The effectiveness of early rehabilitative intervention for stroke

1.我们建立了“卒中急性期康复结局研究”（OSRA Ver.1.2）患者数据库，包括发病日期、入院出院日期、康复转诊日期、卒中诊断、并发症、合并症、日本卒中量表（JSS）、简易精神状态检查（MMSE）、卒中损害评估集（SIAS）、功能独立性测试（FIM）和心境状态量表（POMS）。我们为OSRA制定了知情同意书，并得到东海大学医学院伦理委员会的批准。根据我们的方案，在1998年11月至2000年10月期间对92名患者进行了评估。有严重并发症或拒绝参加本项目的患者被排除在外。这项分析是在52个早坐组和40个晚坐组之间进行的。两组患者JSS差异无统计学意义。而放电时的SIAS和FIM有统计学意义的变化。这些数据表明卒中早期康复干预是有效的。

1.We made the database of patients named "Outcome Study of Stroke Rehabilitation in Acute Phase (OSRA Ver.1.2) which contained several items such as date of onset, admission and discharge date, rehabilitation referal date, diagnosis of stroke, complication, comorbidity, Japan Stroke Scale (JSS), Mini-mental State Examination (MMSE), Stroke Impairment Assessment Set (SIAS), Functional Independence Measure (FIM) and Profile of Mood States (POMS).2.We made the informed consent for OSRA which was approved by the ethical committee in Tokai University School of Medicine.According to our protocol, 92 patients were evaluated between November, 1998 and October, 2000. The patients who had severe complications or refused to enter into this program were excluded.4.The analysis was done between 52 early sitting group and 40 delayed sitting group.5.There were no statistically significant differences in JSS between two groups. However in SIAS and FIM at discharge, there were statictically significant changes. These data have indicated that early rehabilitative intervention for stroke is effective.