TITLE:
Effectiveness and Influencing Factors of Comprehensive Rehabilitation Therapy in Patients with Aneurysmal Subarachnoid Hemorrhage
AUTHORS:
Xiaoli Wu, Lu Zhang, Yudong Chen, Hanzhi Li, Lingyu Yang, Fei Gao, Yuqi Yang, Xueyan Hu, Changqing Ye, Yuge Zhang, Lei Shan, Lixu Liu, Tong Zhang
KEYWORDS:
Aneurysmal Subarachnoid Hemorrhage, Rehabilitation Therapy, Prognosis, Activities of Daily Living
JOURNAL NAME:
Journal of Behavioral and Brain Science,
Vol.10 No.10,
October
21,
2020
ABSTRACT: This study aimed to determine the effectiveness of comprehensive rehabilitation for patients with aneurysmal subarachnoid hemorrhage (aSAH) and to explore the factors influencing the prognosis of rehabilitation. This was a retrospective study. Twenty-five patients with aSAH were treated with physical therapy, occupational therapy, speech therapy, cognitive therapy, music therapy, Chinese acupuncture, hyperbaric oxygen, and transcranial magnetic stimulation. The general data of all patients were collected, and the functional scores at admission were compared with those at discharge. The Mini Mental State Examination, Fugl-Meyer Assessment Scale (FMAS) for motor and balance assessment, Holden Functional Ambulation Classification (FAC), modified Rankin Scale, National Institute of Health Stroke Scale, Modified Barthel Index for activities of daily living (ADL), and Glasgow Outcome Scale were significantly improved among 25 patients with aSAH after 1 month of comprehensive rehabilitation training. Hydrocephalus was an independent factor of the ability to perform ADLs (odds ratio, 0.29; 95% confidence interval, 2.03. 3.15; p = 0.000). The improvement of ADLs in aSAH patients was not related to sex, surgical method, aneurysm location, age, or smoking status. Comprehensive and professional rehabilitation is effective for the cognition, movement, walking, ADLs, and functional prognosis of patients with aSAH, while early hydrocephalus may be a risk factor for poor ADLs.