[Assessment of the effectiveness of early post-stroke rehabilitation]

Rehabilitation is a necessary element of treatment after stroke and should be used as early as possible in order to stimulate neurogenesis of the central nervous system. The aim of the study was to examine the effectiveness of early post-stroke rehabilitation on the basis of the functional test examining 9 basic life functions.

Analysis included 225 patients after first stroke (average age 67), during inpatient rehabilitation in the Rehabilitation Department at the III Provincial Hospital in Łódź in the period 2006-2007. From the beginning patients were rehabilitated by local physiotherapists. Next after consultancy they were qualified to Rehabilitation department. Comparison was done between status datum (examination in the day of coming to Rehabilitation Department) 2-3 weeks after stroke and control periods at times: 5 weeks, 8 weeks, and 6 month after the stroke. In statistical analysis the four field decision board was used. In order to count it up, the diagnostic variable D+ was added to control the compatibility of results agreement at the start point and in the examined time. To measure the force of connections of categorized variables, modulus of force connection r(p) for four field decision board was used.

In the 5th week after brain stroke all functions connected with independence at the bed area achieved high results. Functions connected with walking achieved high result in the 8th week.

(1) The first 2 months after the stroke are most effective for early post-stroke rehabilitation. (2) Half year after the brain stroke 56% of the patients are capable of self-existence.