Evidence map›Paper›PMID 36052892›Full record

Observational studyEuropean journal of physical and rehabilitation medicine2022

The effects of rehabilitation therapy duration on functional recovery of patients with subacute stroke stratified by individual's age: a retrospective multicenter study.

Yosuke Kimura, Yuhei Otobe, Mizue Suzuki, Hiroaki Masuda, Iwao Kojima, Shu Tanaka, Haruhiko Kusumi, Seiya Yamamoto, Hiroki Saegusa, Tomohiro Yoshimura and 1 more

Open access · diamondAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European journal of physical and rehabilitation medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Yosuke KimuraCollege of Science and Engineering, Health and Sports Technology Course, Kanto Gakuin University, Yokohama, Japan - ykimura@kanto-gakuin.ac.jp.
Yuhei OtobeSchool of Medicine, Department of Rehabilitation Science, Physical Therapy Course, Osaka Metropolitan University, Osaka, Japan.
Mizue SuzukiGraduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan.
Hiroaki MasudaGraduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan.
Iwao KojimaGraduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan.
Shu TanakaSchool of Health Sciences, Department of Rehabilitation, Tokyo University of Technology, Tokyo, Japan.
Haruhiko KusumiGraduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan.
Seiya YamamotoGraduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan.
Hiroki SaegusaGraduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan.
Tomohiro YoshimuraGraduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan.
Minoru YamadaFaculty of Human Sciences, University of Tsukuba, Tokyo, Japan.
University of Tsukuba · JPKanto Gakuin University · JPOsaka Metropolitan UniversityTokyo University of Technology · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe duration of rehabilitation therapy is one of the key elements for promoting post-stroke functional recovery. However, whether an individual's age affects the effectiveness of the duration of rehabilitation therapy on post-stroke functional recovery remains unclear.

aimThis study aimed to investigate whether age has an influence on the relationship between the duration of rehabilitation therapy and post-stroke functional recovery.

designThis is a retrospective observational study.

settingSix convalescent inpatient rehabilitation hospitals in Japan. POPULATION: The population of the study was represented by a total of 1186 participants with subacute stroke.

methodsParticipants were stratified into four groups according to their age (≤59, 60-69, 70-79, and ≥80 years). The data of minutes involved in performing rehabilitation therapy for participants during hospitalization per day (extracted from the medical records of each hospital). The outcome measurement was the absolute change in the functional independence measure (FIM) score during hospitalization.

resultsThe mean FIM gains in the ≤59 years, 60-69 years, 70-79 years, and the ≥80 years groups were 38.7 (18.8), 32.8 (18.0), 29.7 (16.6), and 25.4 (17.2), respectively. The results of the multivariate regression analyses showed that there was a significant association between the duration of daily rehabilitation therapy and the FIM gain in the 70-79 years and the ≥80 years groups (-70-79 years group: B=1.289, β=0.290, 95% confidence intervals (CIs): 0.718-1.859, P<0.001; the ≥80 years group: B=2.375, β=0.371, 95% CIs: 1.644-3.107, P<0.001), but not in the other groups.

conclusionsFor patients with subacute stroke in rehabilitation hospitals, a higher duration of daily rehabilitation therapy was associated with better functional recovery in the 70-79 years group and ≥80 years groups. Understanding the responsiveness of patients with stroke to rehabilitation therapy by age group helps to better allocate medical resources and develop more effective approaches. CLINICAL REHABILITATION IMPACT: An increased duration of daily rehabilitation therapy may be helpful in older adults with stroke selected for intensive rehabilitation for improvement of basic daily functioning.

Indexed as

StrokeStroke RehabilitationActivities of Daily LivingAgedAged, 80 and overDuration of TherapyHumansRecovery of FunctionRetrospective StudiesTreatment Outcome

Identifiers

PMID36052892
PMCPMC10019476
OpenAlexW4294242968

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.