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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici
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Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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PROTOCOLLO DI MINIMA PER L’ICTUS (PMIC - MINIMAL PROTOCOL FOR STROKE)
European Journal of Physical and Rehabilitation Medicine 2008 Settembre;44(3):277-81
Application of “Protocollo di Minima per l’Ictus” (PMIC - Minimal Protocol for Stroke) for inpatient rehabilitation setting
Piazzini D. B. 1, Ferrara P. E. 1, Maggi L. 1, Frasca G. 1, Aprile I. 2, Rabini A. 1, Specchia A. 1, Bertolini C. 1 ✉
1 Department of Physical Medicine and Rehabilitation Catholic University, Rome, Italy
2 Don Carlo Gnocchi Foundation, Rome, Italy
Aim. The aim of this study was to describe the baseline characteristics of a sample of stroke patients admitted to rehabilitation settings with the use of a standardised stroke assessment named “Protocollo di Minima per l’ictus cerebrale” (PMIC), to verify the usefulness of the application of PMIC and to compare the data of the authors with the international literature.
Methods. An observational cross sectional study was conducted on a sample of 102 first-time stroke patients (mean age: 71.9 [±11.6], 54 men), in three inpatient rehabilitation centres. Measurement: PMIC.
Results. Most patients were enrolled within 14 days of stroke onset. PMIC assessment took on average 20 minutes and provided the following information: 35% had architectural barriers in their homes; 82% of the cases had 1 or more family assistants; the educational level was low for 53%; 72% were retired; most cases were ischemic stroke without any side predominance being shown; 44% had partial anterior circulation infarcts (PACI) ischemic stroke; 18.6% presented dysphagia; 73% had sphincteral incontinence; there was no hypertone in more than 50% of the cases; 87% required assistance; the median Motricity Index Side Score (Miss) value was 44.1; 38% was affected by mood tone alteration.
Conclusion. PMIC appeared to be a useful tool for a standardized evaluation of stroke patients. These results provide data with a high correspondence in international reports.