Stroke Clinical Trial
Official title:
Demonstration the Importance of the Early Rehabilitation in Stroke Patients Based on Diffüsion Tensor Imaging Data
Stroke is one of the leading health problems in the community and it is the most common life-threatening neurological disease impairing the quality of life. Early rehabilitation of stroke is very important. The purpose of our study was to evaluate, through clinical examination, whether there was any difference between patients who underwent early rehabilitation and those who underwent late rehabilitation in terms of improvements in motor and functional impairment after rehabilitation, and also to evaluate this difference objectively by analyzing white-matter pathways (corticospinal tracts) using DTI.
Methods: Twenty-eight (28) adults (12 women, 16 men, average age 58 years) with first-time
stroke who met the study criteria were divided into two groups depending on the duration of
their stroke at the time of their presentation to our facility. Group 1 consisted of patients
who underwent rehabilitation program within the first 1-4 weeks after stroke, whereas Group 2
consisted of patients who underwent rehabilitation program within 5-8 weeks after stroke.
Both groups were evaluated using the BRS, FMA scale, FAC and BI scales. For cranial imaging,
DTI was obtained 1 day before and 1 day after treatment. FA and ADC values of corticospinal
tracts were performed using DTI.
Intervention: Patients were enrolled in a rehabilitation program, which was designed for a
total of 4 weeks, with daily sessions lasting a total of 1 h on 5 days of a week.
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