THERAPY-Magazin
Focus of treatment in the rehabilitation phase model
Explore how multimodal rehabilitation programs enhance stroke recovery in acute, subacute, and chronic phases. Learn why tailored combination therapies improve outcomes and promote independence.
Jakob Tiebel
Business Owner, N+ Digital Health Agency
Effectiveness of rehabilitation exercise in improving physical function of stroke patients: A systematic review
Motor rehabilitation after stroke is a key element for the greatest possible functional recovery and a fundamental determinant for a return to an autonomous life.
Motor rehabilitation after stroke is a key element for the greatest possible functional recovery and a fundamental determinant for a return to an autonomous life for those affected. The number of intervention studies investigating the effectiveness of stroke rehabilitation treatment approaches has increased exponentially over the past two decades. Most of this work focuses on proving the effectiveness of individual interventions. In future, more combined treatment approaches for effective rehabilitation that are oriented towards the phase model of rehabilitation will be examined. Currently, we do not have enough of an overview to determine best practice.
In a review published in 2022, a Korean research group led by Kyung Eun Lee investigated the importance of multimodal rehabilitation exercise programmes for the recovery of physical function in stroke patients. The researchers selected relevant publications in the MEDLINE, PubMed and Google Scholar databases. 21 articles were selected for analysis. The quality of the studies was determined using the PEDro scale. The rehabilitation programmes were analysed according to intervention type and treatment focus in the acute, subacute and chronic phases.
In a review published in 2022, a Korean research group led by Kyung Eun Lee investigated the importance of multimodal rehabilitation exercise programmes for the recovery of physical function in stroke patients. The researchers selected relevant publications in the MEDLINE, PubMed and Google Scholar databases. 21 articles were selected for analysis. The quality of the studies was determined using the PEDro scale. The rehabilitation programmes were analysed according to intervention type and treatment focus in the acute, subacute and chronic phases.
The researchers concluded that combination therapies must be further investigated in future in order to establish corresponding guideline recommendations for the phase model.
According to the results, the early acute phase of rehabilitation mainly involves therapies with electrical and robotic support in combination with passive manual mobility exercises. The subacute phase consists mainly of aerobic exercise programmes to improve walking ability and arm function. The approaches are combined with cardiovascular training. It has been shown that the severity of the impairment and comorbidities have an influence on treatment planning. In the chronic phase, preference is given to everyday-oriented exercise programmes combined with telerehabilitation and the use of intelligent training systems. Regaining functional independence and autonomy is particularly important at this stage, and is accompanied by an increasing use of computerised warning systems and mobile safety devices.
The results of the systematic review show the established treatment priorities throughout the phase model of stroke rehabilitation. The researchers concluded that combination therapies must be further investigated in future in order to establish corresponding guideline recommendations for the phase model. In this way, evidence-based treatment pathways can improve care in the respective phases of stroke rehabilitation.
The results of the systematic review show the established treatment priorities throughout the phase model of stroke rehabilitation. The researchers concluded that combination therapies must be further investigated in future in order to establish corresponding guideline recommendations for the phase model. In this way, evidence-based treatment pathways can improve care in the respective phases of stroke rehabilitation.
Fachkreise
Science
Stationäre Rehabilitation
THERAPY 2023-II
THERAPY Magazine
Jakob Tiebel
Business Owner, N+ Digital Health Agency
Jakob Tiebel studied applied psychology with a focus on health economics. He has clinical expertise from his previous therapeutic work in neurorehabilitation. He conducts research and publishes on the theory-practice transfer in neurorehabilitation and is the owner of Native.Health, an agency for digital health marketing.
References:
- Lee KE, Choi M, Jeoung B. Effectiveness of Rehabilitation Exercise in Improving Physical Function of Stroke Patients: A Systematic Review. Int J Environ Res Public Health. 2022 Oct 5;19(19):12739. doi: 10.3390/ijerph191912739. PMID: 36232038; PMCID: PMC9566624. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566624/
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