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[Rehabilitation after stroke].

S Maehlum1, K Roaldsen, M Kolsrud

  • 1Sunnaas sykehus, Nesoddtangen.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|August 30, 1990
PubMed
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Cognitive impairments significantly hinder stroke survivors from returning home after rehabilitation. Addressing these cognitive deficits is crucial for successful recovery and community reintegration.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Geriatric Medicine

Context:

  • Stroke rehabilitation programs aim to improve functional outcomes and facilitate community reintegration.
  • Understanding factors influencing successful discharge is vital for optimizing patient care.
  • This study evaluates a hospital-based stroke rehabilitation program using retrospective data.

Purpose:

  • To assess the effectiveness of a stroke rehabilitation program.
  • To identify predictors of successful discharge and home return.
  • To analyze the impact of motor and cognitive impairments on rehabilitation outcomes.

Summary:

  • Retrospective study of 277 stroke patients (183 males, 94 females) admitted in 1982/83.
  • 87% had motor impairments; common cognitive impairments included apraxia (45%), aphasia (38%), and neglect (17%).

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  • Significant improvements observed in ambulation (55% to 79%) and Activities of Daily Living (ADL) independence (67% to 88%).
  • Male patients had a shorter average length of stay (LOS) than females (57 vs. 68 days).
  • Cognitive impairments were associated with a lower rate of return home, while aphasia did not significantly impact outcomes.

    • Impact:

    • Cognitive impairments represent a major barrier to successful stroke rehabilitation and home discharge.
    • Findings highlight the need for targeted interventions addressing cognitive deficits in stroke survivors.
    • The study underscores the importance of comprehensive assessments to predict and improve rehabilitation success.