Key result
A 9-week integrated neurorehabilitation and cardiac rehabilitation program improved functional recovery and cardiopulmonary fitness in a patient with ischemic stroke after cardiac surgery.
Why the study?
Stroke survivors frequently have cardiovascular comorbidities requiring both neurorehabilitation and cardiac rehabilitation, but no consensus exists on integrating these programs.
Case Report (n=1)
No
Integrated neurorehabilitation and cardiac rehabilitation can enhance functional recovery and cardiopulmonary fitness in patients with ischemic stroke following cardiac surgery.
Integrated rehab may be feasible post-stroke after cardiac surgery; hypothesis-generating and requires prospective trials before practice change.
Stroke and cardiac disorders are difficult to approach separately. Stroke survivors commonly have cardiovascular comorbidities and vice versa. These patients often need both neurorehabilitation and cardiac rehabilitation; therefore, this is an important issue in the rehabilitation process. However, no consensus has been reached on the integration of cardiac rehabilitation and neurorehabilitation. We report the case of a 52-year-old male patient who had ischemic stroke after mitral valvuloplasty. The patient underwent 3 weeks of inpatient neurorehabilitation, and then transited to 6 weeks of outpatient cardiac rehabilitation and occupational therapy. After 9 weeks of well-integrated rehabilitation, the patient experienced neurologic recovery and improvement in his cardiopulmonary fitness. Like this case, successful integrated rehabilitation will contribute to enhancing patients' functional recovery.
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Jung et al. (2020) conducted a case report in Ischemic stroke after cardiac surgery (n=1). Integrated cardiac rehabilitation and neurorehabilitation was evaluated on Functional recovery and cardiopulmonary fitness (K-MBI, FMA, VO2 max). A 9-week integrated neurorehabilitation and cardiac rehabilitation program improved functional recovery and cardiopulmonary fitness in a patient with ischemic stroke after cardiac surgery.
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