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Titre : | Interdisciplinary Cardiovascular and Neurologic Outpatient Rehabilitation in Patients Surviving Transient Ischemic Attack or Stroke With Minor or No Residual Deficits (2014) |
Auteurs : | Christian P. Kamm ; Jean-Paul Schmid ; René M. Müri |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/4, 2014) |
Article en page(s) : | p. 656-662 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Activités de la vie quotidienne ; Maladies cardiovasculaires ; Médecine physique et de réadaptation ; Prévention secondaire ; Qualité de vie ; Rééducation et réadaptation |
Mots-clés: | Activities of daily living ; Cardiovascular diseases ; Physical and rehabilitation medicine ; Quality of life ; Secondary prevention ; Stroke |
Résumé : |
Objective To evaluate the feasibility and effectiveness of a comprehensive outpatient rehabilitation program combining secondary prevention and neurorehabilitation to improve vascular risk factors, neurologic functions, and health-related quality of life (HRQOL) in patients surviving a transient ischemic attack (TIA) or stroke with minor or no residual deficits. Design Prospective interventional single-center cohort study. Setting University hospital. Participants Consecutive consenting patients having sustained a TIA or stroke with 1 or more vascular risk factors (N=105) were included. Interventions Three-month hospital-based secondary prevention and neurorehabilitation outpatient program with therapeutic and educational sessions twice a week. Patients were evaluated at entry and program end. Main Outcome Measures Impact on vascular risk factors, neurological outcome, and HRQOL. Results A total of 105 patients entered the program and 95 patients completed it. Exercise capacity (P<.000 smoking status systolic and diastolic blood pressure body mass index low-density lipoprotein cholesterol triglycerides improved significantly. furthermore the six-minute walking test one leg stand values as well hrqol program could be easily integrated into an existing cardiovascular prevention rehabilitation center was feasible highly accepted by patients.> Conclusions Comprehensive combined cardiovascular and neurologic outpatient rehabilitation is feasible and effective to improve vascular risk factors, neurologic functions, and HRQOL in patients surviving TIA or stroke with minor or no residual deficits. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999313011076 |