Effectiveness of post-stroke social rehabilitation in patients with moderate impairments

Khramov VV, Kogaeva KP, Arkhipova LU, Alekseeva VO, Lukyanova MI
About authors

Saratov State Medical University, Saratov, Russia

Correspondence should be addressed: Ksenia P. Kogaeva
Krasnaya, 69, Kamyshin, 403873; ur.liam@001nagokrd

About paper

Author contributions: Khramov VV planned the study and wrote the manuscript; Kogaeva KP planned and conducted the study and wrote the manuscript; Arkhipova LU reviewed the literature and interpreted the obtained data; Alekseeva VO, Lukyanova MI performed statistical analysis.

Compliance with ethical standards: the study was approved by the Ethics Committee of Saratov State Medical University (Protocol № 1 dated September 1, 2020). All participants gave informed consent to participate in the study.

Received: 2021-02-25 Accepted: 2021-03-18 Published online: 2021-03-31

The importance of post-stroke rehabilitation cannot be overestimated. The aim of this study was to assess the effectiveness of a standardized post-stroke rehabilitation program for patients with moderate impairments. A total of 122 stroke survivors participated in the study. Group 1 (the comparison group) consisted of 59 patients undergoing standard rehabilitation. Group 2 (the main group) consisted of 63 patients participating in a specially designed social rehabilitation program. The functional, cognitive, psychological and emotional states and the level of social activity were monitored for 6 months. Group 2 demonstrated more pronounced improvement than group 1 after 6 months of follow-up, confirmed by higher Rivermead (p = 0.011) and SS-QOL (p < 0.05) scores and lower DASH and Beck scores (p = 0.015 and p < 0.001, respectively). In both groups, MMSE (cognitive function) scores slightly increased, but the differences between the groups were insignificant. The proposed post-stroke rehabilitation program is effective in helping patients regain their independence and improve social adaptation. The scales and scores used in the study, especially DASH and SS-QOL, are sensitive to changes in the functional state of stroke survivors with moderate impairments.

Keywords: rehabilitation, cognitive status, physical activity, quality of life, stroke, social functioning assessment, neurological status