Rehabilitation for stroke: a review.

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.

[1]  T. Twitchell The restoration of motor function following hemiplegia in man. , 1951, Brain : a journal of neurology.

[2]  G. F. Adams,et al.  Assessment and prognosis in hemiplegia. , 1953, Lancet.

[3]  C. van Buskirk Return of Motor Function in Hemiplegia , 1954, Neurology.

[4]  D. Webster,et al.  Prognostic Value of Sensory Defect in Rehabilitation of Hemiplegics , 1955, Neurology.

[5]  Rapid mobilization of cerebrovascular accident patients. , 1956, Archives of physical medicine and rehabilitation.

[6]  J. Rankin Cerebral Vascular Accidents in Patients over the Age of 60: II. Prognosis , 1957, Scottish medical journal.

[7]  An analysis of the rehabilitation needs and prognoses of 232 cases of cerebral vascular accident. , 1959, Archives of physical medicine and rehabilitation.

[8]  T. G. Hudson Expert Committee on Medical Rehabilitation , 1960 .

[9]  H. Rusk,et al.  A comparison of functionally orientated medical care and formal rehabilitation in the management of patients with hemiplegia due to cerebrovascular disease. , 1962, Journal of chronic diseases.

[10]  H. Eisenberg,et al.  CEREBROVASCULAR ACCIDENTS. INCIDENCE AND SURVIVAL RATES IN A DEFINED POPULATION, MIDDLESEX COUNTY, CONNECTICUT. , 1964, JAMA.

[11]  C. Wylie AGE AND LONG‐TERM HOSPITAL CARE FOLLOWINGCEREBROVASCULAR ACCIDENTS , 1964, Journal of the American Geriatrics Society.

[12]  F. Mahoney,et al.  FUNCTIONAL EVALUATION: THE BARTHEL INDEX. , 2018, Maryland state medical journal.

[13]  H. Schoening,et al.  Numerical scoring of self-care status of patients. , 1965, Archives of physical medicine and rehabilitation.

[14]  Vaun A. Newill,et al.  PART II. LONG-TERM COURSE OF 159 PATIENTS , 1966 .

[15]  A. B. Ford,et al.  PROGNOSIS AFTER STROKES PART I. A CRITICAL REVIEW , 1966 .

[16]  N. Bourestom Predictors of long-term recovery in cerebrovascular disease. , 1967, Archives of physical medicine and rehabilitation.

[17]  AGE AND THE REHABILITATIVE CARE OF STROKE , 1968, Journal of the American Geriatrics Society.

[18]  H. Schoening,et al.  Numerical scoring of self-care status: a study of the Kenny self-care evaluation. , 1968, Archives of physical medicine and rehabilitation.

[19]  C. Wylie The Community Medicine of Cerebrovascular Disease , 1970, Stroke.

[20]  J. Mathias,et al.  Program , 1970, Symposium on VLSI Technology.

[21]  L. Kurland,et al.  Natural History of Stroke in Rochester, Minnesota, 1945 Through 1954 , 1971, Stroke.

[22]  J. Marshall Cerebrovascular diseases. Prevention, treatment, and rehabilitation , 1971 .

[23]  M. Hyman The stigma of stroke. Its effects on performance during and after rehabilitation. , 1971, Geriatrics.

[24]  M Robinson,et al.  Factors Influencing Stroke Rehabilitation , 1971, Stroke.

[25]  M. Hyman Social isolation and performance in rehabilitation. , 1972, Journal of Chronic Diseases.

[26]  A. Heyman,et al.  I. Epidemiology For Stroke Facilities Planning , 1972 .

[27]  L. Hurwitz,et al.  Rehabilitation of hemiplegia: indices of assessment and prognosis. , 1972, British medical journal.

[28]  F. E. Lightbody,et al.  Long-term follow-up of the poststroke patient. , 1972, Archives of physical medicine and rehabilitation.

[29]  M. Hyman Social psychological determinants of patients' performance in stroke rehabilitation. , 1972, Archives of physical medicine and rehabilitation.

[30]  D. Benson,et al.  II. Stroke Rehabilitation , 1972 .

[31]  Appraisal of rehabilitation treatment in "stroke" hemiplegics. , 1973, The Journal of the Association of Physicians of India.

