[Indications for special rehabilitation programs for cerebrovascular strokes]

The rehabilitation of patients with stroke was a long time a neglected problem. Meanwhile there are several hospitals with comprehensive rehabilitation services with physical, occupational, speech, psychological and social assessments. The effectiveness were investigated in 296 stroke patients. 195 patients from two internal hospitals were compared with 101 patients from a hospital rehabilitation unit. Both groups were very similar according of age, sex, nature of stroke and the most of other factors. The effect were evaluated on the basic of ADL-classes (activities of daily living) at the time of discharge. The success of the special rehabilitation was better in patients with aphasia, flaccid and strong spastic hemiparesis, complicated diseases, lower motivation and mild or moderate psychoorganic syndromes. Absent of ability to cooperate limited the rehabilitation outcomes. In mild and severe followings of stroke were found same results in both groups. High age of life alone are not decreased the prognosis.