ECE2023 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (355 abstracts)
1Taher Sfar Hospital, Physical medicine and Rehabilitation, Mahdia, Tunisia; 2Ibn El Jazzar Hospital, Physical Medicine and Rehabilitation, Tunisia
Introduction: Stroke is the mean cause of acquired disability in adults. The objective of our study was to describe functional outcomes and complications in diabetic patients after stroke.
Patients and Methods: A descriptive study including diabetic patients followed in rehabilitation departement for vascular hemiplegia. Sociodemographic characteristics, patient history, and stroke history were collected. A functional assessment at 1 year after stroke was collected using the Barthel index, and neuro-orthopedic complications were noted in each patient.
Results: Sixty patients were included in this study. The mean age was 62±12.6 years. At one year of evolution, orthopedic complications such as algodystrophy (22.5%), inferior subluxation of the humeral head (12%), spastic equinus of the feet (65%) were noted in our population. Mean Barthel index score was 45.5 meaning a moderate functional recovery.
Conclusion: Diabetes seems to worsen the long-term functional prognosis of stroke patients. This requires early and multidisciplinary management of patients with vascular hemiplegia to detect complications and improve functional recovery.