Authors (including presenting author) :
Cheng HK(1), Yeung MP(1), Yu KK(1), Tai ML(1), Chan SP(2), Tsang KY(3), Rani A(4), Chan YM(5)
Affiliation :
(1)Department of Rehabilitation, Kowloon Hospital, (2)Department of Physiotherapy, Kowloon Hospital, (3)Department of Occupational Therapy, Kowloon Hospital, (4)Department of Speech Therapy, Kowloon Hospital, (5)Department of Clinical Psychology, Kowloon Hospital
Introduction :
The incidence of ‘young stroke’ has increased by 30% in Hong Kong from 2001 to 20211. The JCIRDC-KH was established in response to the rising incidence of young stroke, which aims to address the service gap by offering personalized rehabilitation for young and elderly stroke patients.
Objectives :
To evaluate the functional outcome of stroke rehabilitation program in JCIRDC-KH.
Methodology :
JCIRDC-HK offers comprehensive rehabilitation with 16 Neuro-Rehabilitation-Day-Program places and 13 Geriatric-Day-Hospital places. Patients participate in intensive half-day training session twice a week for 12 weeks. The interdisciplinary team collaborates to develop personalized programs and regularly review patients’ progress. Depending on patients’ needs, they may receive additional treatments such as Botulinum-Toxin-Injections (BTX), Transcranial-Magnetic- Stimulation (TMS), or Fiberoptic-Endoscopic-Evaluation-of-Swallowing (FEES). JCIRDC-KH also collaborates with local non-governmental organization to help patients to reintegrate into the community.
Result & Outcome :
Between 1 April 2022 and 31 March 2023, a total of 106 stroke patients completed training. The average age of patients was 62.5 years old, with 51.9% below 65 years old. The services received by these patients included physiotherapy and occupational therapy (n=106, 100%), speech therapy (n=36, 34%), clinical psychology service (n=23, 21.7%), prosthetic and orthotic service (n=6, 5.7%), and medical social service (n=12, 11.3%). All patients and their families were invited to attend KCC stroke educational talks. Additionally, 27 patients (25.5%) received psychosocial support within the stroke group. 16 patients (15.1%) received BTX-injections for spasticity management. 6 patients (5.7%) received TMS, and 1 patient (0.94%) required FEES for swallowing assessment. Upon discharge from JCIRDC-KH, their Modified Barthel Index (MBI) (admission MBI 76.02±21.21, discharge MBI 84.07±19.88, p<0.05), Functional Independent Measure (FIM) (admission FIM 92.02±20.99, discharge FIM 99.71±20.68, p<0.05) and Lawton Instrumental Activities of Daily Living (Lawton IADL) (admission Lawton IADL 10.67±6.59, discharge Lawton IADL 12.19±7.23, p<0.05) scores were significantly improved. 16 patients (15.1%) were referred to Wong-Tai-Sin District-Health-Centre for further community rehabilitation. The centre received positive feedback from patients and families, with 14 letters of appreciation.
