By Julien Bogousslavsky
Comparing the key thoughts used to avoid stroke recurrence, similar to antiplatelet and anticoagulant treatments, this reference assesses the efficacy of pharmacological interventions, healing regimens, and caliber of take care of stroke patients-detecting possibility elements and strength mechanisms of stroke to avoid sensible incapacity and bring up caliber of lifestyles, independence, and mental overall healthiness in post-stroke administration courses. Considers the advanced factor of expense vs. profit in post-stroke rehabilitation. Addressing universal dysfunctions that happen after stroke, together with motor impairment, neurobehavioral alterations, cognitive loss, emotional problems, and dementia, long term results of Stroke discusses
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Extra info for Long-Term Effects of Stroke
Sample text
The Rivermead ADL Scale Developed for evaluation of stroke patients in a rehabilitation center in 1980, this scale was revised 10 years later (78, 79). The new version is valid for elderly stroke patients (aged>64 years) and has improved reliability by using each item without an intermediate grade. The scoring ranges from 1 (dependent) to 3 (independent with/without aid). The scale assesses two main aspects of daily activities: self-care and household. Its major fault is not to evaluate continence.
An intense multifaceted rehabilitation program late (>1 year) after stroke seemed to be beneficial after 3 months’ intervention when compared with no treatment in a trial that was small and not strictly randomized (91). There is, as yet, no scientific support for an effect of specific speech therapy on QL or handicap (92). Common to all rehabilitation programs that have reported beneficial effects on QL or handicap is that they have also had positive effects on determinants of QL such as physical performance, gait, or ADL proficiency.
Measurement of outcomes of care for stroke patients. Stroke 1975; 6:34–41. 68. Caroll RA, Borstein SS, Hoffman SG. Rehabilitation networking: a solution for the future. In: Granger CV, Gresham GE, eds. Functional Assessment in Rehabilitation Medicine. Baltimore: Williams & Wilkins, 1984, pp 364–377. 69. Holbrook M, Skilbeck CE. An activities index for use with stroke patients. Age Ageing 1983; 12:166–170. 70. Wade DT, Legh-Smith J, Langton Hewer R. Social activities after stroke: measurement and natural history using the Frenchay Activities Index.
