Functional recovery differs between ischaemic and haemorrhagic stroke patients.

Authors

  • Vera P.M. Schepers
  • Marjolijn Ketelaar
  • Johanna M.A. Visser-Meily
  • Vincent de Groot
  • Jos W.R. Twisk
  • Eline Lindeman

DOI:

https://doi.org/10.2340/16501977-0198

Keywords:

rehabilitation, cerebrovascular accident, cerebral infarction, intracerebral haemorrhage, activities of daily living

Abstract

OBJECTIVE: To determine whether there is a difference between patients with a cerebral infarction and those with an intracerebral haemorrhage with respect to the development of independence in activities of daily living over the first year post-stroke. METHODS: Patients after first-ever stroke who were admitted to an inpatient rehabilitation programme were included. The study had a longitudinal design and measurements took place at admission, 8, 10, 12, 26 and 52 weeks post-stroke. The relationship between the development over time of activities of daily living independence, measured by the Barthel Index, and type of stroke was analysed using Generalized Estimating Equations. RESULTS: A total of 229 patients with cerebral infarction and 45 with intracerebral haemorrhage were included. From 12 to 26 weeks post-stroke, patients with cerebral infarction showed a significantly faster recovery. The time window for recovery was more restricted for patients with intracerebral haemorrhage; a statistically significant increase in activities of daily living was found until 10 weeks post-stroke in patients with intracerebral haemorrhage, whereas patients with cerebral infarction showed statistically significant recovery until 26 weeks post-stroke. CONCLUSION: The differences in activities of daily living recovery between patients with cerebral infarction and those with intracerebral haemorrhage should be taken into consideration in rehabilitation management.

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Published

2008-06-05

How to Cite

Schepers, V. . P., Ketelaar, M., Visser-Meily, J. M., de Groot, V., Twisk, J. W., & Lindeman, E. (2008). Functional recovery differs between ischaemic and haemorrhagic stroke patients. Journal of Rehabilitation Medicine, 40(6), 487–489. https://doi.org/10.2340/16501977-0198

Issue

Section

Short Communication