Early mobilisation after stroke: Review of the literature.

Détails

ID Serval
serval:BIB_4D075DC7F591
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Early mobilisation after stroke: Review of the literature.
Périodique
Cerebrovascular Diseases
Auteur(s)
Diserens K., Michel P., Bogousslavsky J.
ISSN
1015-9770
Statut éditorial
Publié
Date de publication
2006
Peer-reviewed
Oui
Volume
22
Numéro
2-3
Pages
183-190
Langue
anglais
Résumé
BACKGROUND: Mobilisation of acute stroke patients--in bed and out of bed as early as possible--is currently recommended to prevent general and neurological complications. However, mobilisation protocols are poorly defined and need to be standardised in order to evaluate their clinical benefits. The purpose of this study is to highlight recent advances in recommendations for mobilisation of acute stroke and early neurological rehabilitation as found in the recent literature. METHODS: A Medline research was conducted from January 1950 to August 2005. RESULTS: Data synthesis of the observational studies and meta-analyses suggests that for most patients with acute stroke, early mobilisation is not harmful and may well be beneficial. However, no controlled study exists comparing early (e.g. 1-3 days) versus late (e.g. 1-2 weeks) mobilisation. Based on the available data and on pathophysiological considerations, we have developed a partially individualised procedure with precise entry and exit points for early mobilisation according to clinical status. CONCLUSIONS: Insufficient data are available to prove the beneficial effects of early mobilisation after stroke, although early neurological rehabilitation as part of routine stroke unit care seems to contribute to good long-term outcome. This article presents a standardised procedure for early mobilisation that may be tested in a randomised study between early mobilisation out of bed (3 days) compared to late mobilisation (6 days).
Mots-clé
Clinical Trials as Topic, Early Ambulation, Humans, Meta-Analysis as Topic, Practice Guidelines as Topic, Stroke/rehabilitation, Time Factors
Pubmed
Web of science
Création de la notice
25/01/2008 11:42
Dernière modification de la notice
20/08/2019 14:01
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