skip to main content

The Effect of Early Mobilization on Functional Status of Stroke Patients: A Literature Review

Retno Endarwati Mustikaningrum  -  Department of Nursing, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia|Universitas Diponegoro|Indonesia, Indonesia
*Fitria Handayani orcid scopus  -  Department of Nursing, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia|Universitas Diponegoro|Indonesia, Indonesia
Yuni Dwi Hastuti orcid  -  Department of Nursing, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia|Universitas Diponegoro|Indonesia, Indonesia
Romy Latumanuwij  -  Bachelor of Nursing, Nursing Academy, Hanze University, Groningen, Netherlands|Hanze University|Netherlands, Netherlands
Marloes Fieten  -  Bachelor of Nursing, Nursing Academy, Hanze University, Groningen, Netherlands|Hanze University|Netherlands, Netherlands
Received: 9 May 2023; Revised: 10 Jul 2023; Accepted: 10 Jul 2023; Available online: 20 Jul 2023; Published: 20 Jul 2023.
Open Access Copyright 2023 Holistic Nursing and Health Science

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:
Abstract

Stroke impact to the altering functional status. Early mobilization is one of stroke care components that can minimize impact due to altering functional status such as weakness and paralysis in stroke patients. The review of early mobilization was proved increasing the functional status among critical illness patients. Limited review regarding the effect of early mobilization on changes in the level of functional status of stroke patients The aim the study was to determine the effect of early mobilization at the level of functional status of stroke patients. This research used the literature review with the MeSH search tool. The keywords and syntax included "stroke", "early mobilization", and "functional status". Articles found with keywords early mobilization; functional status; stroke retrieve 12,114 articles, namely 2069 articles from Proquest, 4774 articles from Pubmed, 35 articles from Scopus, and 5236 articles from ScienceDirect which were filtered based on the specified criteria and obtained 10 articles for review published in the period 2011-2021, with patient research samples strokes. The effect of early mobilization mostly showedan increasing degree of functional status level among stroke patients. It is recommended to provide early mobilization among stroke patient. Future research should conduct a meta-analysis in analysing effect of early mobilisation among stroke patients.

Fulltext View|Download
Keywords: early mobilization; functional status; stroke

Article Metrics:

