Abstract
90% of stroke patients have a residual deficit. The expected spontaneous biological recovery follows the “proportional recovery rule” – most patients recover 70% of their lost motor or language function within the first 3 months after stroke. Only slight improvements occur at later time points, mostly due to compensatory behavioral adaptations. Conventional rehabilitation methods have shown only modest results above the expected extent of spontaneous biological recovery. Therefore, intense research is ongoing to improve rehabilitation outcomes. You should familiarize yourself with rehabilitative approaches and scales for measuring level of function and disability. Please take note of the evolving criteria involved in admitting stroke patients to various facilities for poststroke care.
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Abbreviations
- ADL:
-
Activities of daily living
- AFO:
-
Ankle foot orthotic
- BI:
-
Barthel index
- CIMT:
-
Constraint-induced movement therapy
- FIM:
-
Functional independence measure
- GABA:
-
Gamma-aminobutyric acid
- GOS:
-
Glasgow outcome scale
- LTACH:
-
Long-term acute care hospital
Suggested Reading
Avert Collaboration Group. Efficacy and safety of very early mobilization within 24 hours of stroke onset. Lancet. 2015;386:46–55.
Chollet F, Tardy J, Albucher JF, et al. Fluoxetine for motor recovery after acute ischaemic stroke (FLAME): a randomised placebo-controlled trial. Lancet Neurol. 2011;10(2):123–30.
Duncan PW, Sullivan KJ, Behrman AL, et al. Body-weight supported treadmill rehabilitation after stroke. N Engl J Med. 2011;364:2026–36.
Wolf SL, Winstein CJ, Miller JP, et al. Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke. JAMA. 2006;296:2095–104.
Vestling M, Tufvesson B, Iwarsson S. Indicators for return to work after stroke and the importance of work for subjective well-being and life satisfaction. J Rehabil Med. 2003;35(3):127–31.
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Harel, N. (2020). Stroke Rehab. In: Amin, H.P., Schindler, J.L. (eds) Vascular Neurology Board Review. Springer, Cham. https://doi.org/10.1007/978-3-030-52552-1_18
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DOI: https://doi.org/10.1007/978-3-030-52552-1_18
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