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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.17

ISSN Imprimir: 0896-2960
ISSN En Línea: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.2016018261
pages 135-140

Role of Rehabilitation in Patients with Hypoxic Ischemic Encephalopathy

Asem Rangita Chanu
Department of Physical Medicine and Rehabilitation, Christian Medical College, Vellore, Tamil Nadu, India
Prashanth Chalageri
Department of Physical Medicine and Rehabilitation, Christian Medical College, Vellore, Tamil Nadu, India
Jane Sajan
Department of Physical Medicine and Rehabilitation, Christian Medical College, Vellore, Tamil Nadu, India
Raji Thomas
Department of Physical Medicine and Rehabilitation, Christian Medical College, Vellore, Tamil Nadu, India, 632004
Aruna R
Department of Physical Medicine and Rehabilitation, Christian Medical College, Vellore, Tamil Nadu, India
Ann Patricia Catherine S
Department of Physical Medicine and Rehabilitation, Christian Medical College, Vellore, Tamil Nadu, India

SINOPSIS

Rehabilitation of hypoxic ischemic encephalopathy (HIE) patients has remained a challenge. To assess effectiveness of rehabilitation for HIE patients, chart reviews were done for HIE patients admitted for 2 years. Modified Barthel Index (MBI), Coma Recovery Scale-Revised (CRS-R)/Addenbrooke's Cognitive Examination-Ill (ACE-III), Wessex Head Injury Matrix (WHIM), and state of consciousness of patients in the initial assessment and predischarge assessment were analyzed. Statistical analysis was done with Wilcoxon signed-rank tests and the McNemar test. Nineteen patients (11 male, 8 female) with a mean age of 30.2 ± 18.0 years were enrolled. Overall improvement in WHIM (p = 0.018), CRS-R (p = 0.038), and ACE scores (p = 0.043) were statistically significant. Change in state of consciousness was assessed in 11 patients and was found to be statistically significant (p = 0.031). Improvement in total MBI (p = 0.018) and dressing (p = 0.028) and grooming (p = 0.042) components were also statistically significant. HIE patients definitely improve in consciousness, cognition, and functional status with rehabilitation.


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