Functional Outcome in Light Program of Stroke Rehabilitation at Chonburi Hospital

Abstract

This one group pre and post test study was conducted to determine the functional outcome of a light program on stroke rehabilitation based on SNMRC (Sirindhorn National Medical Rehabilitation Center) functional assessment score. The sample of 108 stroke patients participated in this rehabilitation program during April 2009 - March 2011 in the department of Physical Medicine and Rehabilitation at Chon Buri Hospital.

The following data were retrieved: demographic data, pathology of disease, duration of stroke before the rehabilitation program, side of weakness and SNMRC Functional Assessment score (pre and post rehabilitation program). For data analysis and comparisons between pre and post rehabilitation program, descriptive statistics, paired t-test, t-test and linear regression model were employed.

The results of study showed that 56 were men (51.9%) and 52 were women (48.1%). Mean age was 61.09 (SD 12.128) years. The major medical history was hypertension (64.8%). Eightyeight patients(81.5%) had ischemic stroke, 20 patients (18.5%) had hemorrhagic stroke, 56 patients (51.9%) had left hemiplegia, 51 patients (47.2%) had right hemiplegia. There was statistically significant difference between SNMRC functional assessment score measured pre and post rehabilitation program. Age, sex, pathology of disease and side of weakness showed no statistically significant differnces in improvements in functional outcome. Pre-rehabilitation SNMRC score was significant predictor of total SNMRC functional assessment score gain. (R² = 0.594, p < 0.0001)

In conclusion, light program of stroke rehabilitation at Chonburi Hospital showed significant improvements in functional outcome.