Meeting abstract

Rehabilitation of Tick-borne meningoencephaloradiculomyelitis patients

Primož NOVAK ; Univerzitetni rehabilitacijski inštitut Republike Slovenije - Soča
Nataša BIZOVIČAR ; Univerzitetni rehabilitacijski inštitut Republike Slovenije - Soča
Neža MAJDIČ ; Univerzitetni rehabilitacijski inštitut Republike Slovenije - Soča

Abstract

Introduction: Tick-borne meningoencephaloradiculomyelitis is an RNA-viral infection, with severe acute clinical course and possible severe long term activity limitations of patients. Comprehensive rehabilitation is therefore often required. The aim of our study was to assess rehabilitation outcome in these patients. Methods: 15 patients with meningoencephaloradiculomyelitis, aged 56.1 years on average (SD 10.8, range 27-73 years), were included in the study. Activity was assessed using the Functional Independence Measure (FIM). Assessment was performed at admission and at discharge. Ratings of FIM at admission and at discharge were compared using a t-test for paired samples. Correlations between patients’ age, time from disease onset, duration of rehabilitation and the improvement in FIM was assessed using Pearson’s correlation coefficient. Results: Patients were admitted to our Institute on average 3 months after disease onset (SD 2.2 months, range 1-8 months). The rehabilitation lasted for 59.4 days on average (SD 34.6, range 25-123 days). At admission, moderate activity limitations were present in patients, with average motor FIM score 55.5 (SD 27.5, range 13-89) and no deficits in cognitive FIM. Clinically important improvements in patients’ activities were achieved: motor FIM score improved for 19.4 on average (SD 16.8, range 0-54). The improvement was statistically significant (p<0.001). Moderate and statistically significant correlation was observed between the improvement in patients’ activities and duration of rehabilitation (r= 0.602, p=0.018). Conclusion: Clinically important and statistically significant improvements regarding activities were achieved in tick-borne meningoencephaloradiculomyelitis patients during relatively short inpatient rehabilitation.

Keywords

Tick-borne meningoencephaloradiculomyelitis; rehabilitation; outcome

Hrčak ID:

150785

URI

https://hrcak.srce.hr/150785

Publication date:

25.11.2015.

Article data in other languages: slovenian

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