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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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Europa Medicophysica 2000 March;35(1):39-43

language: English

Rehabilitation treatment in patients with severe stroke. Prognostic factors

Iona L. G., Varnier A., Bianchi L., Pasqualini M., Deotto E.

Rehabilitation Unit, Azienda Ospedaliera S. Maria del­la Misericordia - Udine


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BACKGROUND: The ­acute ­patient ­with hem­i­ple­gia fol­low­ing ­stroke rep­re­sent one of the great­est chal­leng­es ­faced by a depart­ment of reha­bil­i­ta­tion, ­because of ­both the ­high inci­dence of the pathol­o­gy and the impor­tance of the func­tion­al def­i­cit in ques­tion. It is there­fore essen­tial to iden­ti­fy prog­nos­tic fac­tors ­able to ­help ­select ­those ­patients who ­will ­derive the great­est ben­e­fits ­from the resourc­es invest­ed in the treat­ment.
METHODS: We stud­ied 51 ­patients ­with the fore­go­ing char­ac­ter­is­tics, assess­ing a ­series of var­i­ables at admis­sion and at dis­charge in ­order to iden­ti­fy ­those ­with ­good pre­dic­tive val­ue.
RESULTS: The ­present ­study indi­cates ­that in addi­tion to the ­entity of the dis­abil­ity at the ­time of trans­fer to reha­bil­i­ta­tion, ­also nutri­tion­al stat­us and sphinc­ter con­trol are impor­tant.
CONCUSIONS: Once the rela­tion­ship ­between pro­te­ic nutri­tion­al stat­us and inde­pen­dence has ­been estab­lished, it ­would ­appear of great­er impor­tance to con­cen­trate on improv­ing ­both ­aspects rath­er ­than on spec­u­lat­ing as to the ­cause and ­effect, and by ­doing so ­break the ­vicious cir­cle ­that ­would oth­er­wise ­lead to a pro­gres­sive ­decline in ­health and qual­ity of ­life.

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