Stroke, Vol 17, 363-369, Copyright © 1986 by American Heart Association
ML Dombovy, BA Sandok and JR Basford
Survivors of stroke are often left with severe mental and physical
disabilities, which create a major social and economic burden. Many
investigators have attempted to assess the role of rehabilitation in
reducing such disability. Few controlled studies provide accurate
assessment and documentation of benefit. Because of the presence of
multiple variables and inadequate measures of outcome, it is difficult to
design studies evaluating the effectiveness of rehabilitation for stroke.
It is unclear how early rehabilitation should begin and what aspects of
rehabilitation are important. Intensive rehabilitation is an expensive and
limited resource; thus, the ability to identify the subgroup of patients
with stroke who are likely to benefit is a critical issue. Although
preliminary guidelines for the selection of patients who are appropriate
for rehabilitation are given, no uniform criteria reliably differentiate
patients who need rehabilitation from those who will recover spontaneously
or do poorly. Controlled studies in the practice of rehabilitation for
stroke will provide much useful information for patient management.
ARTICLES
Rehabilitation for stroke: a review
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