Format

Send to

Choose Destination
See comment in PubMed Commons below
J Rehabil Med. 2006 Nov;38(6):368-74.

Does an extended stroke unit service with early supported discharge have any effect on balance or walking speed?

Author information

1
Department of Public Health and General Practice, Medisinsk Teknisk Forsknigssenter, NO-7489 Trondheim, Norway. torunn.askim@ntnu.no

Abstract

OBJECTIVE:

To evaluate the effect of an extended stroke unit service with early supported discharge on balance and walking speed, and to explore the association between initial leg paresis, initial movement ability and balance one year after stroke.

DESIGN:

A randomized controlled trial comparing early supported discharge with ordinary stroke unit service.

PATIENTS:

A total of 62 eligible patients after stroke.

METHODS:

The outcome measures were Berg Balance Scale and walking speed at 1, 6, 26 and 52 weeks after stroke.

RESULTS:

We found no significant differences between the 2 groups during follow-up. There was a significant improvement on Berg Balance Scale (p=0.013) and walking speed (p=0.022) in the early supported discharge group, but not in the ordinary service group, from 1 to 6 weeks' follow-up. All patients with initial severe leg paresis suffered from poor balance one year after the stroke. The odds ratio for poor balance was 42.1 (95% confidence interval; 3.5-513.9) among patients with no initial walking ability.

CONCLUSION:

These results do not conclusively indicate that early supported discharge has an effect on balance. A strong association was found between initial severe leg paresis, initial inability to walk and poor balance after one year.

PMID:
17067970
DOI:
10.1080/16501970600780294
[Indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Medical Journals
    Loading ...
    Support Center