The effectiveness of early rehabilitative intervention for stroke

1.建立了《卒中急性期康复结局研究》(Osra Ver.1.2)数据库，数据库中包含了发病日期、入院和出院日期、康复转诊日期、卒中诊断、并发症、共病、日本卒中量表(JSS)、简易精神状态检查(MMSE)、卒中损害评定量表(SIAS)、功能独立性量表(FIM)和心境状态量表(POMS)。2.对东海医科大学伦理委员会批准的OSRA进行知情同意，按照我们的方案对92例患者进行了评估2000年。排除有严重并发症或拒绝参加本方案的患者。4.早坐组52例，延迟坐组40例。5.两组JSS评分差异无统计学意义。然而，SIAS和FIM在出院时有统计学上的显著变化。这些数据表明，早期康复干预对卒中是有效的。

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.