Abstract | AIM: To elucidate the effects of whole-body exercise on clinical outcomes, including dysphagia status, between stroke patients with dysphagia who are undergoing convalescent rehabilitation. METHODS: This retrospective cohort study included consecutive patients with post- stroke dysphagia in a rehabilitation hospital in Japan between 2016 and 2018. Dysphagia was defined as a Food Intake Level Scale (FILS) score <7. Participants were asked to perform a repeated chair-stand exercise as a whole-body exercise in addition to the convalescence rehabilitation program. Study outcomes included the FILS score and presence of dysphagia at discharge, the Functional Independence Measure-motor (FIM-motor) score and length of stay. Multivariate analyses were used to determine whether the frequency of daily chair-stand exercise was independently associated with study outcomes, after adjusting for potential confounders; P < 0.05 was considered statistically significant. RESULTS: Of the 637 patients admitted, 148 stroke patients with dysphagia (mean age 72.7 years; 48.6% men) were included in the final analysis dataset. The median daily frequency of repeated chair-stand exercise was 36 (12-65). In multivariate analyses, the frequency of chair-stand exercise was independently associated with the FILS score at discharge (β = 0.231, P = 0.015), the presence of dysphagia at discharge (odds ratio: 0.982, P = 0.035), FIM-motor at discharge (β = 0.205, P = 0.008) and its gain (β = 0.237, P = 0.013), and length of hospital stay (β = -0.042, P < 0.001). CONCLUSIONS:
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Authors | Yoshihiro Yoshimura, Hidetaka Wakabayashi, Fumihiko Nagano, Takahiro Bise, Sayuri Shimazu, Ai Shiraishi |
Journal | Geriatrics & gerontology international
(Geriatr Gerontol Int)
Vol. 20
Issue 10
Pg. 885-891
(Oct 2020)
ISSN: 1447-0594 [Electronic] Japan |
PMID | 32772455
(Publication Type: Journal Article)
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Copyright | © 2020 Japan Geriatrics Society. |
Topics |
- Activities of Daily Living
- Aged
- Aged, 80 and over
- Cohort Studies
- Deglutition Disorders
(rehabilitation)
- Exercise
(physiology)
- Exercise Therapy
(methods)
- Female
- Hospitalization
- Humans
- Japan
- Length of Stay
- Male
- Middle Aged
- Nutritional Status
- Patient Discharge
- Recovery of Function
- Retrospective Studies
- Stroke
(complications)
- Stroke Rehabilitation
(methods)
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