Article

Purpose To evaluate the influence of patient's weight on rehabilitation outcomes
in first-event stroke patients. Design Retrospective, observational comparative
study. 102 first-time stroke male and female patients admitted to the 52-bed
neurology rehabilitation department in a rehabilitation hospital were included in
the study. Body mass index (BMI), Functional Independence Measure (FIM) on
admission and at discharge, as well as the delta-FIM (FIM on admission - FIM at
discharge) were evaluated.
The Kruskal-Wallis test was used to compare the FIM
and the NIHSS scores between BMI groups (normal, overweight, moderate and severe
obesity). Results A statistically significant negative correlation (rho = -0.20,
p = 0.049) was found between FIM change and BMI, that remained significant after
adjustments for age, sex and hospitalisation days. No difference was found
between groups in FIM or NIHSS change between BMI groups. Conclusions In
sub-acute post-stroke patients undergoing rehabilitation in rehabilitation
hospital, BMI was negatively associated with the improvement of functional
parameters. Patients' BMI should be taken into consideration when predicting
rehabilitation outcome for stroke patients. Further investigations are needed to
identify the functional parameters affected by the patients' BMI. Implications
for Rehabilitation In sub-acute post-stroke patients undergoing rehabilitation in
rehabilitation hospital, BMI was negatively associated with the improvement of
functional parameters.
Patients' BMI should be taken into consideration when
predicting rehabilitation outcome for stroke patients.
New rehabilitation
strategies should be designed to improve the functional outcomes of rehabilitation of obese patients.

Langue : ANGLAIS