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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici


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 Marzo;35(1):39-43

lingua: Inglese

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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