Protocol of the Sunnaas International (SIN) Stroke Project an International Multicenter Study of Specialized Rehabilitation for Stroke Patients
|Johan K Stanghelle1, Susanne Sällström1, Frank Becker1, Tong Zhang2, Xiaoxia Du2, Tamara Bushnik3, Maria Panchenko4, Ofer Keren5, Samir Banura6, Khamis Elessi7, Fuad Luzon OT7, Katharina S Sunnerhagen8, Åsa Lundgren-Nilsson8, Xie Li9, Fabiana Jachniuk5 and Birgitta Langhammer1*|
|1Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway Institute of Clinical Medicine, University of Oslo, Oslo, Norway|
|2China Rehabilitation Research Center, China|
|3Rusk Institute NYU Langone Medical Center, USA|
|4No. 2 policlinica, Petrozavodsk|
|5Sheba medical Hospital, Ramat Gan, Israel|
|6Betlehem Arab Society rehabilitation, Specialized Rehabilitation & Surgery Hospital, Betlehem|
|7El Wafa/Islamic University of Gaza|
|8University of Gotheburgh, Gothenburg, Sweden|
|9Sichuan Bayi Rehabilitation Center, China|
|Corresponding Author :||Birgitta Langhammer
Sunnaas Rehabilitation Hospital ,Nesoddtangen
Norway Institute of Clinical Medicine University of Oslo
Tel: + 47 22 45 25 10
Fax: + 47 22 45 25 05E-mail: [email protected]
|Received January 30, 2015; Accepted February 27, 2015; Published March 02, 2015|
|Citation: Stanghelle JK, Sällström S, Becker F, Zhang T, Du X, et al. (2015) Protocol of the Sunnaas International (SIN) Stroke Project an International Multicenter Study of Specialized Rehabilitation for Stroke Patients. J Clin Trials 2015 5:214. doi:10.4172/2167-0870.1000214|
|Copyright: © 2014 Langhammer B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Rationale: Stroke is leading cause of serious, long-term disability in adults. Consequently, many individuals with stroke are in need of specialized rehabilitation. However, the content of specialized rehabilitation may vary.
Aims: To describe the content of specialized stroke rehabilitation, and possible influence on the physical and social functioning after specialized rehabilitation, in nine rehabilitation institutions representing seven different countries.
Design: The design is a prospective, descriptive study of the specialized rehabilitation of stroke patients in rehabilitation institutions in Norway, PR China, the United States, Russia, Israel, Palestine and Sweden. Patients with a primary diagnosis of stroke consecutively attending an institution for specialized rehabilitation will be invited to enroll in the study.
Study Outcomes: General descriptive data of the rehabilitation centers, the content of their programs for
specialized rehabilitation for stroke patients, and descriptive data of enrolled patients will be registered. Primary outcome measures are the Barthel Index (BI), alternatively, the Functional Independence Measure (FIM), which reflect performance of the activities of daily living. Secondary outcome measures are the Life Satisfaction Scale (LISAT-11), the Modified Rankin Scale (MRS), the National Institutes of Health Stroke Scale (NIHSS) and a semistructured questionnaire with focus on the social situation. Tests will be performed on admission to rehabilitation, 18-22 days into rehabilitation, at discharge, six and twelve months after discharge.
Discussion: The study will contribute to the knowledge about the content of specialized stroke rehabilitation with examples from nine clinics in seven different countries. The study will highlight how the different models of specialized rehabilitation may influence patients’ outcomes. Data from all sites will target what physical and psychosocial situations persons with stroke face in different settings. The international aspects of specialized stroke rehabilitation may serve as background for the discussion on the optimal rehabilitation services for stroke patients.