Effectiveness and Prognosis of Stroke Rehabilitation in the Aged

A total of 101 stroke patients were treated with physical and occupational therapy during an average of 5.6 month hospitalization. Most of these patients were elderly with an average of 70 and ranging in age from 60 to 79. There were 55 males and 46 females with approximately equal numbers with left...

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Bibliographic Details
Published inNihon Rōnen Igakkai zasshi Vol. 16; no. 5; pp. 431 - 438
Main Authors Kobayashi, Itsuro, Uchiyama, Shinji
Format Journal Article
LanguageJapanese
Published Japan The Japan Geriatrics Society 01.09.1979
Subjects
Activities of Daily Living
Aged
Cerebrovascular Disorders - complications
Cerebrovascular Disorders - rehabilitation
Female
Hemiplegia - etiology
Hemiplegia - rehabilitation
Humans
Male
Middle Aged
Occupational Therapy
Prognosis
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Summary:A total of 101 stroke patients were treated with physical and occupational therapy during an average of 5.6 month hospitalization. Most of these patients were elderly with an average of 70 and ranging in age from 60 to 79. There were 55 males and 46 females with approximately equal numbers with left and right hemiparesis. The functional status measured by Brunnstrom recovery stage (Br. stage) and ADL of hemiplegic upper and lower extremities was evaluated on admission and discharge. In ADL activities, rehabilitation outcome of upper extremities was non-functional. assistant and functional hand. Ambulation status for lower extremities into three categories: those who were unable to walk, those walking aids, and those walking with no aids with/without assistive devices. Computerized tomography was carried out and evaluated into following four groups: 1) region (s) of internal capsul-basal ganglia-thalamus, 2) cortical and/or subcortical lesion of widespread region 3) cortical and/or subcortical lesion of local region 4) undetected region. Analysis of these cases were as follows: 1) Br. stage did not changed so much but ADL activites were increased during hospitalization. 2) Involuntary movements and dysmetria were identified as poor prognostic signs in a first group. 3) Severe weakness, perceptual or cognitive dysfunction, poor motivation, night delirium and urinary incontinence were clearly identified as poor prognostic in a second group.
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ISSN:0300-9173
DOI:10.3143/geriatrics.16.431