ArticleJournal of rehabilitation medicine2021
Impact of rehabilitation start time on functional outcomes after stroke.
Article in Journal of rehabilitation medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Impact of a Comprehensive Transitional Care Management Model on Use of Community-Based Rehabilitation After Stroke.Journal of the American Heart Association · 2026Trial
- Paper to Pixels: Enhancing Unilateral Neglect Assessment Using the New Computer Vision-Based Tool CANDO.Brain sciences · 2026Article
- Assessment of the Functional Status of Patients After Stroke Depending on the Length of Stay in the Rehabilitation Ward-A Retrospective Single-Center Study.Journal of clinical medicine · 2026Article
- Environmental enrichment modulates chronic poststroke inflammation and links white matter TREM2-positive microglia in recovery in mice.Neuroprotection (Chichester, England) · 2026Article
- Greater recovery of upper-limb function in stroke patients with repetitive functional proprioceptive stimulation compared to robotic mechanotherapy: a quasi-randomized controlled trial.BMC sports science, medicine & rehabilitation · 2026Article
- Exploring the care pathway for neurological conditions in a Gauteng rehabilitation hospital, South Africa.African journal of disability · 2025Article
- Predictors of short-term functional recovery in ischemic stroke rehabilitation at community hospitals in Singapore.Frontiers in stroke · 2025Article
- Association between Care-need Level after Discharge and Long-term Outcomes in 7491 Patients Requiring Rehabilitation for Stroke.JMA journal · 2024Article
- Exploring the transformative influence of neuroplasticity on stroke rehabilitation: a narrative review of current evidence.Annals of medicine and surgery (2012) · 2023Review
- Hospital readmission in stroke survivors one year versus three years after discharge from inpatient rehabilitation: Prevalence and associations in an Asian cohort.Journal of rehabilitation medicine · 2021Article
- Effects of a Music-Based Rhythmic Auditory Stimulation on Gait and Balance in Subacute Stroke.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the optimum rehabilitation start timing for improved functional outcomes after stroke in Japan.
designA retrospective database study. SUBJECTS: A total of 140,655 patients with stroke from 1,161 acute hospitals in Japan. Only data for those patients who were discharged alive was included in the analysis.
methodsActivities of daily living were assessed. Comparisons were made using the rehabilitation start day after hospital admission. Reference day 2 was compared with days 1, 3, 4, 5, and 6 or later. Modified Rankin Scale at time of discharge was used as the primary outcome. In addition, cases of ischaemic stroke and haemorrhagic stroke were analysed as separate subgroups.
resultsUnivariate and multivariate logistic regression analyses showed that starting rehabilitation on day 2 resulted in a better outcome than starting on day 3 or later. There was no significant difference in outcome between starting rehabilitation on days 1 and 2 in all cases and subgroup of patient with infarction stroke. For a subgroup of patients with haemorrhagic stroke, starting rehabilitation on day 2 resulted in a better outcome than starting on day 1.
conclusionStarting post-stroke rehabilitation on the day of admission or second day of hospitalization may be the optimum timing for functional outcomes. However, for haemorrhagic stroke, starting rehabilitation on the second day of hospitalization may be more effective than on the day of admission.
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