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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
A Journal on Physical Medicine and Rehabilitation after Pathological Events
Official Journal of the , , , ,
In association with
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063
Europa Medicophysica 2003 March;39(1):7-17
Stroke and rehabilitation: Italian Cooperative Rese-arch (ICR2)
Franceschini M., Branchini W., Brianti R., De Camillis E., Ferrari L., Galvagni R., Lenti G., Manca M., Mayer F., Molteni F., Perdon L., Procicchiani D., Todeschini E., Zaccala M., Agosti M., Casella G., Celani M. G., Citterio M. A., Masucci M., Spizzichino L.
ITALIAN COOPERATIVE RESEARCH ICR2*
Aim. Stroke is one of the most common cause of disability in our country. The human and economic weight of stroke explains the higher demand for rehabilitation intervention. The purpose of this prospective study (Italian Cooperative Research: ICR2) is to describe the demographic and clinical factors of the trend in motor recovery, disability and quality of life for a sample of 1023 1st stroke patients involved in a rehabilitative program.
Methods. Motor and neuropsychological impairment scales (Motricity Index: MI, Trunk Control Test: TCT, Upright Motor Control Test: UMCT, Mini Mental State Examination: MMSE), disability and handicap scales (Barthel Index: BI, Functional Independence Measure: FIM, Oxford Handicap Scale- Rankin scale) and quality of life scale (EuroQol) were used.
Results. The mean age of the population was 69.5 years, SD 12.1; 51.4% was male and 75% had an ischemic lesion. Right hemisphere was affected in 49.7%. Length of stay (LOS) was 52.9 days, following a waiting time of 26 days to enter rehabilitative hospitalization. MI improvement was important (p<0.0001) 15.7±16.9 (CI: 14.6-16.8), like TCT 25.2±24.4 (CI: 23.7-26.8) and MMSE (p<0.00001) 2.7±6.3 (CI: 2.2-3.2). FIM gain was 25.7±17.6 and Barthel gain was 6.1±4.2.
Conclusions. This study has shown how the Italian answer in rehabilitation is very heterogeneous and fragmental (important data variation), and is similar to international situation. Anyhow, it has been useful to define a common methodology of evaluation about stroke patients’ improvement during the rehabilitative treatment and to use a database for data collection.