected Costs of Informal Caregiving for Cardiovascular Disease: 2015 to 2035: A Policy Statement From the American Heart Association. Circulation. 2018 May 8;137(19):e558-77. doi: https://doi.org/10.1161/CIR.0000000000000570

Angerova Y, Marsalek P, Chmelova I, Gueye T, Uherek S, Briza J, et al. Cost and cost-effectiveness of early inpatient rehabilitation after stroke varies with initial disability: the Czech Republic perspective. Int J Rehabil Res. 2020 Dec;43(4):376-82. doi: https://doi.org/10.1097/MRR.0000000000000440

Gimigliano F, Negrini S. The World Health Organization "Rehabilitation 2030: a call for action". Eur J Phys Rehabil Med. 2017 Apr;53(2):155-68. doi: https://doi.org/10.23736/S1973-9087.17.04746-3

Vackova J. [Social work in the system of coordinated rehabilitation: for clients after acquired brain damage (especially CMP) with special attention to intervention from the point of view of social work, physiotherapy, occupational therapy and other selected professions]. Praha: Grada Publishing; 2020. Czech. doi: https://doi.org/10.32725/zsf.2020_124343

Ru X, Dai H, Jiang B, Li N, Zhao X, Hong Z, et al. Community-Based Rehabilitation to Improve Stroke Survivors’ Rehabilitation Participation and Functional Recovery. Am J Phys Med Rehabil. 2017 Jul;96(7):e123-9. doi: https://doi.org/10.1097/PHM.0000000000000650

Winstein CJ, Stein J, Arena R, Bates B, Cherney LR, et al. Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2016 Jun;47(6):e98-169. Erratum in: Stroke. 2017 Feb;48(2):e78. Erratum in: Stroke. 2017 Dec;48(12):e369. doi: https://doi.org/10.1161/STR.0000000000000098.

Minor M, Jaywant A, Toglia J, Campo M, O'Dell MW. Discharge Rehabilitation Measures Predict Activity Limitations in Patients With Stroke 6 Months After Inpatient Rehabilitation. Am J Phys Med Rehabil. 2022 Aug 1;101(8):761-7. doi: https://doi.org/10.1097/PHM.0000000000001908

Lippert-Gruner M. [Neurorehabilitace]. Praha: Galén; 2005. 350 p. Czech.

Ng YS, Tan KH, Chen C, Senolos GC, Koh GC. How Do Recurrent and First-Ever Strokes Differ in Rehabilitation Outcomes? Am J Phys Med Rehabil. 2016 Oct;95(10):709-17. doi: https://doi.org/10.1097/PHM.0000000000000502

Valach LK, Selz B. Rehabilitation programs monitored by functional independence measure: an observational study. Int Phys Med Rehab J. 2017;2(1):11-6. doi: https://doi.org/10.15406/ipmrj.2017.02.00039

Langhammer B, Sunnerhagen KS, Lundgren-Nilsson Å, Sällström S, Becker F, Stanghelle JK. Factors en-hancing activities of daily living after stroke in specialized rehabilitation: an observational multicenter study within the Sunnaas International Network. Eur J Phys Rehabil Med. 2017 Oct;53(5):725-34. doi: https://doi.org/10.23736/S1973-9087.17.04489-6

Li TK, Ng BH, Chan DY, Chung RS, Yu KK. Factors predicting clinically significant functional gain and discharge to home in stroke in-patients after rehabilitation – A retrospective cohort study. Hong Kong J Occup Ther. 2020 Dec;33(2):63-72. doi: https://doi.org/10.1177/1569186120979428

Boissoneault C, Grimes T, Rose DK, Waters MF, Khanna A, Datta S, et al. Innovative Long-Dose Neurorehabilitation for Balance and Mobility in Chronic Stroke: A Preliminary Case Series. Brain Sci. 2020 Aug 14;10(8):555. doi: https://doi.org/10.3390/brainsci10080555

Duncan PW, Bushnell CD, Rosamond WD, Jones Berkeley SB, Gesell SB, D’Agostino RB Jr, et al. The Comprehensive Post-Acute Stroke Services (COMPASS) study: design and methods for a cluster-randomized pragmatic trial. BMC Neurol. 2017 Jul 17;17(1):133. doi: https://doi.org/10.1186/s12883-017-0907-1

Kovarova I, Okaábcova T, Gueye T, Svestkova O. [Stroke: Recommendations for Patients and Their Families]. Rehabilitation and Physical Medicine. 2018;3:126-30. Czech. Available from: https://www.prolekare.cz/casopisy/rehabilitace-fyzikalni-lekarstvi/2018-3-25/cevni-mozkova-prihoda-soubor-doporuceni-pro-pacienty-a-jejich-rodiny-106639

Ru X, Dai H, Jiang B, Li N, Zhao X, Hong Z, et al. Community-Based Rehabilitation to Improve Stroke Survivors' Rehabilitation Participation and Functional Recovery. Am J Phys Med Rehabil. 2017 Jul;96(7):e123-9. doi: https://doi.org/10.1097/PHM.0000000000000650

Saumur TM, Gregor S, Xiong Y, Unger J. Quantifying the amount of physical rehabilitation received by individuals living with neurological conditions in the community: a scoping review. BMC Health Serv Res. 2022 Mar 16;22(1):349. doi: https://doi.org/10.1186/s12913-022-07754-4

Kaendler S, Ritter M, Sander D, Elstner M, Schwarzbach C, Wagner M, et al. [Position paper on stroke aftercare of the German Stroke Society-Part 1: long-term care after stroke: status quo of the reality and deficits of care in Germany]. Nervenarzt. 2022 Apr;93(4):368-76. German. doi: https://doi.org/10.1007/s00115-021-01231-9

Bilda K, Stricker S. [Trained stroke helpers: Voluntary care model in outpatient stroke aftercare]. Z Gerontol Geriatr. 2021 Feb;54(1):28-36. German. Erratum in: Z Gerontol Geriatr. 2021 Jan 4; PMID: 33231762; PMCID: PMC7835164. doi: https://doi.org/10.1007/s00391-020-01816-0

Akhtar N, Khan A, Ayyub A. Effect of Delayed Post-Stroke Rehabilitation Program on Patient’s Functional Outcome. Pakistan Armed Forces Medical Journal. 2018;68(6):1672-6.

Hirota T, Hamada Y, Kaburagi T, Kurihara Y. Estimation of Functional Independence Measure Motor Score Based on a Trunk Control Model. International Journal of Affective Engineering. 2022;21(2):101. doi: https://doi.org/10.5057/ijae.IJAE-D-21-00013

Tyagi S, Koh GC, Luo N, Tan KB, Hoenig H, Matchar DB, et al. Dyadic approach to supervised community rehabilitation participation in an Asian setting post-stroke: exploring the role of caregiver and patient characteristics in a prospective cohort study. BMJ Open. 2020 Apr 23;10(4):e036631. doi: https://doi.org/10.1136/bmjopen-2019-036631

Norrving B, Barrick J, Davalos A, Dichgans M, Cordonnier C, Guekht A, et al. Action Plan for Stroke in Europe 2018-2030. Eur Stroke J. 2018 Dec;3(4):309-36. doi: https://doi.org/10.1177/2396987318808719

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Published

2023-03-30

How to Cite

1.
Shuranova L, Vacková J, Míková M. The benefits of coordinated rehabilitation in the treatment of stroke patients: A literature review. Med. perspekt. [Internet]. 2023Mar.30 [cited 2024Apr.18];28(1):48-55. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/275869

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Section

THEORETICAL MEDICINE