[The effectiveness of comprehensive rehabilitation after a first episode of XXXX ].

@entity1 @entity64 @entity308 @entity16 @entity25048 @entity74 @entity385
" NlmCategory=: @entity385 is the most common cause of hospitalization in the Department of @entity16 . Comprehensive rehabilitation is essential for regaining lost functional efficiency. AIM: The aim of study was to evaluate the effectiveness of @entity74 rehabilitation program in 57 @entity1 with first-ever @entity385 . MATERIALS AND METHODS: The study included 57 @entity1 (27 @entity1 , 30 @entity1 ) aged from 47 to 89. @entity1 were admitted for comprehensive rehabilitation, lasted an average of 25 days. The treatment program consisted of exercises aimed at reeducation of posture and gait. In addition, physical treatments were used. Evaluation of the effectiveness of rehabilitation was measured using the Activity Daily Living scale, Modified Rankin Scale, Rivermead Measure Assessment ( @entity25048 -global movements, RMA2-lower limb and trunk, RMA3-upper limb) and the psychological tests - Geriatric Depression Scale (GDS) and Beck Depression Inventory (BDI). RESULTS: As a result of comprehensive rehabilitation treatment, functional status and mental health improvement was observed in relation to the ADL scale by 32% ( @entity1 36%, @entity1 30%), Rankin scale by 22% ( @entity1 22%, @entity1 21%). In the RMA, improvement was observed with the statistical significance of p=0.001 in all of the subscales. The highest rate of improvement affected upper limb function: RMA/3 (41%). In other subscales @entity1 have achieved statistically more significant improvement than @entity1 ( @entity25048 -43% versus 25%; RMA/2-41% versus 30%). The results related to the psychological assessment showed statistically significant GDS improvement p<0.001 (<60 years old) and BDI (> 60 years old) in test @entity1 (p=0.038). Spearman correlation coefficient showed no relation between mental state and functional improvement (GDS versus ADL; BDI versus ADL). CONCLUSIONS: The 25 days comprehensive rehabilitation program during the subacute @entity64 phase affects mainly the improvement of upper limb function. @entity1 have achieved better functional improvement in all of the parameters. In addition, it was observed that symptoms of @entity308 were presented in all study group, and the improvement of mental focused primarily on @entity1 after 60 years old.
