Rehabilitation Science

| Peer-Reviewed |

Reducing Length of Stay in Rehabilitation Hospital After Stroke by Refining the Rehabilitation Program

Received: Sep. 13, 2018    Accepted: Mar. 17, 2019    Published: Apr. 13, 2019
Views:       Downloads:

Share This Article

Abstract

To reduce the length of stay in rehabilitation hospitals, rehabilitation programs for stroke was refined. We emphasized the importance of strengthening the uninvolved lower limb, and administered stand-up and sit-down exercises 400-600 times per day. This was easily possible when performed in group therapy. By this, length of stay in a rehabilitation hospital has become shorter, FIM scores at discharge have become higher, and ratio of patients discharged to their own home has become higher.

DOI 10.11648/j.rs.20180304.11
Published in Rehabilitation Science ( Volume 3, Issue 4, December 2018 )
Page(s) 54-58
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Stroke, Length of Stay, Lower Extremity, Exercise

References
[1] Gagnon D, Nadeau S, Tam V. Ideal timing to transfer from an acute care hospital to an interdisciplinary inpatients rehabilitation program following a stroke: and exploratory study. BMC Health Services Research 2006; 6: 151-159.
[2] Chang KC, Tseng MC, Weng HH, Lin YH, Liou CW, Tan TY. Prediction of length of stay of first-ever ischemic stroke. Stroke 2002; 33: 2670- 74.
[3] Yacoub HA, Al-Qudah ZA, Khan HM, Farhad K, Ji AB, Souayah N.Trends in outcome and hospitalization cost among adult patients with acute ischemic stroke in the United States. J Vasc Interv Neurol 2015; 8:19-23.
[4] Winstein CJ, Stein CJ, Arena R, Bate B, Cherney LR, Cramer SC, Deruyter F, Eng JJ, Fisher B, Harvey RL, Lang CE, MacKay-Lyons M, Ottenbacher KJ, Pugh S, Reeves MJ, Richards LG, Stiers W, Zorowitz RD. Gidelines for adult stroke rehabilitation and recovery : A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2016; 47: e98-e169.
[5] Hebert D, Lindsay MP, McIntyre A, Kirton A, Rumney PG, Bagg S, Bayley M, Dowlatshahi D, Dukelow S, Garnhum M, Glasser E, Halabi ML, Kang E, MacKay-Lyons M, Martino R, Rochette A, Rowe S, Salbach N, Semenko B, Stack B, Swinton L, Weber V, Mayer M, Verrlli S, DeVeber, G, Andersen J, Barlow K, Cassidy C, Dilenge ME, Fehlings D, Hung R, Irythayarajah J, Lenz L, Manemer A, Purtzki J, Rafay M, Sonnenberg LK, Townley A, JHanzen S, Foley N, Teasell R. Canadian stroke best practice recommendations : stroke rehabilitation practice guidelines, update 2015. Int J Stroke 2016; 11:459-484.
[6] Zhu HF, Newcommon NN, Cooper ME, Green TL, Seal B, Klein G, Weir NU, Coutts, Watson, T, Barber PA, Demchuk AM, Hill MD. Impact of a stroke unit on length of hospital stay and in-hospital case fatality. Stroke 2009; 40:18-23.
[7] Ng YS, Tan KH, Chen C, Senolos G, Chew E, Koh GC. Predictors of acute, rehabilitation and total length of stay in acute stroke: A prospective cohort study. Ann Acad Med Singapore 2016; 45: 394-403.
[8] Wang H, Camicia M, DiVita T, Mix J, Niewczyk P . Early inpatient rehabilitation admission and stroke patient outcomes. Am J Phys Med Rehabil 2015; 94:85-100.
[9] Kim WS, Bae HJ, Lee HH, Shin HI. Status of rehabilitation after ischemic stroke: a Korean nationwide study. Ann Rehabil Med 2018; 42:528-35.
[10] Kaifukuki Rehabilitation Ward Association. Current state of rehabilitation ward Survey in Japan 2016 (in Japanese).
[11] Hirschberg GG, Lewis L, Vaughan P. Rehabilitation; a manual for the care of the disabled and elderly. 2nd ed, pp 219-256, Lippincott, Philadelphia, 1976.
[12] Miyoshi S, Mukae M, Tokuou C. Miyoshi Y, Singuh H. Rehabilitation in dysphagia in stroke; evaluation by drinking water alone and improvement gained by stand-up and sit-down exercise. Sogo Riha 2012; 40:1021-28, (in Japanese).
[13] Miyoshi S, Miyoshi Y, Singuh H. Stroke rehabilitation; shortening stay in hospital did not worsen ADL gain. Japan Med J 2007; 4357:67-72 (in Japanese).
[14] Baba T. Rehabilitation of swallowing in stroke. Sogo Riha 2006; 34:1140-44 (in Japanese).
[15] DePippo KL, Holas MA, Reding MJ, Mandel FS, Lesseer ML. Dysphagia therapy following stroke: a controlled trial. Neurology 1994; 44:1655-60.
Cite This Article
  • APA Style

