2021 Volume 1 Pages 9-16
Purpose: To examine the effects of early mobilization within 24 hours after onset on a motor function and progressive cerebral infarction of Branch atheromatous disease (BAD) in lenticulostriate arteries (LSA).
Method: We studied patients with BAD in LSA in our hospital between 2014 and 2018. We classified them into Early group and Normal group and compared them in age, gender, BMI, risk factors of stroke, medical history of stroke, modified Rankin Scale (mRS) before onset, National Institute of Health Stroke Scale (NIHSS), Fugl-Meyer Assessment (FMA), of lower limbs during hospitalization and discharge, Barthel Index (BI), Functional Ambulation Categories (FAC), presence or absence of progressive cerebral infarction, time from onset to start of standing, systolic blood pressure before and after getting out of bed, terms and times of rehabilitation.
Result: 17 patients are in the Early group and 13 patients are in the Normal group. FMA of lower limbs at discharge is high in both of them, and that of the Early group is significantly higher than that of Normal group. No significant difference was observed in BI at charge, between two groups. In the Early group, rate of patients who acquire a smooth walking ability is higher than in the Normal group. In progressive stroke there is no significant difference between two groups.
Conclusion: It was suggested that getting out of bed within 24 hours of onset in patients with BAD in the LSA region may lead to safe and improved motor function and walking ability. In the future, it will be necessary to carry out further research in consideration of research design and sample size.
