Proposed Topic (Most preferred): :
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Authors (including presenting author) :
Choi YC (1), Leung YYC (1), O HH (1), Mok YT (1), Wong CM (1)
Affiliation :
(1) Physiotherapy Department, Princess Margaret Hospital
Introduction :
Introduction:
Stroke is a huge public health burden in Hong Kong and the incidence of young stroke has increased by 30% over the past two centuries. The disease-related decline in physical function can be reduced with proper rehabilitation. Physiotherapy treatment usually focuses on task specific motor training, mobility and balance training, functional electrical stimulation and gait rehabilitation training. The rehab encompasses training sessions in inpatient wards and gymnasium of physiotherapy department, the 365-day physiotherapy neurological rehabilitation and tele-rehabilitation services for continuity of patient care and facilitation of patient discharge. This tailor-made neurological rehabilitation process aims to help patients maximize their mobility and functional levels before discharge home.
Objectives :
Objectives:
To evaluate the effectiveness of young stroke rehabilitation in the inpatient ward at Lai King Building (LKB) of Princess Margaret Hospital (PMH).
Methodology :
Methodology:
Patients aged 18-65 years admitted to LKB of PMH for stroke from 1 Aug 2021 to 31 July 2023 and referred to physiotherapists for stroke rehabilitation were identified via the Clinical Management System. Patients with incomplete data entry were excluded.
The outcome measures included:
1. Modified Functional Ambulatory Category (MFAC)
2. Modified Rivermead Mobility Index (MRMI)
3. Handgrip test
4. Timed up and go test (TUGT)
Result & Outcome :
Results:
74 patients were recruited. 54 (73.97%) of them were male with a mean age of 56.48 ± 7.27 years old. The mean length of stay was 40.65 ± 39.18 days, and the number of physiotherapy treatments was 39 ± 39.58 days, which covered 97.37% admission days. The percentage of patients with MFAC category III or above (assisted walker - outdoor walker) significantly increased from 33 (44.59%) to 60 (81.08%) (P<0.01) after training. Additionally, there was a significant increase in MRMI score from 15.25 ± 9.46 to 24.64 ± 10.85 (p<0.05). Regarding handgrip strength, there was no significant change from baseline (6.87±11.43 kg) to after treatment (8.72 ±12.08 kg). As for the TUGT, the mean score was 26.15±17.23 seconds after training which indicated high fall risk.
Conclusion:
Physiotherapy intervention in an inpatient setting is effective in helping young stroke patients improve their mobility, regain functional independence and improve their quality of life. However, they are still under high fall risk which needs further rehabilitation.
