Basic Aspects of Impairment Evaluation in Stroke Patients

  • Murray E. Brandstater


Focal brain lesions caused by stroke confer on the patient a set of neurological deficits. These deficits are called impairments. Evaluation of these impairments constitutes an essential first step in management of the patient. In the acute patient, evaluation of the impairments helps the physician determine the pathology, localization, and severity of the lesion. For rehabilitation, evaluation of the impairments helps the clinician determine functional prognosis, establish rehabilitation goals, and define the treatment program. The key neurological impairments observed in stroke patients may be grouped under the following headings: mental status, communication, cranial nerves, motor function, sensory function, and posture and balance. Evaluation methods for some of the deficits have been refined through the development of scaled tests, allowing quantification. Use of scores from scaled tests allows the clinician to rate severity of the impairment and to monitor recovery.


Stroke Patient Impairment Evaluation Communication Disorder High Mental Function Focal Brain Lesion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Tokyo 1996

Authors and Affiliations

  • Murray E. Brandstater
    • 1
  1. 1.Department of Physical Medicine and RehabilitationLoma Linda UniversityLoma LindaUSA

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