Investigation of inpatient convalescent rehabilitation outcomes in branch atheromatous disease (BAD)

DOI 13 References
  • Senda Joe
    Department of Neurology, Nagoya University Graduate School of Medicine Aisei-kai Kami-iida Rehabilitation Hospital
  • Ito Keiichi
    Aisei-kai Kami-iida Rehabilitation Hospital
  • Ohyama Ken
    Department of Neurology, Nagoya University Graduate School of Medicine
  • Yoneyama Noritaka
    Department of Neurology, Nagoya University Graduate School of Medicine
  • Hara Kazuhiro
    Department of Neurology, Nagoya University Graduate School of Medicine
  • Nakamura Ryoichi
    Department of Neurology, Nagoya University Graduate School of Medicine
  • Noda Tomoko
    Department of Neurology, Nagoya University Graduate School of Medicine
  • Hashizume Atsushi
    Department of Neurology, Nagoya University Graduate School of Medicine
  • Atsuta Naoki
    Department of Neurology, Nagoya University Graduate School of Medicine
  • Ito Mizuki
    Department of Neurology, Nagoya University Graduate School of Medicine
  • Watanabe Hirohisa
    Department of Neurology, Nagoya University Graduate School of Medicine
  • Yasui Keizo
    Department of Neurology, Nagoya Daini Red Cross Hospital
  • Kotake Tomomitsu
    Aisei-kai Kami-iida Rehabilitation Hospital
  • Kida Yoshihisa
    Aisei-kai Kami-iida Rehabilitation Hospital
  • Kishimoto Hideo
    Aisei-kai Kami-iida Rehabilitation Hospital
  • Sobue Gen
    Department of Neurology, Nagoya University Graduate School of Medicine

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  • 脳梗塞branch atheromatous disease（BAD）病型における回復期リハビリテーションでの治療成績

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Purpose: We investigated inpatient convalescent rehabilitation outcomes of ischemic stroke especially for branch atheromatous disease (BAD).Subjects and Methods: Subjects were 90 lenticulostriate artery territory-BAD (LSA-BAD) and 21 paramedian pontine artery territory-BAD (PPA-BAD) patients. For all patients, National Institutes of Health Stroke Scale (NIHSS) and functional independence measure (FIM) scores, and Brunnstrom stages (BRS) of upper limb, fingers, and lower limb were measured both on admission and discharge.Results: There were no significant differences in clinical scores and characteristics on admission between LSA-BAD and PPA-BAD groups except for the higher proportion of female in PPA-BAD groups (p=0.043). The severities of PPA-BAD patients with NIHSS scores were significantly mild compared with those of LSA-BAD patients on admission (p=0.031) and at discharge (p=0.008). Significant lower improvements with LSA-BAD patients were found in the stages of BRS with upper limb (p=0.009) and fingers (p=0.010) at discharge and recovery changes of BRS with fingers (p=0.031) compared with those of PPA-BAD patients. The improvements of each BRS score with LSA-BAD patients had the tendency of the limitations within two up-grades however both LSA-BAD and PPA-BAD patients basically gained over 100 total-FIM scores at discharge.Conclusion: The investigation of rehabilitation outcomes with BAD patients in the convalescent period can assess the improvements of pure-motor hemiparesis and activities of daily living, because the disturbance of the corticospinal tract by ischemic infarction lesions may be different in LSA-BAD and PPA-BAD.

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