Impact of the COVID-19 Pandemic on Post-Stroke Outpatient Rehabilitation at a Mediterranean Rehabilitation Center
DOI:
https://doi.org/10.25759/spmfr.435Keywords:
COVID-19, Stroke Rehabilitation, Surveys and QuestionnairesAbstract
Introduction: Stroke is one of the most common causes of death and acquired disability worldwide. Temporary interruptions to outpatient rehabilitation programs due to the COVID-19 pandemic have negatively impacted stroke patients.
Our objective was to evaluate the impact of outpatient rehabilitation programs interruption on stroke patients and their caregivers during the lockdown.
Methods: An observational study was conducted at a European Rehabilitation Center. We selected patients that suspended outpatient treatments from March to May 2020, due to the COVID-19 pandemic. A telephone questionnaire was applied in June 2020 evaluating muscle strength, spasticity, pain, independence level, anxiety, depression, caregiver burden, absenteeism, and financial concerns.
Results: Ninety five patients were included in the study. The mean age was 59±13.1 years, and 57 were male. During the lockdown, 94.7% of participants did not receive rehabilitation, and 83.2% of respondents reported that the COVID-19 pandemic harmed their independence. A percentage of 71.1% of caregivers reported higher levels of burden assistance to the patient. The more autonomous patients (FIM≥80) had greater repercussions on walking and climbing stairs (p<0.05), while more dependent patients (FIM<80) showed greater repercussions in feeding and transfers (p<0.05).
Conclusion: The interruption of outpatient rehabilitation was detrimental both to stroke survivors and caregivers. This study highlights the need for intensive rehabilitation and tailored follow-up of stroke patients on outpatient, even after the post-acute phase. New strategies, such as telerehabilitation, might prevent future limitations in access to rehabilitation.
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