Return to work after stroke plays an important role in reintegration to normal living in the community. Objective; (1) to estimate the prevalence of patients who return to work after stroke and (2) to describe the predictors of return to work. Methods: A follow up study was performed to examine the proportion of patients who return to work one year after stroke in the community and factors influencing on ocupational outcomes. Results: The proportion of patients who return to work one year after stroke was 39.7%, in which 31.6% can do their previous work. The adjusted odds ratios of return to work for patients with severe stroke (Orgogozo<25) versus patients with less severe stroke (Orgogozo>=25), with older patients versus younger patients were 3.08 (P<0.05) and 1.99 (P<0.05), respectively. Gender did not influence on return to work after the event. Conclusions: The proportion of return to work after stroke was not high and less severe stroke, young age were significant predictors of return to work after stroke.
Stroke, Stroke/rehabilitation

337 patients with the first ever strokes were treated at the hospital of Hai Duong province from January 1999 to December 2000. All poststroke patients were evaluated their functional outcome at admission and discharge; 3 months and one year after stroke onset by using the Bathel score. After one year poststroke, 209 patients (62%) were still alive and followed up continuously; 128 patients died (38%). The average Bathel score were 83; 48.3% of patients had independent activities of daily living (ADL). After one year poststroke, the rate of movement function defects in arms was 66.5%; leg function impaired 54.5%; speech disorders 23.2%; bowel incontinent 8.6%. This study confirmed there were the high rate of mortality and decreased ADL in community-living stroke survivors one year after stroke. A high proportion of movement function defects prevents the patients from reintegrating to normal living.
Stroke ; Stroke/rehabilitation

Study on 54 cerebral stroke- induced hemiplegia, ≥40 year-old patients at the first time, treated by movement massage approach in Hue Traditional Medical Hospital from August 2002. The results: massage and movement method in rehabilitation of hemiplegia patients achieved good results: 78% could lift up the arm, 74% could lift up the leg, 29% recovered movement of the hand. The effectiveness of the method were similar to that of electro-acupuncture method (p<0.01)
Stroke ; Stroke/rehabilitation ; Encephalomalacia

No abstract available.
Rehabilitation* ; Stroke*

There are some different methods of movement rehebilitation for stroke patients. Bobath's method is one of the best that we can put into practice of our condition. 115 stroke patients were rehebilitated at Rehabilitation department Bach Mai hospital from 1996 to 2000. The avarage time for rehebilitation of patients in hospital is 4 weeks. After rehebilitation, all of movement indexes of sitting, standing and walking of stroke patients had statistic significance change. Patients under 60 years old had better results than patients above 60 years old. After rehebilitation 4 weeks in the Rehabilitation department 79.1% of patient can sit; 68.7% patient can stand; 61.7% patient can walk independently.
Stroke/rehabilitation ; Rehabilitation ; Motor Skills

A prospective, cross sectional study on 70 acute cerebral infarction patients from 40 to 84 years of age was carried out at The Stroke Centre of Central Military Hospital 108 between July 2004 and June 2005. the patients were diagnosed by clinical examination and cerebral X-ray computed tomography. Results as followed: among these patients, sudden onset occurred in 94.3%, mainly in the morning (55.7%). Risks factors: hypertension 78.6%, dyslipidemia 85.7%, diabetes 18.6%, ischemic 21.4%. Clinical symptoms: hemiplegia 97.1%, cerebral nerve damage 81.4%, language disorder 47.1%... Hyperglycemia at acute stage of stroke were common with 54.3%. Serve paralyze were more common in hyperglycemia group. This suggested that persisitent hyperglycemia at acute stage of stroke associated with worse clinical outcome and rehabilitation after stroke
Hyperglycemia ; Stroke ; Rehabilitation

No abstract available.
Hong Kong* ; Rehabilitation* ; Stroke*

PURPOSE: The purpose of this study was to compare to aquatic treadmill and anti-gravity treadmill gait training to improve balance and gait abilities in stroke patients. METHODS: All subjects were randomly divided into three groups where nine subjects were in the aquatic treadmill group, eight subjects in the anti-gravity treadmill group, and ten subjects in the control group. Subjects in the aquatic treadmill group and the anti-gravity treadmill group received gait training during 30 minutes, with 3 sessions per week for 4 weeks, and subjects in all groups received conventional physical therapy during 30 minutes, with 5 sessions per week for 4 weeks. All subjects were assessed with the Berg balance scale (BBS), timed up and go test (TUG) and 10-meter walk test (10MWT) pre and post intervention. RESULTS: Results showed that BBS, TUG and 10MWT scores significantly improved post-intervention (p < 0.05), and the control group also had significantly improved in all areas pre-post intervention (p < 0.05). In addition, it has been confirmed that aquatic treadmill group and anti-gravity treadmill group had significantly improved in BBS, TUG and 10MWT scores compared with the control group (p < 0.05). However, no significant difference was found in the comparison between the aquatic treadmill and the anti-gravity treadmill group. CONCLUSION: Finding of this study suggested that aquatic treadmill and anti-gravity treadmill improves balance and gait abilities in stroke patients.
Gait* ; Humans ; Rehabilitation ; Stroke*

OBJECTIVE: To examine the relationship of the Berg Balance Scale (BBS) and Functional Independence Measure (FIM) in stroke patients. METHOD: Ninety-two subjects with the first attack of stroke were enrolled to assess BBS, FIM at admission and discharge following rehabilitation programs. We divided subjects into three groups by severity of BBS at the first evaluation. Group I was low BBS (score< or =12), Group II was medium BBS (13< or =score< or =42), and group III was high BBS (score> or =43). The admission BBS and the admission FIM, and the admission BBS and the discharge FIM were compared, and also the relationship between them were assessed at the admission and/or discharge. RESULTS: Admission and discharge BBS of all three groups were significantly different, respectively (p <0.01). Admission and discharge FIM of all three groups were also significantly different (p <0.01). There was highly correlated with admission BBS and admission FIM (r=0.529, p <0.01), and moderately correlated between admission BBS and discharge FIM (r=0.43, p <0.05). Also there was high relationship between BBS gain and FIM gain (r=0.516, p <0.01). CONCLUSION: These results indicated that balance function could affect functional ability during rehabilitation programs and BBS was a useful tool to predict discharge functional status in hemiplegic subjects with stroke.
Humans ; Rehabilitation ; Stroke*

OBJECTIVE: To investigate the effect of rehabilitation therapy on functional recovery in chronic stroke patients. METHOD: Brunnstrom stage for neurologic recovery, modified Barthel index (MBI) for functional recovery, and possi bility of gait were assessed in 66 chronic stroke patients. MBI and possibility of gait were compared the patients who received rehabilitation therapy (Rehab patients) with the patients who did not receive rehabilitation therapy (non- Rehab patients) in each Brunnsrom stage. RESULTS: In Brunnstrom stage III, 13 of 15 Rehab patients could walk 10 m or more, but none of 7 non-Rehab patients could walk independently, and this difference was statistically significant. MBI score was also significantly higher in Rehab patients than non-Rehab patients (71.3 vs 18.9, p=0.000) in Brunnstrom stage III. In Brunnstrom stage IV, V, VI, MBI score and possibility of gait were higher in Rehab patients than non-Rehab patients, but not significant. CONCLUSION: We can confirm the effect of rehabilitation therapy on functional recovery, and this effect seems to be more decisive in neurologically low recovery status patients.
Gait ; Humans ; Rehabilitation* ; Stroke*