Stroke: evaluation of long-term rehabilitation effects

  • A. V. Ungern-Sternberg
  • M. Küthmann
  • G. Weimann
Part of the Journal of Neural Transmission book series (NEURAL SUPPL, volume 33)


A planned prospective documentation of the course of rehabilitation of 303 stroke patients was undertaken using the Bathel-Index as a measure of basic everyday functions and the Guttman-Scale as a measure of complex activities of daily living. These were determined at the beginning of rehabilitation, after an average of 7 weeks of in-patient treatment and one year following the stroke. Four patterns in the course of rehabilitation could be differentiated. The causes of the differing functional results were investigated. Besides a positive spontanious progress of the underlaying disease with an early reparation of the neurological deficits it is the premorbid status, the overprotection of the physically disabled and the determinative cognitive and mental functions that decide the long term fate of stroke patients.


Stroke Patient Stroke Rehabilitation Arch Phys Guttman Scale Stroke Rehabilitation Unit 
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Copyright information

© Springer-Verlag 1991

Authors and Affiliations

  • A. V. Ungern-Sternberg
    • 1
    • 2
  • M. Küthmann
    • 1
  • G. Weimann
    • 3
  1. 1.Department of Internal Medicine IIWeserbergland-KlinikHöxterFederal Republic of Germany
  2. 2.Abteilung für Innere Medizin IIWeserberglandklinikHöxterFederal Republic of Germany
  3. 3.Department of Internal Medicine IWeserbergland-KlinikHöxterFederal Republic of Germany

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