Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/10713
Title: The effect of very early mobilisation after stroke on psychological well-being.
Authors: Cumming, Toby B;Collier, Janice M;Thrift, Amanda G;Bernhardt, Julie
Affiliation: Neurosciences Building, Heidelberg Repatriation Hospital, 300Waterdale Rd, Heidelberg Heights, Victoria 3081, Australia. tcumming@nsri.org.au
Issue Date: 1-Aug-2008
Citation: Journal of Rehabilitation Medicine; 40(8): 609-14
Abstract: The immobility common to patients after acute stroke has the potential to increase negative mood symptoms. We evaluated the effect of very early mobilization after stroke on levels of depression, anxiety and irritability.AVERT is a randomized controlled trial; patients in the very early mobilization group receive mobilization earlier (within 24 h of stroke) and more frequently than patients in the standard care group.Seventy-one patients with confirmed stroke were included.Patients were assessed on the Irritability, Depression and Anxiety (IDA) scale at multiple time-points.At 7 days, very early mobilization patients were less depressed (z=2.51, p=0.012) and marginally less anxious (z=1.79, p=0.073) than standard care patients (Mann-Whitney test). Classifying IDA scores as normal or depressed, and using backward stepwise multivariable logistic regression, very early mobilization was associated with a reduced likelihood of depression at 7 days (odds ratio 0.14, 95% confidence interval 0.03-0.61; p=0.009).Very early mobilization may reduce depressive symptoms in stroke patients at 7 days post-stroke.
Internal ID Number: 19020693
URI: http://ahro.austin.org.au/austinjspui/handle/1/10713
DOI: 10.2340/16501977-0226
URL: http://www.ncbi.nlm.nih.gov/pubmed/19020693
Type: Journal Article
Subjects: Adult
Aged
Anxiety.diagnosis
Depression.diagnosis
Early Ambulation
Female
Follow-Up Studies
Humans
Irritable Mood
Male
Middle Aged
Psychiatric Status Rating Scales
Stroke.psychology.rehabilitation
Time Factors
Appears in Collections:Journal articles

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