Aug 12

中風之【治療黃金六個月】Stroke【Important Principles of Rehabilitation】












Neurological Recovery

  • Neurological recovery is defined as recovery of neurological impairments and is often the result of brain recovery/reorganization; it has been increasingly recognized as being influenced by rehabilitation.

  • The majority of neurological recovery occurs within the first 1-3 months.

  • Afterwards recovery may occur much more slowly for up to one year or more.

Spontaneous Neurological Recovery

  • Neurological deficits resulting from a stroke are often referred to as impairments. These are determined primarily by the site and extent of the stroke.

  • As a general rule, the severity of the initial deficit is inversely proportional to the prognosis for recovery.

  • Most spontaneous recovery occurs during the first 3-6 months after the stroke.

  • The course of recovery is a predictable phenomenon; it is initially very rapid and then negatively accelerates as a function of time (Skilbeck et al. 1983). Skilbeck et al. (1983) studied 92 stroke survivors with a mean age of 67.5 years (range= 36-89) at final assessment, either 2 or 3 years after stroke. The majority of recovery was reported within the first 6 months, with continued but non-statistically significant recovery after 6 months.

  • This type of recovery has, until recently, been regarded as largely inaccessible to medical intervention or manipulation.

Functional Recovery

  • Functional deficits are often referred to as disabilities and are measured in terms of functions such as activities of daily living.

  • Functional recovery is defined as improvement in mobility and activities of daily living; it has long been known that it is influenced by rehabilitation.

  • This recovery depends on the patient’s motivation, ability to learn and family supports as well as the quality and intensity of therapy.

  • Functional recovery is influenced by neurological recovery but is not dependent on it.

That why proper treatment method, intensive rehabilitation is so important to Stroke patient.