The The Effectiveness of Early Mobilization Time on Balance and Functional Ability after Ischemic Stroke

Umi Budi Rahayu; Samekto Wibowo; Ismail Setyopranoto

doi:10.3889/oamjms.2019.269

Authors

Umi Budi Rahayu Department of Physiotherapy, Faculty of Health Science, Universitas Muhammadiyah Surakarta, Indonesia
Samekto Wibowo Department of Neurology, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia
Ismail Setyopranoto Department of Neurology, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2019.269

Keywords:

Early mobilization, Ischemic post-stroke, Balance, Functional ability

Abstract

BACKGROUND: Early mobilisation (EM) after-ischemic stroke is a motor learning intervention aimed to restore nerve cells and to improve balance and functional ability. Unfortunately, the study of when this intervention began has not been widely studied.

AIM: On this study was compared the effect of EM started at 24 hours and 48 hours after an ischemic stroke on balance and functional ability.

MATERIAL AND METHODS: Randomized controlled trial involving 40 patients on 2 groups meeting predefined inclusion criteria. The levels of balance were measured using the Berg Balance Scale, and the functional ability was measured using the Barthel Index, at 5th and 7th day.

RESULTS: A significant difference was observed in both balance (p = 0.038) and functional ability (p = 0.021) obtained on the 7th day of assessment between both groups. A significant difference on the 5th day was observed only in the functional ability (p = 0.002) and not in the balance (p = 0.147), between the groups.

CONCLUSION: EM started at 24 hours after the ischemic stroke has been found to have a better impact on balance and functional ability compared to that at 48 hours.

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