[32]  L. Kurland,et al.  Natural History of Stroke in Rochester, Minnesota, 1955 Through 1969: An Extension of a Previous Study, 1945 Through 1954 , 1973, Stroke.

[33]  R. Marks,et al.  Determinants of outcome of stroke rehabilitation. , 1973, Age and ageing.

[34]  G. E. Gresham,et al.  A unified ADL evaluation form. , 1973, Archives of physical medicine and rehabilitation.

[35]  A. Haerer Visual Field Defects and the Prognosis of Stroke Patients , 1973, Stroke.

[36]  R. Dow,et al.  Failures and Successes in a Stroke Program , 1974, Stroke.

[37]  J. Toole,et al.  Early Rehabilitative Care in Community Hospitals: Effect on Quality of Survivorship Following a Stroke , 1974, Stroke.

[38]  T. P. Anderson,et al.  Predictive factors in stroke rehabilitation. , 1974, Archives of physical medicine and rehabilitation.

[39]  P A Wolf,et al.  Residual disability in survivors of stroke--the Framingham study. , 1975, The New England journal of medicine.

[40]  A. Haerer,et al.  Prognosis and Quality of Survival in a Hospitalized Stroke Population From the South , 1975, Stroke.

[41]  J. Lehmann,et al.  Stroke: Does rehabilitation affect outcome? , 1975, Archives of physical medicine and rehabilitation.

[42]  M. Hyman Social psychological factors affecting disability among ambulatory patients. , 1975, Journal of chronic diseases.

[43]  R G Smith,et al.  Observer variation in the clinical assessment of stroke. , 1976, Age and ageing.

[44]  R. Culbertson,et al.  Comparison of Two Systems for Stroke Rehabilitation in a General Hospital , 1976, Journal of the American Geriatrics Society.

[45]  Fate of Stroke Patients Transferred to a Long‐Term Rehabilitation Hospital , 1976, Stroke.

[46]  J. Feigenson,et al.  Factors Influencing Outcome and Length of Stay in a Stroke Rehabilitation Unit Part 1. Analysis of 248 Unscreened Patients ‐Medical and Functional Prognostic Indicators , 1977, Stroke.

[47]  M. Garraway,et al.  Limitations of the controlled trial in health care. , 1977, Health bulletin.

[48]  T. P. Anderson,et al.  Stroke rehabilitation: maintenance of achieved gains. , 1977, Archives of physical medicine and rehabilitation.

[49]  J. Feigenson,et al.  Stroke rehabilitation I. Factors predicting outcome and length of stay--an overview. , 1977, New York state journal of medicine.

[50]  J. Feigenson,et al.  Factors Influencing Outcome and Length of Stay in a Stroke Rehabilitation Unit: Part 2. Comparison of 318 Screened and 248 Unscreened Patients , 1977, Stroke.

[51]  M. E. Smith,et al.  An Assessment Unit for Measuring the Outcome of Stroke Rehabilitation , 1977 .

[52]  P. Hsu,et al.  Prognostic factors in the survival of 1,484 stroke cases observed for 30 to 48 months. I. Diagnostic types and descriptive variables. , 1978, Archives of neurology.

[53]  J. Feigenson,et al.  Outcome and cost for stroke patients in academic and community hospitals. Comparison of two groups referred to a regional rehabilitation center. , 1978, JAMA.

[54]  P. Laycock,et al.  How much physical therapy for patients with stroke? , 1978, British medical journal.

[55]  J. Johnson,et al.  Neurophysiologic syndromes in stroke as predictors of outcome. , 1978, Archives of physical medicine and rehabilitation.

[56]  G. Gullickson,et al.  Stroke rehabilitation: evaluation of its quality by assessing patient outcomes. , 1978, Archives of physical medicine and rehabilitation.

[57]  S. Rabkin,et al.  The relation of blood pressure to stroke prognosis. , 1978, Annals of internal medicine.

[58]  J. Stamler,et al.  Trends in Mortality from Cerebrovascular Diseases in the United States, 1960 to 1975 , 1978, Stroke.

[59]  C. Granger,et al.  Stroke rehabilitation: analysis of repeated Barthel index measures. , 1979, Archives of physical medicine and rehabilitation.

