Post-stroke patients: frequency and effectiveness of rehabilitation and speech therapy
The study presented here was conducted on post-stroke patients in the years 2014–2017. Data was collected using a survey questionnaire based on single-choice questions, Barthel ADL Index and the modified Rankin Scale (mRS). As many as 128 out of 135 respondents (94.8%) were referred for further treatment after initial rehabilitation. Of these, 33.6% did not continue their rehabilitation. Most of the remaining ones chose outpatient (32.9%) or inpatient rehabilitation in a hospital (29.4%). After the second examination of the physical condition of the patients, improvement was noted in those who participated in long-term rehabilitation. This feeling was also declared by the patients themselves. Out of all respondents, 92 people suffered from speech disorders, of which only 21.7% participated in speech therapy, and in this group 90% noticed a significant improvement in verbal communication. A small percentage of patients with aphasia recognize and follow speech therapy recommendations. Patients and their carers should be informed in more detail about the benefits of rehabilitation and speech therapy.
stroke; aphasia; rehabilitation; speech therapy
American Heart Association. (2017). Heart disease and stroke statistics 2017 update. Retrieved from: https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000485.
Banks, J.L., & Marotta, C.A. (2007). Outcomes validity and reliability of the modified rankin scale: Implications for stroke clinical trials: A literature review and synthesis. Stroke, 38, 1091–1096.
Bhogal, S.K., Teasell, R., & Speechley, M. (2003). Intensity of aphasia therapy, impact on recovery. Stroke, 34, 987–993.
Breitenstein, C., et al. (2017). Intensive speech and language therapy in patients with chronic aphasia after stroke: A randomised, open-label, blinded-endpoint, controlled trial in a health-care setting. Lancet, Apr 15, 389(10078), 1528–1538.
Cherney L.R., Patterson, J.P., & Raymer, A.M. (2011). Intensity of aphasia therapy: evidence and efficacy. Current Neurology and Neuroscience Reports, 11, 560–569.
Collin, C., Wade, D.T., Davies, S., & Horne, V. (1988). The Barthel ADL index: A reliability study. International Disability Studies, 10, 61–63.
Dobkin, B.H. (2016). Behavioral self-management strategies for practice and exercise should be included in neurologic rehabilitation trials and care. Current Opinion in Neurology, 29(6), 693–699.
European Stroke Organisation (ESO) Executive Committee; ESO Writing Committee. (2008). Guidelines for management of ischaemic stroke and transient ischaemic attack. Retrieved from: http://www.congrex-switzerland.com/fileadmin/files/2013/eso-stroke/pdf/ESO08_Guidelines_English.pdf.
Firoz, A.M., Islam, M.S., Rumana, F.S., & Faruqui, F.(2017). Profile of stroke patients treated at a rehabilitation centre in Bangladesh. BMC Res Notes, 10(1),520.
Grabowska-Fudula, B., Jaracz, K. & Górna, K. (2010). Zapadalność, śmiertelność i umieralność z powodu udarów mózgu – aktualne tendencje i prognozy na przyszłość. Przegląd Epidemiologiczny, 64(3), 439–442.
Gunnes, M., et al. (2019). Adherence to a long-term physical activity and exercise program after stroke applied in a randomized controlled trial. Physical Therapy, 99(1), 71–85.
Hankey, G.J., & Warlow, C.P. (1999). Treatment and secondary prevention of stroke: evidence, costs, and effects on individuals and populations. Lancet, 354,1457–1463.
Hsieh, Y.W., Wang, C.H., Wu, S.C., Chen, P.C., Sheu, C.F. & Hsieh, C.L. (2007). Establishing the minimal clinically important difference of the Barthel index in stroke patients. Neurorehabilitation and Neural Repair, 21(3), 233–238.
Klimkiewicz, P., et al. (2018). An assessment of the functional status in the neurorehabilitation of patients after ischemic stroke. Wiadomości Lekarskie, 71(2pt2), 271–277.
Mahoney, F.I., & Barthel, D. (1965). Functional evaluation: The Barthel index. Maryland State Medical Journal, 14, 56–61.
