By Nick Losseff
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Additional info for Neurological rehabilitation of stroke
Example text
Advances in Neurology 73:207–27. Current Opinion in Neurology 11: 655–62. Page 22 This page intentionally left blank. The findings of the Stroke Unit Trialists Collaboration (1997, 2000), based on a metaanalysis, indicate that the management of patients with stroke within a dedicated unit reduces mortality and morbidity with no definite increase in length of stay. Within stroke units, guidelines will exist based on agreed, evidencebased protocols, specific to the management of patients who have had stroke.
At later stages in the rehabilitation process more complex and high level activities will be addressed, including return to work and leisure, outdoor mobility, access to public transport and reading and writing. For example ‘Paul will feed himself independently using a spoon in his right hand’ as opposed to ‘Paul will have increased range of movement and strength in his right arm’. They can also ensure that care and rehabilitation are coordinated so that all members of the team, including the patient and their family, are working towards an agreed outcome.
Lancet 358: 787–90. Archives of Physical Medicine and Rehabilitation 80:442–7. Sonde L, Nordstrom M, Nilsson CG, Lokk J, Viitanen M (2001) A doubleblind placebocontrolled study of the effects of amphetamine and physiotherapy after stroke. Cerebrovascular Disease 12:253–7. Stroke 29:2381–93. Stroke 28:2139–44. Cochrane Database Systematic Review (2): CD000197. Restorative Neurology and Neuroscience 4 :1–11. Archives of Physical Medicine and Rehabilitation 74:347–54. Neuroimage 8 :50–61.
