Summary
A planned prospective documentation of the course of rehabilitation of 303 stroke patients was undertaken using the Bathel-Index as a measure of basic everyday functions and the Guttman-Scale as a measure of complex activities of daily living. These were determined at the beginning of rehabilitation, after an average of 7 weeks of in-patient treatment and one year following the stroke. Four patterns in the course of rehabilitation could be differentiated. The causes of the differing functional results were investigated. Besides a positive spontanious progress of the underlaying disease with an early reparation of the neurological deficits it is the premorbid status, the overprotection of the physically disabled and the determinative cognitive and mental functions that decide the long term fate of stroke patients.
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References
Anderson TP, Baldridge M, Ettinger MG (1979) Quality of care for completed stroke without rehabilitation: evaluation by assessing patient outcomes. Arch Phys Med Rehabil 60: 103–107
Blumenthal W, Koch M (1981) Leistungsbewertung and Wiedereingliederung Behinderter. Rehabilitation (Stuttg) 20 (1): 8–12
Carey RG, Posavac EJ (1982) Rehabilitation program evaluation using a revised level of rehabilitation scale ( LORS-II ). Arch Phys Med Rehabil 63: 367–370
Carter LT, Oliveira DO, Duponte J, Lynch SV (1988) The relationship of cognitive skills performance to activities of daily living in stroke patients. Am J Occup Ther 42 (7): 449–455
Chino N, Anderson TP, Granger CV (1988) Stroke rehabilitation outcome studies: comparison of a Japanese facility with 17 U.S. facilities. Int Disabil Stud 10: 150–153
Delisa JA, Mikulic MA, Melnick RR, Miller RM (1982) Stroke rehabilitation. Part II. Recovery and complications. Am Fam Physician 26 (6) 143–151
Dombovy ML, Sandok BA, Basford JR (1986) Rehabilitation for stroke: a review. Stroke 17 (3): 363–369
Feibel JH, Springer CJ (1982) Depression and failure to resume social activities after stroke. Arch Phys Med Rehabil 63 (6): 276–277
Feigenson JS (1982) Toward a uniform assessment of “outcome”. Stroke 13: 873–876
Feigenson JS, McCarthy ML, Greenberg SD, Feigenson WD (1977a) Factors influencing outcome and length of stay in a stroke rehabilitation unit. Part 2. Comparison of 318 screened and 248 unscreened patients. Stroke 8 (6): 657–662
Feigenson JS, McDowell FH, Meese P, McCarthy ML, Greenberg SD (1977b) Factors influencing outcome and length of stay in a stroke rehabilitation unit. Part 1. Analysis of 248 unscreened patients — medical and functional prognostic indicators. Stroke 8 (6): 351–356
Freed MM, Wainapel SF (1983) Predictors of stroke outcome. Am Fam Physician 28 (5): 119–123
Forer SK, Miller LS (1980) Rehabilitation outcome: comparative analysis of different patient types. Arch Phys Med Rehabil 61: 359–365
Garraway WM, Akhtar AJ, Hockey L, Prescott RJ (1980) Management of acute stroke in the elderly: follow-up of a controlled tria. Br Med J 281 (6244): 827–829
Granger CV, Dewis LS, Peters NC, Sherwood CC, Barrett JE (1979) Stroke rehabilitation: analysis of repeated Barthel index measures. Arch Phys Med Rehabil 60 (1): 14–17
Granger CV, Greer DS, Liset E, Coulombe J, O’Brien E (1975) Measurement of outcomes of care for stroke patients. Stroke 6 (1): 34–41
Granger CV, Hamilton BB, Gresham GE, Kramer AA (1989) The stroke rehabilitation outcome study. Part II. Relative merits of the total Barthel index score and a four-item subscore in predicting patient. Arch Phys Med Rehabil 70 (2): 100–103
Gresham GE (1986) Stroke outcome research. Stroke 17 (3): 358–360
Gresham GE, Phillips TF, Labi ML (1980) ADL status in stroke: relative merits of three standard indexes. Arch Phys Med Rehabil 61 (8): 355–358
Hayes SH, Carroll SR (1986) Early intervention care in the acute stroke patient. Arch Phys Med Rehabil 67: 319–321
Heinemann AW, Roth EJ, Cichowski K, Betts HB (1987) Multivariate analysis of improvement and outcome following stroke rehabilitation. Arch Neurol 44 (11): 1167–117
Kinsella G, Ford B (1980) Acute recovery from patterns in stroke patients: neuropsychological factors. Med J Aust 2: 663–66
Kotila M, Waltimo O, Niemi ML, Laaksonen R, Lempinen M (1984) The profile of recovery from stroke and factors influencing outcome. Stroke 15 (6): 1039–1104
Lindmark B (1988) Evaluation of functional capacity after stroke with special emphasis on motor function and activities of daily living. Scand J Rehabil Med [Suppl] 21: 1–40
Novack TA, Satterfield WT, Lyons K, Kolski G, Hackmeyer L, Connor M (1984) Stroke onset and rehabilitation: time lag as a factor in treatment outcome. Arch Phys Med Rehabil 65 (6): 316–319
Osberg JS, McGinnis GE, DeJong G, Seward ML, Germaine J (1988) Long-term utilization and charges among post-rehabilitation stroke patients. Am J Phys Med Rehabil 67 (2): 66–72
Reding MJ, Mc Dowell FH (1989) Focused stroke rehabilitation programs improve outcome. Arch Neurol 46: 700–701
Robinson RG, Starr LB, Lipsey JR, Rao K, Price TR (1985) A two-year longitudinal study of poststroke mood disorders. In-hospital prognostic factors associated with six-month outcome. J Nery Ment Dis 173: 221–226
Seale C, Davies P (1987) Outcome measurement in stroke rehabilitation research. Int Disabil Stud 9 (4): 155–160
Smith DS, Goldenberg E, Ashburn A, Kinsella G, Sheikh K, Brennan PJ, Meade TW, Zutshi DW, Perry JD, Reeback JS (1981) Remedial therapy after stroke: a randomised controlled trial. Br Med J (Clin Res) 282 (6263): 517–520
Wade DT, Skilbeck CE, Hewer RL (1983) Predicting Barthel ADL score at 6 months after an acute stroke. Arch Phys Med Rehabil 64: 24–28
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© 1991 Springer-Verlag
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Ungern-Sternberg, A.V., Küthmann, M., Weimann, G. (1991). Stroke: evaluation of long-term rehabilitation effects. In: Deecke, L., Dal-Bianco, P. (eds) Age-associated Neurological Diseases. Journal of Neural Transmission, vol 33. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9135-4_23
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DOI: https://doi.org/10.1007/978-3-7091-9135-4_23
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-82261-6
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