The Efficiency of Spa Rehabilitation in Chronic Ischemic Stroke Patients—Preliminary Reports

Background: Rehabilitation-oriented therapy after a stroke must continue in various forms as a life-long effort. Aim: The study investigated the impact of spa rehabilitation on the quality of life and functional efficiency in patients after an ischemic stroke at a chronic stage of recovery. Methods:...

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Main Authors: Bogumiła Pniak, Justyna Leszczak, Jadwiga Kurczab, Aleksandra Krzemińska, Joanna Pięta, Agnieszka Plis, Ewelina Czenczek-Lewandowska, Agnieszka Guzik
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/11/4/501
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author Bogumiła Pniak
Justyna Leszczak
Jadwiga Kurczab
Aleksandra Krzemińska
Joanna Pięta
Agnieszka Plis
Ewelina Czenczek-Lewandowska
Agnieszka Guzik
author_facet Bogumiła Pniak
Justyna Leszczak
Jadwiga Kurczab
Aleksandra Krzemińska
Joanna Pięta
Agnieszka Plis
Ewelina Czenczek-Lewandowska
Agnieszka Guzik
author_sort Bogumiła Pniak
collection DOAJ
description Background: Rehabilitation-oriented therapy after a stroke must continue in various forms as a life-long effort. Aim: The study investigated the impact of spa rehabilitation on the quality of life and functional efficiency in patients after an ischemic stroke at a chronic stage of recovery. Methods: The assessment was carried out in a spa resort in southeastern Poland. It involved 32 patients with strokes who participated in a three-week rehabilitation program. Three examinations were performed: upon admission, on the day of discharge and at a two-month follow-up. The quality of life and functional efficiency were assessed with the WHOQOL-BREF and Barthel Index. Results: The quality of life was significantly higher in Exam II compared with Exam I (<i>p</i> < 0.001), and improvement was retained at the follow-up. The Barthel scores were higher in Exam II compared with Exam I (79.84 vs. 68.59), while the differences between the scores in Exams II and III were small (<i>p</i> = 0.039). Conclusions: Three-week spa rehabilitation seems to favorably affect the functional efficiency and quality of life after a stroke. The effects appear to be long-term. The gender, age and time from stroke onset do not seem to impact short-term effects. However, long-term effects are related to the time from stroke onset.
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spelling doaj.art-32945ce343c9412aa399c0b48adb6bfb2023-11-21T15:44:21ZengMDPI AGBrain Sciences2076-34252021-04-0111450110.3390/brainsci11040501The Efficiency of Spa Rehabilitation in Chronic Ischemic Stroke Patients—Preliminary ReportsBogumiła Pniak0Justyna Leszczak1Jadwiga Kurczab2Aleksandra Krzemińska3Joanna Pięta4Agnieszka Plis5Ewelina Czenczek-Lewandowska6Agnieszka Guzik7Excelsior Health and Rehabilitation Hospital, Aleja Torosiewicza 2, 38-440 Iwonicz-Zdrój, PolandInstitute of Health Sciences, Medical College, University of Rzeszów, Ulica Kopisto 2a, 35-959 Rzeszów, PolandExcelsior Health and Rehabilitation Hospital, Aleja Torosiewicza 2, 38-440 Iwonicz-Zdrój, PolandExcelsior Health and Rehabilitation Hospital, Aleja Torosiewicza 2, 38-440 Iwonicz-Zdrój, PolandExcelsior Health and Rehabilitation Hospital, Aleja Torosiewicza 2, 38-440 Iwonicz-Zdrój, PolandExcelsior Health and Rehabilitation Hospital, Aleja Torosiewicza 2, 38-440 Iwonicz-Zdrój, PolandInstitute of Health Sciences, Medical College, University of Rzeszów, Ulica Kopisto 2a, 35-959 Rzeszów, PolandInstitute of Health Sciences, Medical College, University of Rzeszów, Ulica Kopisto 2a, 35-959 Rzeszów, PolandBackground: Rehabilitation-oriented therapy after a stroke must continue in various forms as a life-long effort. Aim: The study investigated the impact of spa rehabilitation on the quality of life and functional efficiency in patients after an ischemic stroke at a chronic stage of recovery. Methods: The assessment was carried out in a spa resort in southeastern Poland. It involved 32 patients with strokes who participated in a three-week rehabilitation program. Three examinations were performed: upon admission, on the day of discharge and at a two-month follow-up. The quality of life and functional efficiency were assessed with the WHOQOL-BREF and Barthel Index. Results: The quality of life was significantly higher in Exam II compared with Exam I (<i>p</i> < 0.001), and improvement was retained at the follow-up. The Barthel scores were higher in Exam II compared with Exam I (79.84 vs. 68.59), while the differences between the scores in Exams II and III were small (<i>p</i> = 0.039). Conclusions: Three-week spa rehabilitation seems to favorably affect the functional efficiency and quality of life after a stroke. The effects appear to be long-term. The gender, age and time from stroke onset do not seem to impact short-term effects. However, long-term effects are related to the time from stroke onset.https://www.mdpi.com/2076-3425/11/4/501quality of lifestrokespa rehabilitationfunctional efficiencyspa hospital
spellingShingle Bogumiła Pniak
Justyna Leszczak
Jadwiga Kurczab
Aleksandra Krzemińska
Joanna Pięta
Agnieszka Plis
Ewelina Czenczek-Lewandowska
Agnieszka Guzik
The Efficiency of Spa Rehabilitation in Chronic Ischemic Stroke Patients—Preliminary Reports
Brain Sciences
quality of life
stroke
spa rehabilitation
functional efficiency
spa hospital
title The Efficiency of Spa Rehabilitation in Chronic Ischemic Stroke Patients—Preliminary Reports
title_full The Efficiency of Spa Rehabilitation in Chronic Ischemic Stroke Patients—Preliminary Reports
title_fullStr The Efficiency of Spa Rehabilitation in Chronic Ischemic Stroke Patients—Preliminary Reports
title_full_unstemmed The Efficiency of Spa Rehabilitation in Chronic Ischemic Stroke Patients—Preliminary Reports
title_short The Efficiency of Spa Rehabilitation in Chronic Ischemic Stroke Patients—Preliminary Reports
title_sort efficiency of spa rehabilitation in chronic ischemic stroke patients preliminary reports
topic quality of life
stroke
spa rehabilitation
functional efficiency
spa hospital
url https://www.mdpi.com/2076-3425/11/4/501
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