Early Mobilization of Mild-Moderate Intracerebral Hemorrhage Patients in a Stroke Center: A Randomized Controlled Trial
Journal
Neurorehabilitation and Neural Repair
Journal Volume
34
Journal Issue
1
Pages
72-81
Date Issued
2020
Author(s)
Abstract
Background. Few studies have addressed early out-of-bed mobilization specifically in acute intracerebral hemorrhage (ICH) patients. Patient benefit in such cases is unclear, with early intervention timing and duration identical to those in standard care. Objective. We investigated the efficacy of an early mobilization (EM) protocol, administered within 24 to 72 hours of stroke onset, for early functional independence in mild-moderate ICH patients. Methods. Sixty patients admitted to a stroke center within 24 hours of ICH were randomly assigned to early mobilization (EM) or standard early rehabilitation (SER). The EM group underwent an early out-of-bed mobilization protocol, while the SER group underwent a standard protocol focusing on in-bed training in the stroke center. Intervention in both groups lasted 30 minutes per session, once a day, 5 days a week. Motor subscales of the Functional Independence Measure (FIM-motor; primary outcome), Postural Assessment Scale for Stroke Patients, and Functional Ambulation Category (FAC) were evaluated (assessor-blinded) at baseline, and at 2 weeks, 4 weeks, and 3 months after stroke. Length of stay in the stroke center was also recorded. Results. The EM group showed significant improvement in FIM-motor score at all evaluated time points (P =.004) and in FAC outcomes at 2 weeks (P =.033) and 4 weeks (P =.011) after stroke. Length of stay in the stroke center was significantly shorter for the EM group (P =.004). Conclusion. Early out-of-bed mobilization via rehabilitation in a stroke center, within 24 to 72 hours of ICH, may improve early functional independence compared with standard early rehabilitation. Clinical Trial Registration: NCT03292211. ? The Author(s) 2019.
SDGs
Other Subjects
adult; Article; brain hemorrhage; controlled study; early intervention; female; follow up; Functional Independence Measure; functional training; human; length of stay; locomotion; major clinical study; male; middle aged; mobilization; muscle strength; parallel design; prospective study; randomized controlled trial; self care; single blind procedure; stretching exercise; stroke patient; stroke rehabilitation; treatment duration; aged; brain hemorrhage; procedures; rehabilitation center; severity of illness index; very elderly; young adult; Adult; Aged; Aged, 80 and over; Female; Hemorrhagic Stroke; Humans; Length of Stay; Male; Middle Aged; Outcome Assessment, Health Care; Rehabilitation Centers; Severity of Illness Index; Single-Blind Method; Stroke Rehabilitation; Young Adult
Publisher
SAGE Publications Inc.
Type
journal article