Reducing Length of Stay in Rehabilitation Hospital After Stroke by Refining the Rehabilitation Program
Volume 3, Issue 4, December 2018, Pages: 54-58
Received: Sep. 13, 2018;
Accepted: Mar. 17, 2019;
Published: Apr. 13, 2019
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Seido Miyoshi, Department of Rehabilitation, Asagi Hospital, Fukuoka, Japan
Atushi Shinohara, Department of Physical Therapy, Asagi Hospital, Fukuoka, Japan
To reduce the length of stay in rehabilitation hospitals, rehabilitation programs for stroke was refined. We emphasized the importance of strengthening the uninvolved lower limb, and administered stand-up and sit-down exercises 400-600 times per day. This was easily possible when performed in group therapy. By this, length of stay in a rehabilitation hospital has become shorter, FIM scores at discharge have become higher, and ratio of patients discharged to their own home has become higher.
Reducing Length of Stay in Rehabilitation Hospital After Stroke by Refining the Rehabilitation Program, Rehabilitation Science.
Vol. 3, No. 4,
2018, pp. 54-58.
Gagnon D, Nadeau S, Tam V. Ideal timing to transfer from an acute care hospital to an interdisciplinary inpatients rehabilitation program following a stroke: and exploratory study. BMC Health Services Research 2006; 6: 151-159.
Chang KC, Tseng MC, Weng HH, Lin YH, Liou CW, Tan TY. Prediction of length of stay of first-ever ischemic stroke. Stroke 2002; 33: 2670- 74.
Yacoub HA, Al-Qudah ZA, Khan HM, Farhad K, Ji AB, Souayah N．Trends in outcome and hospitalization cost among adult patients with acute ischemic stroke in the United States. J Vasc Interv Neurol 2015; 8:19-23.
Winstein CJ, Stein CJ, Arena R, Bate B, Cherney LR, Cramer SC, Deruyter F, Eng JJ, Fisher B, Harvey RL, Lang CE, MacKay-Lyons M, Ottenbacher KJ, Pugh S, Reeves MJ, Richards LG, Stiers W, Zorowitz RD. Gidelines for adult stroke rehabilitation and recovery : A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2016; 47: e98-e169.
Hebert D, Lindsay MP, McIntyre A, Kirton A, Rumney PG, Bagg S, Bayley M, Dowlatshahi D, Dukelow S, Garnhum M, Glasser E, Halabi ML, Kang E, MacKay-Lyons M, Martino R, Rochette A, Rowe S, Salbach N, Semenko B, Stack B, Swinton L, Weber V, Mayer M, Verrlli S, DeVeber, G, Andersen J, Barlow K, Cassidy C, Dilenge ME, Fehlings D, Hung R, Irythayarajah J, Lenz L, Manemer A, Purtzki J, Rafay M, Sonnenberg LK, Townley A, JHanzen S, Foley N, Teasell R. Canadian stroke best practice recommendations : stroke rehabilitation practice guidelines, update 2015. Int J Stroke 2016; 11:459-484.
Zhu HF, Newcommon NN, Cooper ME, Green TL, Seal B, Klein G, Weir NU, Coutts, Watson, T, Barber PA, Demchuk AM, Hill MD. Impact of a stroke unit on length of hospital stay and in-hospital case fatality. Stroke 2009; 40:18-23.
Ng YS, Tan KH, Chen C, Senolos G, Chew E, Koh GC. Predictors of acute, rehabilitation and total length of stay in acute stroke: A prospective cohort study. Ann Acad Med Singapore 2016; 45: 394-403.
Wang H, Camicia M, DiVita T, Mix J, Niewczyk P . Early inpatient rehabilitation admission and stroke patient outcomes. Am J Phys Med Rehabil 2015; 94:85-100.
Kim WS, Bae HJ, Lee HH, Shin HI. Status of rehabilitation after ischemic stroke: a Korean nationwide study. Ann Rehabil Med 2018; 42:528-35.
Kaifukuki Rehabilitation Ward Association. Current state of rehabilitation ward Survey in Japan 2016 (in Japanese).
Hirschberg GG, Lewis L, Vaughan P. Rehabilitation; a manual for the care of the disabled and elderly. 2nd ed, pp 219-256, Lippincott, Philadelphia, 1976.
Miyoshi S, Mukae M, Tokuou C. Miyoshi Y, Singuh H. Rehabilitation in dysphagia in stroke; evaluation by drinking water alone and improvement gained by stand-up and sit-down exercise. Sogo Riha 2012; 40:1021-28, (in Japanese).
Miyoshi S, Miyoshi Y, Singuh H. Stroke rehabilitation; shortening stay in hospital did not worsen ADL gain. Japan Med J 2007; 4357:67-72 (in Japanese).
Baba T. Rehabilitation of swallowing in stroke. Sogo Riha 2006; 34:1140-44 (in Japanese).
DePippo KL, Holas MA, Reding MJ, Mandel FS, Lesseer ML. Dysphagia therapy following stroke: a controlled trial. Neurology 1994; 44:1655-60.