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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.117 SNIP: 0.228 CiteScore™: 0.17

ISSN Print: 0896-2960
ISSN Online: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.2013008120
pages 203-221

Predictors of Gains During Inpatient Rehabilitation in Patients with Stroke: A Review

Eric Y. Chang
Department of Physical Medicine and Rehabilitation, University of California, Irvine, Orange, California
Enoch Chang
Department of Physical Medicine and Rehabilitation, University of California, Irvine, CA
Samantha Cragg
Department of Physical Medicine and Rehabilitation, University of California, Irvine, CA
Steven C. Cramer
Department of Neurology, Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Department of Anesthesiology and Perioperative Care, Reeve-Irvine Research Center for Spinal Cord Injury, University of California, Irvine, CA

ABSTRACT

Stroke remains a major cause of disability. The cost of stroke rehabilitation is substantial. Understanding the factors that predict response to inpatient stroke rehabilitation may be useful, for example, to best individualize the content of therapy or maximize the efficiency with which resources are directed. This review evaluated the literature and found that numerous variables were associated with outcome after inpatient stroke rehabilitation. The strongest evidence exists for factors such as age, stroke subtype, nutritional status, and psychosocial factors such as living with family before the stroke or the presence of a caregiver. Functional status at admission, urinary incontinence, infection after stroke, and aphasia each can also affect prognosis. Strengths and weaknesses of cited studies were considered in an attempt to inform the design of future studies examining factors that predict response to inpatient rehabilitation after stroke.


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