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Rehabilitation Practice and Science

Mei-Hue Hsu

Translated Title

腦中風患者復健治療預後之探討

Abstract

In recent 10 years 1419 stroke patients who had been hospitalized to Cathy General Hospital, and received CT scanning examinations were retrospectively selected for this study. These patients were divided into two groups. The first group was enrolled from July 1982 to June 1987 (total 536 patients) and the second was from July 1987 to June 1992 (total 883 patients). The outcome of rehabilitation was evaluated according to the abilities of daily living and ambulation.In general, the stroke patients had the abilities of activities of daily living from 15% to 41.6% in Group 1 and from 20.4% to 44.3% in Group 2. Patients had the ability of ambulation from 50.3% to 82.7% in Group 1 and from 51.6% to 85.6% in Group 2 after rehabilitation. There was a significant improvement in these two groups (p＜0.005, respectively). The type of stroke, frequency of recurrence and putaminal hemorrhage with or without operation did not influence the outcome of rehabilitation. After rehabilitation, the stroke patients accompanied with sensory impairment, speech disorder, the onset age more than 45 years and starting rehabilitation within two weeks and two to four weeks after onset all had significant improvement in the abilities of daily living and ambulation in these two groups. The patients accompanied with emotional, cognitive, and perceptive disturbance had no significant improvement in the abilities of daily living but there was a significant improvement in the ability of ambulation in these two groups. The patients accompanied with dementia, onset age less than 45 years and starting rehabilitation 4 to 6 weeks after onset had no significant improvement in the abilities of activities of daily living in both groups but there was a significant improvement in the ability of ambulation in Group 2 patients.

Language

Traditional Chinese

First Page

41

Last Page

49

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