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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 Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
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Europa Medicophysica 2003 March;39(1):7-17

language: English

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*


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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.

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