    Seido Miyoshi, Atushi Shinohara. (2019). Reducing Length of Stay in Rehabilitation Hospital After Stroke by Refining the Rehabilitation Program. Rehabilitation Science, 3(4), 54-58. https://doi.org/10.11648/j.rs.20180304.11

    Copy | Download

    ACS Style

    Seido Miyoshi; Atushi Shinohara. Reducing Length of Stay in Rehabilitation Hospital After Stroke by Refining the Rehabilitation Program. Rehabil. Sci. 2019, 3(4), 54-58. doi: 10.11648/j.rs.20180304.11

    Copy | Download

    AMA Style

    Seido Miyoshi, Atushi Shinohara. Reducing Length of Stay in Rehabilitation Hospital After Stroke by Refining the Rehabilitation Program. Rehabil Sci. 2019;3(4):54-58. doi: 10.11648/j.rs.20180304.11

    Copy | Download

  • @article{10.11648/j.rs.20180304.11,
      author = {Seido Miyoshi and Atushi Shinohara},
      title = {Reducing Length of Stay in Rehabilitation Hospital After Stroke by Refining the Rehabilitation Program},
      journal = {Rehabilitation Science},
      volume = {3},
      number = {4},
      pages = {54-58},
      doi = {10.11648/j.rs.20180304.11},
      url = {https://doi.org/10.11648/j.rs.20180304.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.rs.20180304.11},
      abstract = {To reduce the length of stay in rehabilitation hospitals, rehabilitation programs for stroke was refined. We emphasized the importance of strengthening the uninvolved lower limb, and administered stand-up and sit-down exercises 400-600 times per day. This was easily possible when performed in group therapy. By this, length of stay in a rehabilitation hospital has become shorter, FIM scores at discharge have become higher, and ratio of patients discharged to their own home has become higher.},
     year = {2019}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Reducing Length of Stay in Rehabilitation Hospital After Stroke by Refining the Rehabilitation Program
    AU  - Seido Miyoshi
    AU  - Atushi Shinohara
    Y1  - 2019/04/13
    PY  - 2019
    N1  - https://doi.org/10.11648/j.rs.20180304.11
    DO  - 10.11648/j.rs.20180304.11
    T2  - Rehabilitation Science
    JF  - Rehabilitation Science
    JO  - Rehabilitation Science
    SP  - 54
    EP  - 58
    PB  - Science Publishing Group
    SN  - 2637-594X
    UR  - https://doi.org/10.11648/j.rs.20180304.11
    AB  - To reduce the length of stay in rehabilitation hospitals, rehabilitation programs for stroke was refined. We emphasized the importance of strengthening the uninvolved lower limb, and administered stand-up and sit-down exercises 400-600 times per day. This was easily possible when performed in group therapy. By this, length of stay in a rehabilitation hospital has become shorter, FIM scores at discharge have become higher, and ratio of patients discharged to their own home has become higher.
    VL  - 3
    IS  - 4
    ER  - 

    Copy | Download

Author Information
  • Department of Rehabilitation, Asagi Hospital, Fukuoka, Japan

  • Department of Physical Therapy, Asagi Hospital, Fukuoka, Japan

  • Section