Research Article

Neurological and Quality of Life outcomes after Early Transdisciplinary Rehabilitation Post Stroke: Prospective 2-year Analysis in Buenos Aires, Argentina

Author: Karina Bustos

The aim of this research was to evaluate the effectiveness of transdisciplinary neurorehabilitation initiated early in post-stroke patients in Argentina. Methods: Consecutive patients with ischemic stroke were analyzed in which neurorehabilitation was initiated before 24 weeks of the acute episode and followed for at least 24 months after admission to the center. At baseline and every 3 months quality of life (SF-36 instrument) and Functional Impact (measured by FIM) were evaluated as outcome measures. Demographic and clinical variables were registered at study entry and during follow up (post-stroke disability, time in rehabilitation, age, sex, related caregiver, work status and educational level). Stepwise regression analysis and linear correlation was used to evaluate rehabilitation on outcome measures. Results: 22 patients were included, mean age 62.7 ± 15 years, 6 (27.3%) women, mean time of follow-up 27 ± 3 months. Rehabilitation was significantly associated with an increase in the quality of life as well as the functional status independently of other variables (p = 0.001, r 0.85 and p = 0.005, r = 0.80, respectively). Conclusion: early transdisciplinary rehabilitation used in stroke patients was associated with a significant increase in quality of life and functional status independently of other variables in included patients.