Rehabilitative Care of Stroke Patients

Wylie, Charles M.

doi:10.1001/jama.1966.03100260055016

Cited by 6 publications

(2 citation statements)

References 14 publications

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“…It is widely accepted that rehabilitation of residual deficit from stroke is expensive (43), and that consideration of the cost benefit is an important factor in maximizing the resources of health-care delivery systems (44,45). In order to maximize available resources, it has been proposed (9,46) that attention should be paid to prognostic factors in selecting stroke patients for realistic rehabilitation and that alternative treatment, carried out by volunteers or more simply trained personnel, merited consideration.…”

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Evaluation of Out-patient Physiotherapy and a Home Exercise Program in the Management of Gait Asymmetry in Residual Stroke

Wall

Turnbull

1987

Neurorehabilitation and Neural Repair

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This article investigates the relative effectiveness in the ways in which physiotherapy exercises are administered to patients with residual stroke. The exercises were designed to improve walking by increasing the ability of the affected limb to bear weight during the single support phase of the gait cycle and, therefore, to increase the duration of this phase, thereby making the gait pattern more symmetrical. Twenty patients were divided into four equal groups, one of which acted as a control, receiving no treatment. The other three groups received ex

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Evaluation of Out-patient Physiotherapy and a Home Exercise Program in the Management of Gait Asymmetry in Residual Stroke

Wall

Turnbull

1987

Neurorehabilitation and Neural Repair

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“…A teaching hospital seems a logical place for the location of such a unit. As Wylie (7) has said: “Since intensive rehabilitation efforts are costly and personnel are scarce, a critical first step to improve existing programs may be to ensure that the care reaches those who will benefit most.”…”

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confidence: 99%

Comparison of Two Systems for Stroke Rehabilitation in a General Hospital

McCann

Culbertson

1976

J American Geriatrics Society

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This study was designed to compare the effectiveness of stroke rehabilitation therapy in a specialized Stroke Unit with that provided on the medical service of a general hospital (Rhode Island Hospital). The 8-bed Stroke Unit is staffed by a multidisciplinary team, and a weekly conference is held for evaluation and planning. On the basis of data obtained from the hospital records, two groups of patients were studied: 224 who were treated in the Stroke Unit, and 110 who were evaluated and approved for admission to the Unit but were not accommodated. A rigid "first come, first served" policy for admission to the Unit was observed. Hypothesis testing was performed with reference to the patient's medical condition, socioeconomic status, demographic characteristics, and difficulties during hospital stay to determine whether the groups were comparable. A patient was considered to have improved if his condition decreased in severity between the time of admission to therapy and the time of discharge. Severity was rated as: mild (level one), moderate (level two), severe (level three), and profound (level four). No significant difference in rehabilitation results was found between the two treatment systems at severity levels two (moderate) and four (profound). However, the Stroke Unit attained significantly better results with level-three patients (severe stroke). This group received more sessions of physical therapy and remained in the hospital longer than did the level-three patients treated on the general medical service. Physicians referred patients selectively to the Stroke Unit, althoug the Unit had no policy of screening patients for admission, and this may have had some influence on the achievement of better results with level-three patients. Level-four patients did not do well in either setting.

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Carotid Revascularization in the Treatment of Cerebral Ischemia

Perdue¹,

Rhodes²

1970

Arch Surg

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Rehabilitative Care of Stroke Patients

Cited by 6 publications

References 14 publications

Evaluation of Out-patient Physiotherapy and a Home Exercise Program in the Management of Gait Asymmetry in Residual Stroke

Evaluation of Out-patient Physiotherapy and a Home Exercise Program in the Management of Gait Asymmetry in Residual Stroke

Comparison of Two Systems for Stroke Rehabilitation in a General Hospital

Carotid Revascularization in the Treatment of Cerebral Ischemia

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