Marcolino, M.A.Z., et al. (2020). Effects of transcutaneous electrical nerve stimulation alone or as additional therapy on chronic post-stroke spasticity: Systematic review and Meta-analysis of randomized controlled trials. Disability and Rehabilitation, 42(5), 1–13.
Olivier, C.L., Phillips, J., & Roy, D.E. (2018). To be or not to be? A caregiver’s question: The live experience of a stroke family during the first 18 months poststroke. Scandinavian Journal of Caring Sciences, Mar 32(1), 270–279.
Pedersen, A.R., Petursson, H., & Hetlevik, I. (2018). Stroke follow-up in primary care: A prospective cohort study on guideline adherence. BMC Family Practice, 19, 179.
Piskorz, J., Wójcik, G., Iłzecka, J., & Kozak-Putowska, D.(2014). Wczesna rehabilitacja pacjentów po udarze niedokrwiennym mózgu. Medycyna Ogólna i Nauki o Zdrowiu, 20(4), 351–355.
Quinn, T.J., Langhorne, P., & Stott, D.J. (2011). Barthel index for stroke trials: Development, properties, and application. Stroke, Apr 42(4), 1146–1152.
Robey, R.R. (1998). A meta-analysis of clinical outcomes in the treatment of aphasia. Journal of Speech, Language, and Hearing Research, 41, 172–187.
Sarti, C., Stegmayr, B., & Tolonen, H. (2003). Are changes in mortality from stroke caused by changes in stroke event rates or case fatality? Results from the WHO MONICA project. Stroke, 34(8), 1833–1840.
Schwamm, L.H., et al. (2005). Recommendations for the establishment of stroke systems of care: Recommendations from the American stroke association’s task force on the development of stroke systems. Stroke, 36(3),690–703.
Wang, R., Zhang, T., & Langhammer, B. (2014). Activities of daily living and life satisfaction of persons with stroke after rehabilitation in China: A longitudinal descriptive study. Topics in Stroke Rehabilitation, Nov 26, 1–9.
World Health Organization. (2001). International classification of functioning, disability and health (ICF): Short version. Geneva, WHO. Retrieved from: https://apps.who.int/iris/bitstream/handle/10665/42407/9241545429.pdf;jsessionid = 4CB380493F093CF01542B576F87B4E5B?sequence = 1.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The Copyright Owners of the submitted texts grant the Reader the right to use the pdf documents under the provisions of the Creative Commons 4.0 International License: Attribution-Share-Alike (CC BY SA). The user can copy and redistribute the material in any medium or format and remix, transform, and build upon the material for any purpose.
The University of Silesia Press provides immediate open access to journal’s content under the Creative Commons BY-SA 4.0 license (http://creativecommons.org/licenses/by-sa/4.0/). Authors who publish with this journal retain all copyrights and agree to the terms of the above-mentioned CC BY-SA 4.0 license.
2. Author’s Warranties
The author warrants that the article is original, written by stated author/s, has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author/s.
If the article contains illustrative material (drawings, photos, graphs, maps), the author declares that the said works are of his authorship, they do not infringe the rights of the third party (including personal rights, i.a. the authorization to reproduce physical likeness) and the author holds exclusive proprietary copyrights. The author publishes the above works as part of the article under the licence "Creative Commons Attribution-ShareAlike 4.0 International".
ATTENTION! When the legal situation of the illustrative material has not been determined and the necessary consent has not been granted by the proprietary copyrights holders, the submitted material will not be accepted for editorial process. At the same time the author takes full responsibility for providing false data (this also regards covering the costs incurred by the University of Silesia Press and financial claims of the third party).
3. User Rights
Under the CC BY-SA 4.0 license, the users are free to share (copy, distribute and transmit the contribution) and adapt (remix, transform, and build upon the material) the article for any purpose, provided they attribute the contribution in the manner specified by the author or licensor.
If the article was prepared jointly with other authors, the signatory of this form warrants that he/she has been authorized by all co-authors to sign this agreement on their behalf, and agrees to inform his/her co-authors of the terms of this agreement.
I hereby declare that in the event of withdrawal of the text from the publishing process or submitting it to another publisher without agreement from the editorial office, I agree to cover all costs incurred by the University of Silesia in connection with my application.