[60]  T. P. Anderson,et al.  Quality of care for completed stroke without rehabilitation: evaluation by assessing patient outcomes. , 1979, Archives of physical medicine and rehabilitation.

[61]  J. Feigenson,et al.  Stroke Rehabilitation: Effectiveness, Benefits, and Cost. Some Practical Considerations , 1979, Stroke.

[62]  Miller Ls,et al.  Computed tomography: its potential as a predictor of functional recovery following stroke. , 1979, Archives of physical medicine and rehabilitation.

[63]  W. Garraway,et al.  Changing Pattern of Cerebral Infarction: 1945–1974 , 1979, Stroke.

[64]  P A Wolf,et al.  Epidemiologic profile of long-term stroke disability: the Framingham study. , 1979, Archives of physical medicine and rehabilitation.

[65]  Mark K. Adler,et al.  Stroke Rehabilitation—Is Age a Determinant? † , 1980, Journal of the American Geriatrics Society.

[66]  R. Prescott,et al.  Management of acute stroke in the elderly: follow-up of a controlled trial. , 1980, British medical journal.

[67]  G. E. Gresham,et al.  ADL status in stroke: relative merits of three standard indexes. , 1980, Archives of physical medicine and rehabilitation.

[68]  T W Meade,et al.  Remedial therapy after stroke: a randomised controlled trial. , 1981, British medical journal.

[69]  R. Harvey,et al.  Functional performance assessment: a program approach. , 1981, Archives of physical medicine and rehabilitation.

[70]  M. E. Smith,et al.  The triage of stroke rehabilitation. , 1981, Journal of epidemiology and community health.

[71]  K. Lind A synthesis of studies on stroke rehabilitation. , 1982, Journal of chronic diseases.

[72]  M. Humphrey,et al.  Presenile stroke: long-term outcome for patients and their families. , 1982, Rheumatology and rehabilitation.

[73]  M. E. Smith,et al.  Therapy impact on functional outcome in a controlled trial of stroke rehabilitation. , 1982, Archives of physical medicine and rehabilitation.

[74]  R. Prescott,et al.  Predicting functional outcome following acute stroke using a standard clinical examination. , 1982, Stroke.

[75]  T. P. Anderson,et al.  Mossman's A problem-oriented approach to stroke rehabilitation , 1982 .

[76]  W. Garraway,et al.  Proprioception and spatial neglect after stroke. , 1983, Age and ageing.

[77]  W. Garraway,et al.  The continuing decline in the incidence of stroke. , 1983, Mayo Clinic proceedings.

[78]  W. Garraway,et al.  The changing pattern of survival following Stroke. , 1983, Stroke.

[79]  R L Hewer,et al.  Predicting Barthel ADL score at 6 months after an acute stroke. , 1983, Archives of physical medicine and rehabilitation.

[80]  P. Brennan,et al.  Predictors of mortality and disability in stroke. , 1983, Journal of Epidemiology and Community Health.

[81]  D. Wade,et al.  Stroke: influence of patient's sex and side of weakness on outcome. , 1984, Archives of physical medicine and rehabilitation.

[82]  Stroke onset and rehabilitation: time lag as a factor in treatment outcome. , 1984, Archives of physical medicine and rehabilitation.

[83]  R. Stevens,et al.  A randomized controlled trial of a stroke rehabilitation ward. , 1984, Age and ageing.

[84]  M. Johnston,et al.  Early rehabilitation for stroke patients: a new look. , 1984, Archives of physical medicine and rehabilitation.

[85]  W. F. Calhoun,et al.  Stroke rehabilitation: correlation and prognostic value of computerized tomography and sequential functional assessments. , 1984, Archives of physical medicine and rehabilitation.

[86]  C. Allen Predicting the outcome of acute stroke: a prognostic score. , 1984, Journal of neurology, neurosurgery, and psychiatry.

[87]  L. Donaldson The uses of epidemiology in the study of the elderly - WHO , 1985 .

[88]  K. Asplund,et al.  A non-intensive stroke unit reduces functional disability and the need for long-term hospitalization. , 1985, Stroke.

[89]  D. Wade,et al.  CONTROLLED TRIAL OF A HOME-CARE SERVICE FOR ACUTE STROKE PATIENTS , 1985, The Lancet.