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Outcomes of early physiotherapy in patients with cerebral aneurysms treated by surgical clipping or endovascular embolization

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Neural Regeneration Research 2012年第24期7卷 1900-1905页

作者： Arzu Guclu-Gunduz Sevil Bilgin Nezire Kse hakan oruckaptan Department of Physiotherapy and Rehabilitation Faculty of Health SciencesGazi UniversityAnkaraTurkey Department of Physiotherapy and Rehabilitation Faculty of Health SciencesHacettepe UniversityAnkaraTurkey Department of Neurosurgery Faculty of MedicineHacettepe UniversityAnkaraTurkey

Early physiotherapy was given to 124 patients with ruptured or unruptured cerebral aneurysms who were treated by surgical clipping or endovascular *** were divided into four groups according to their Hunt and Hess grade at admission and aneurysm treatment modality： Group 1,Hunt and Hess grade≤II and surgical clipping;Group 2,Hunt and Hess grade≤II and endovascular embolization;Group 3,Hunt and Hess grade≥III and surgical clipping;Group 4,Hunt and Hess grade≥III and endovascular *** of consciousness was evaluated using the Glasgow Coma Scale,functional status using the Glasgow Outcome Scale,level of the mobility using the Mobility Scale for acute stroke patients,and independence in activities of daily living using the Barthel *** early physiotherapy,the level of consciousness and functional status improved significantly in Groups 1,3,and 4;mobility improved significantly in all groups;and independence in activities of daily living improved significantly in Groups 1 and *** discharge, Groups 1 and 2 had better functional status than Groups 3 and *** of consciousness,functional status,mobility and independence in activities of daily living improved after early physiotherapy. These findings suggest that early physiotherapy improved the prognosis of patients with cerebral aneurysms who were treated by surgical clipping or endovascular *** with a worse clinical status at presentation had a poorer functional status at *** outcome of physiotherapy was not affected by whether surgical clipping or endovascular embolization was chosen for treatment of the aneurysm.

关键词： cerebral aneurysm Hunt and Hess grade Glasgow Coma Scale Glasgow Outcome Scale functional status surgical clipping endovascular treatment physiotherapy neural regeneration

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Gait and Glasgow Coma Scale scores can predict functional recovery in patients with traumatic brain injury

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Neural Regeneration Research 2012年第25期7卷 1978-1984页

作者： Sevil Bilgin Arzu Guclu-Gunduz hakan oruckaptan Nezire Kose Bülent Celik Department of Physiotherapy and Rehabilitation Faculty of Health SciencesHacettepe UniversityAnkaraTurkey Department of Physiotherapy and Rehabilitation Faculty of Health SciencesGazi UniversityAnkaraTurkey Department of Neurosurgery Faculty of MedicineHacettepe UniversityAnkaraTurkey Department of Biostatistics Faculty of Health SciencesGazi UniversityAnkaraTurkey

Fifty-one patients with mild （n -- 14）, moderate （n = 10） and severe traumatic brain injury （n = 27） received early rehabilitation. Level of consciousness was evaluated using the Glasgow Coma Score Functional level was determined using the Glasgow Outcome Score, whilst mobility was evaluated using the Mobility Scale for Acute Stroke. Activities of daily living were assessed using the Barthel Index. Following Bobath neurodevelopmental therapy, the level of consciousness was significantly improved in patients with moderate and severe traumatic brain injury, but was not greatly influenced in patients with mild traumatic brain injury. Mobility and functional level were significantly improved in patients with mild, moderate and severe traumatic brain injury. Gait recovery was more obvious in patients with mild traumatic brain injury than in patients with moderate and severe traumatic brain injury. Activities of daily living showed an improvement but this was insignificant except for patients with severe traumatic brain injury. Nevertheless, complete recovery was not acquired at discharge. Multiple regression analysis showed that gait and Glasgow Coma Scale scores can be considered predictors of functional outcomes following traumatic brain injury.

关键词： brain injury traumatic brain injury rehabilitation early rehabilitation function prognosis GlasgowComa Scale Glasgow Outcome ScaLe functional level neural regeneration

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