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- Title
Rééducation fonctionnelle motrice, devenir fonctionnel et reprise de travail, à trois mois post-AVC, à Ouagadougou, au Burkina Faso.
- Authors
LOMPO, Djingri Labodi; CISSE, Kadari; DIALLO, Ousséini; NAPON, Christian; KABORE, Jean
- Abstract
Burkina Faso does not have specialized physical medicine and rehabilitation services, equipped, organized in coordinated interdisciplinary teams, suggesting a pejorative post-stroke functional outcome. The aims of the present study were to describe the characteristics of functional rehabilitation, to assess motor functional recovery and return to work, 3 months after stroke in a hospital, of reference in Ouagadougou, Burkina Faso, in order to contribute improving the functional future and professional reintegration of stroke patients. Patients and methods: This was a prospective cohort, observational, descriptive study, which took place from December 01, 2016 to May 30, 2018, at Tingandogo University Hospital, in Ouagadougou, Burkina Faso. The study concerned all patients aged > 18 years, having been hospitalized in said CHU for cerebral infarction or intracerebral hemorrhage (ICH) during the study period, confirmed by brain scan or encephalic MRI, having benefited from outpatient neurological follow-up and functional motor rehabilitation in the various functional rehabilitation centers and / or physiotherapy practices in the city of Ouagadougou, for at least 3 months after the stroke. The socio-demographic and clinical characteristics, the nature of the stroke, the functional outcome according to the modified Rankin score (mRS) at the end of hospitalization, then at one month and finally at three months poststroke, were analyzed. The data on motor rehabilitation were obtained thanks to the collaboration of physiotherapists and speech therapists. The data on the recovery of professional activities were entered at 3 months post-stroke, during neurological follow-up at 3 months post-stroke. Data entry and analysis were carried out using the EPI INFO software in its English version 7.2.1.0. The significance level was 5%. Results: In all 232 patients were collected, that is 146 patients (62.9%) with cerebral infarction and 86 patients (37.1%) with intracerebral hemorrhage; the average age was 60.9 +/- 14.5 years (range 26 and 99 years); the age group of 60 to 70 years, with 55 patients (23.7%) was the most represented. Male patients with 146 cases (62.9%) were the most numerous. Co-morbidities were found in 111 patients (47.8 %). On admission, the neurological deficit was severe to very severe (NIHSS> 16) in 83 patients (35.8%); a motor deficit was present in 150 patients (64.9%). The cumulative mortality rates at 3 months post-stroke were respectively 24.14% at the end of hospitalization, 26.72% at one month and 31.03% at 3 months post-stroke. Among the survivors, respectively, 77.3%, 67.1% and 43.1% of patients dependent on activities of daily living, respectively at the end of hospitalization, at one month and at 3 months after stroke. Functional motor rehabilitation was indicated in 125 patients (53.9%), however, only 101 patients (80.8%) received it. Physiotherapy was judged to be of poor quality in 42 patients (41.6%). Among the survivors, a recovery of professional activities was noted in 55 patients (41.7%) at 3 months after stroke. Conclusion : In our study, functional rehabilitation was incomplete, limited to physiotherapy alone. At 3 months poststroke, more than half of the survivors had regained autonomy in the activities of daily living, while professional reintegration only concerned about two survivors in 5. Our study underlines the interest of the implementation. of specialized PRM services, within the post-stroke care sectors.
- Subjects
REHABILITATION; ACTIVITIES of daily living training; STROKE; MAGNETIC resonance imaging; PHYSICAL therapy
- Publication
Cahiers de l'IREA, 2022, Issue 46, p19
- ISSN
2492-8267
- Publication type
Article