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  4. New rehabilitation models for neurologic inpatients in Brazil

New rehabilitation models for neurologic inpatients in Brazil

Disabil Rehabil, 2015 · DOI: 10.3109/09638288.2014.914585 · Published: April 29, 2014

ParticipationHealthcareNeurorehabilitation

Simple Explanation

This study examines the effectiveness of a new inpatient rehabilitation program in Brazil for patients with neurological conditions. The program involves intensive multidisciplinary rehabilitation over 4–6 weeks, focusing on improving daily living activities and return to work. The study found that patients in all diagnostic groups showed improvements in motor and cognitive functions after the rehabilitation program.

Study Duration
1 year
Participants
148 adults with stroke, traumatic brain injury (TBI), spinal cord injury, and Guillain–Barre´ syndrome
Evidence Level
Retrospective study

Key Findings

  • 1
    Improvement in motor FIM, Rankin and GOS was observed in all groups.
  • 2
    Cognitive FIM increase was less evident in TBI patients.
  • 3
    After 6 months, 37.6% of patients were unemployed, 34% underwent outpatient rehabilitation, and 65.2% maintained gains.

Research Summary

This retrospective study describes the effects of a rehabilitation program in a neurological inpatient unit in Brazil, focusing on independence in daily living and return to work for patients with stroke, TBI, SCI and Guillain-Barre syndrome. The study found improvements in motor and cognitive functions across diagnostic groups after a short intensive rehabilitation program. While many patients retained functional gains after 6 months, a significant portion remained unemployed, suggesting the need for more comprehensive support for reintegration into work and social life.

Practical Implications

Functional Improvement

The brief rehabilitation model shows promise in improving functional outcomes for neurological inpatients.

Caregiver Training

The improvements in cognitive and motor levels can be observed after an intensive hospital-based program focusing on caregiver and patient training.

Community Reintegration

Although many patients remained out of work, they maintained benefits and performed physical activities as outpatients.

Study Limitations

  • 1
    Small sample size
  • 2
    Non-controlled study design
  • 3
    Use of non-specific functional assessment tools

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