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Structured Periodic Rehabilitation Intervention Sessions To Stroke Patients. A Longitudinal Review

Original article



Despite evidence showing that structured rehabilitation after stroke improves functional outcomes,  providing  seamless  rehabilitation  from  hospital  to  community  has  been elusive.  The  service  provided  should  be  able  to  accommodate  variable  degree  of impairments and needs of the stroke survivors.  This study aimed to assess the outcome of  a  multidisciplinary-based  outpatient  rehabilitation  service  for  stroke  patients  living  in the  community.  Patients  who  were  discharged  from  Universiti  Kebangsaan  Malaysia Medical  Centre  after  an  acute  stroke  were  referred  to  the  Combined  Stroke Rehabilitation  Clinic  (CSRC).  Post  stroke  patients  were  assigned  individually  designed programs which were problem based and used task specific activities to achieve desired goals. Patients were reviewed on a regular basis either up to completion of the 2 year- program, or are able to be discharged to the community, whichever is earlier. Modified Barthel Index (MBI) and Berg Balance Scores (BBS) were used for monitoring. A total of 68 patients were managed in CSRC for two years since its initiation, with mean age of 62.4 years (SD 12.4) with the mean duration of stroke when first reviewed in CSRC was 11.5 months (SD 11.9). Majority of patients (64.7%) received either two or three types of intervention. Both MBI and BBS demonstrated significant improvement over 12-months period  (p  value  of  0.006  and  0.017  respectively).  CSRC  proved  that  structured rehabilitation intervention was beneficial in terms of functional status and improvement in balance to post-stroke patients.