  1. Alamri, M. S., Waked, I. S., Amin, F. M., Al-Quliti, K. W., & Manzar, M. D. (2019). Effectiveness of an early mobility protocol for stroke patients in the Intensive Care Unit. Neurosciences, 24(2), 81–88. https://doi.org/10.17712/nsj.2019.2.20180004
  2. Ashcroft, S. K., Ironside, D. D., Johnson, L., Kuys, S. S., & Thompson-Butel, A. G. (2022). Effect of exercise on brain-derived neurotrophic factor in stroke survivors: A systematic review and meta-analysis. Stroke, 53(12), 3706–3716. https://doi.org/10.1161/STROKEAHA.122.039919
  3. AVERT Trial Collaboration Group. (2015). Efficacy and safety of very early mobilization within 24 h of stroke onset (AVERT): A randomized controlled trial. Lancet, 386(9988), 46–55. https://doi.org/10.1016/S0140-6736(15)60690-0
  4. Bindawas, S. M., Mawajdeh, HM, Vennu, VS, & Alhaidary, HM (2017). Functional recovery differences after stroke rehabilitation in patients with uni- or bilateral hemiparesis. Neurosciences, 22(3), 186–191. https://doi.org/10.17712/nsj.2017.3.20170010
  5. Cahyati, Y. (2018). An overview of the functional abilities of stroke patients at RSUD Dr. Soekardjo Tasikmalaya. Information Media, 14(2), 162–170. https://doi.org/10.37160/bmi.v14i2.216
  6. Cassidy, JM, & Cramer, SC (2017). Spontaneous & therapeutic-induced mechanisms of functional recovery after stroke. Translational Stroke Research, 8(1), 33–46. https://doi.org/10.1007/s12975-016-0467-5
  7. Chippala, P., & Sharma, R. (2016). Effect of very early mobilization on functional status in patients with acute stroke: A single-blind, randomized controlled trail. Clinical Rehabilitation, 30(7), 669–675. https://doi.org/10.1177/0269215515596054
  8. Cumming, T. B., Thrift, A. G., Collier, J. M., Churilov, L., Dewey, H. M., Donnan, G. A., & Bernhardt, J. (2011). Very early mobilization after stroke fast-tracks return to walking: Further results from the phase II AVERT randomized controlled trial. Strokes, 42(1), 153–158. https://doi.org/10.1161/STROKEAHA.110.594598
  9. Diserens, K., Moreira, T., Hirt, L., Faouzi, M., Grujic, J., Bieler, G., Vuadens, P., & Michel, P. (2012). Early mobilization out of bed after ischemic stroke reduces severe complications but not cerebral blood flow: A randomized controlled pilot trial. Clinical Rehabilitation, 26(5), 451–459. https://doi.org/10.1177/0269215511425541
  10. Elizabeth, & Taviyanda, D. (2013). Activity daily living (ADL) dependence level in hemiparetic infarction stroke patients. JURNAL STIKES Kediri Baptist Hospital, 6(2), 1–11
  11. Franceschini, M., Fugazzaro, S., Agosti, M., Sola, C., Di Carlo, A., Cecconi, L., Ferro, S., & Italian Study Group on Implementation of Stroke Care (ISC Study). (2018). Acute phase predictors of 6-month functional outcome in Italian stroke patients eligible for in-hospital rehabilitation. American Journal of Physical Medicine & Rehabilitation, 97(7), 467–475. https://doi.org/10.1097/PHM.0000000000000897
  12. Harsono. (1996). Textbook of clinical neurology. Gadjah Mada Press Publisher
  13. Herisson, F., Godard, S., Volteau, C., Le Blanc, E., Guillon, B., Gaudron, M., & SEVEL study group. (2016). Early sitting in ischemic stroke patients (SEVEL): A randomized controlled trial. PloS One, 11(3), 1–13. https://doi.org/10.1371/journal.pone.0149466
  14. Republic of Indonesia Ministry of Health. (2018). Main results of Riskesdas 2018. Health Research and Development Agency, Ministry of Health. https://www.litbang.kemkes.go.id/hasil-utama-riskesdas-2018/
  15. Republic of Indonesia Ministry of Health. (2019). Infodantin data and information center of the Republic of Indonesia's Health Ministry. Ministry of Health of the Republic of Indonesia
  16. Langhorne, P., Stott, D., Knight, A., Bernhardt, J., Barer, D., & Watkins, C. (2011). Very early rehabilitation or intensive telemetry after stroke: A pilot randomized trial. Cerebrovascular Diseases, 29(4), 352–360. https://doi.org/10.1159/000278931
  17. Lingga, L. (2013). All about stroke. Elex Media Komputindo
  18. Liu, N., Cadilhac, D. A., Andrew, N. E., Zeng, L., Li, Z., Li, J., Li, Y., Yu, X., Mi, B., Li, Z., Xu, H., Chen, Y., Wang, J., Yao, W., Li, K., Yan, F., & Wang, J. (2014). Randomized controlled trial of early rehabilitation after intracerebral hemorrhage stroke: Difference in outcomes within 6 months of stroke. Strokes, 45(12), 3502–3507. https://doi.org/10.1161/STROKEAHA.114.005661
  19. Luft, AR, & Kesselring, J. (2016). Critique of a very early rehabilitation trial (AVERT). Strokes, 47(1), 291–292. https://doi.org/10.1161/STROKEAHA.115.010483
  20. Morreale, M., Marchione, P., Pili, A., Lauta, A., Castiglia, SF, Spallone, A., Pierelli, F., & Giacomini, P. (2016). Early versus delayed rehabilitation treatment in hemiplegic patients with ischemic stroke: Proprioceptive or cognitive approach? European Journal of Physical and Rehabilitation Medicine, 52(1), 81–89
  21. National Stroke Foundation. (2007). Clinical guidelines for acute stroke management. National Stroke Foundation. http://www.strokefoundation.com.au
  22. Pautasso M. (2013). Ten simple rules for writing a literature review. PLoS Computational Biology, 9(7), e1003149. https://doi.org/10.1371/journal.pcbi.1003149
  23. Poletto, S. R., Rebello, L. C., Valença, M. J. M., Rossato, D., Almeida, A. G., Brondani, R., Chaves, M. L. F., Nasi, L. A., & Martins, S. C. O. (2015). Early mobilization in ischemic stroke: A pilot randomized trial of safety and feasibility in a public hospital in Brazil. Cerebrovascular Diseases Extra, 5(1), 31-40. https://doi.org/10.1159/000381417
  24. Raghavan, P. (2015). Upper limb motor impairment post stroke. Physical Medicine and Rehabilitation Clinics of North America, 26(4), 599–610. https://doi.org/10.1016/j.pmr.2015.06.008
  25. Rahayu, UB, Wibowo, S., & Setyopranoto, I. (2019). The effectiveness of early mobilization time on balance and functional ability after ischemic stroke. Open Access Macedonian Journal of Medical Sciences, 7(7), 1088–1092. https://doi.org/10.3889/oamjms.2019.269
  26. Sundseth, A., Thommessen, B., & Rønning, OM (2012). Outcome after mobilization within 24 hours of acute stroke: A randomized controlled trial. Strokes, 43(9), 2389–2394. https://doi.org/10.1161/STROKEAHA.111.646687
  27. WHO. (2018). Disease burden and mortality estimates [Health statistics and information systems]. http://www.who.int/healthinfo/global_burden_disease/estimates/en/
  28. Williams, J., Perry, L., & Watkins, C. (2013). Acute stroke nursing. John Wiley & Sons
  29. Yen, H.-C., Jeng, J.-S., Chen, W.-S., Pan, G.-S., Chuang Pt Bs, W.-Y., Lee, Y.-Y., & Teng, T. (2020). Early mobilization of mild-moderate intracerebral hemorrhage patients in a stroke center: A randomized controlled trial. Neurorehabilitation and Neural Repair, 34(1), 1–10. https://doi.org/10.1177/1545968319893294
  30. Yen, H.-C., Jeng, J.-S., Cheng, C.-H., Pan, G.-S., & Chen, W.-S. (2021). Effects of early mobilization on short-term blood pressure variability in acute intracerebral hemorrhage patients. Medicine, 100(21). https://doi.org/10.1097/MD.0000000000026128

Last update:

No citation recorded.

Last update:

No citation recorded.