New rehabilitation models for neurologic inpatients in Brazil

Figures & data

Table 1. Predefined number of weekly therapeutic sessions with each professional at the inpatient rehabilitation unit according to the diagnostic group.

		Weekly therapeutic sessions provided
Diagnostic groups	Functional impact	PT	OT	Ps	SST	Nu	SW
ST	Mild	5	2	2	0	1	1
	Moderate	5	3	3	2	2	3
	Severe	5	3	2	3	2	1
TBI	Mild	5	2	3	0	1	1
	Moderate	5	3	3	2	2	3
	Severe	5	3	3	3	2	1
SCI	Tetraplegic	5	5	5	2	5	2
	Paraplegic	5	1	2	0	2	2
GB	Mild	5	5	2	0	2	1
	Severe	5	1	5	2	5	2

ST, stroke; TBI, traumatic brain injury; SCI, spinal Cord injury, Tetra, tetraplegia; Para, paraplegia; GB, Guillain–Barré syndrome; PT, physical therapy; OT, occupational therapy; Ps, psychotherapy; SST, speech swallowing therapy; Nu, nurse therapy; SW, social worker counseling. One therapy, 45 min.

Figure 1. Flow chart of the study.

Table 2. Socio-demographic and clinical characteristics of the patients.

	Diagnosis
Group (N)	ST (28)	TBI (29)	SCI (83)	GB (8)	Total (148)	p Value
Male (%)	16 (57.1)	21 (72.4)	64 (77.1)	4 (50.0)	105 (70.9)	0.134^a
Age (mean ± SD years)	54.1 ± 16.2	31.7 ± 15.4	36.3 ± 14.4	28.6 ± 9.1	38.4 ± 16.6	<0.001^a
Schooling (mean ± SD years)	12.2 ± 4.1	9.7 ± 3.7	9.6 ± 3.7	10.4 ± 3.7	10.1 ± 3.9	0.005^c
Diagnosis to hospitalization (mean ± SD days)	523.9 ± 637.9	359.2 ± 344.7	642.3 ± 893.2	1449.0 ± 2901.0	607.0 ± 990.5	0.248^a
Length of stay (mean ± SD days)	30.9 ± 15.2	31.1 ± 17.7	32.0 ± 13.6	31.6 ± 16.5	31.6 ± 14.7	0.998^b

^aANOVA.

^bKruskal–Wallis test.

^cLikelihood ratio tests, ST, stroke; TBI, traumatic brain injury; SCI, spinal cord injury; GB, Guillain–Barré syndrome; SD, standard deviation.

Table 3. Description of Rankin, GOS, cognitive and motor FIM according to diagnosis.

	Assessment scale (mean ± SD)	ST	TBI	SCI	GB	Total
FIM motor^b	Before	35.2 ± 21.1	23.6 ± 16.6	34.0 ± 20.5	32.5 ± 25.2	32.2 ± 20.5
	After	44.9 ± 24.8^b	34.5 ± 22.0^b	42.5 ± 21.9^b	33.4 ± 29.9^b	41.0 ± 22.8
FIM cognitive	Before	21.1 ± 8.6	12.3 ± 8.7	32.3 ± 4.6	28.1 ± 7.5	26.4 ± 10.2
	After	24.0 ± 9.1^c	17.2 ± 11.3^b	33.1 ± 4.1	32.8 ± 3.0^c	28.3 ± 9.5
GOS^a	Before	NA	3.10 ± 1.3	NA	NA
	After	NA	3.5 ± 1.6	NA	NA
Rankin^a	Before	4.0 ± 1.2	NA	NA	NA
	After	3.7 ± 1.4	NA	NA	NA

ST, stroke; TBI, traumatic brain injury; SCI, spinal Cord injury; GB, Guillain–Barré syndrome; Rankin, modified Rankin scale for stroke; GOS, Glasgow outcome scale for TBI; NA, not applicable; SD, standard deviation; FIM, functional independence measure; ^ap value < 0.05, Wilcoxon test (paired samples); ^bp value < 0.01, t-test; ^cp value < 0.05, t-test.