On Functional Recovery of Postapoplectic Patients in a Rehabilitation Hospital

概要

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Postapopleptic patients have been trained for rehabilitation in the past two or more years since our hospital started to function. Here is reported an evaluation of 86 patients who were discharged after training.They were divided into three groups of severity, mild, moderate and severe cases with no difference of number among three groups. Age distribution of the patients revealed a peak between age 56 and 60. Most of the patients were admitted 4 to 12 months after the cerebrovascular accident. The relation of the interval before admission and the initial grade of disability to recovery of function was studied, and it was found that restricted function of the joints was found in higher incidence among those who were admitted 4 months or more after the cerebrovascular accident, regardless the severity of disability. Recovery of motor function of the upper extremities and of walking ability has proved no distinct relation with severity, but the recovery was poor in the group who had elapsed longer than 2 years before admission. Recovery of function was less in the upper extremities than in the lower extremities, probably owing to the need of skill movement in the upper extremities. Recovery of upper extremities did not depend on the side of paralysis, but the patients with left hemiplegia seem to be satisfied to use the left hand only to help the right extremity.
西日本整形・災害外科学会の論文