Postural control and gait changes in subacute stroke patients after receiving interdisciplinary rehabilitation and related factors: a retrospective study
Introduction. Although early post-stroke rehabilitation is essential to optimize recovery, its effects and prognostic factors are yet under discussion.
Objective. To assess postural control and gait changes in post-stroke patients who underwent interdisciplinary rehabilitation in subacute phase and evaluate potential associated factors.
Patients and methods. An observational retrospective study that analyzed sociodemographic and clinical data, including Trunk Impairment Scale (TIS), Postural Assessment Scale for Stroke (PASS), Functional Ambulatory Categories (FAC) and Tinetti scale, at admission and two months after rehabilitation.
Results. Data were collected from 63 patients with stroke in subacute phase. Interdisciplinary rehabilitation had a moderate and relevant clinical impact (p < 0,01; d > 0,5) in postural control and gait. Ambulatory rehabilitation, psychotropic medication absence and dislipemia absence were moderate associated factors (p < 0,05; d > 0,5) with a greater evolution in postural control measured with TIS and PASS. TIS at admission showed significant association with all scales’ results at two months after rehabilitation, except with PASS changing posture subscale.
Conclusions. Interdisciplinary rehabilitation promotes moderate and clinically relevant changes in postural control and gait recovery in subacute stroke patients, after two-month rehabilitation period. Ambulatory rehabilitation, dyslipidemia absence and psychotropic medication absence were associated with patients’ evolution, but further research is required to confirm their actual influence in larger samples.
Key words. Gait. Interdisciplinary rehabilitation. Movement disorders. Postural control. Predictive validity. Stroke.