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Prognostication in Stroke Rehabilitation

  • Chapter
Functional Evaluation of Stroke Patients

Summary

Good early prediction of ultimate outcome following stroke rehabilitation benefits patients and health care professionals. Numerous research studies have reported stroke outcomes, but the conclusions are not always in agreement because of differences in study methodology and in patient characteristics. However, some general conclusions about prognostication can be made. Early survival is poorer in those patients who have cerebral hemorrhage, coma at onset, or heart disease. Recovery from neurological impairment such as hemiplegia is influenced by lesion-related variables such as lesion size and location. Recovery from hemiplegia follows a predictable pattern, with most motor recovery occurring within the first 6 months. The disability status of stroke patients at late follow-up depends most on initial activities of daily living (ADL) scores recorded post onset. Characteristics that predict a less favorable outcome are older age and presence of urinary incontinence, bowel incontinence, and visuospatial deficits. Social and psychological variables, especially prestroke family interaction and presence of an able spouse, may strongly influence ultimate disability status and the return of patients to their home.

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Author information

Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Loma Linda University, 11234 Anderson Street, Loma Linda, CA, 92354, USA

    Murray E. Brandstater

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  1. Murray E. Brandstater
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Editor information

Editors and Affiliations

  1. Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan

    Naoichi Chino M.D., M.S., D.M.Sc. (Professor and Chairman) (Professor and Chairman)

  2. Department of Physical Medicine and Rehabilitation, Temple University, Pennsylvania, USA

    John L. Melvin M.D., M.M.Sc. (Professor and Deputy Chairman) (Professor and Deputy Chairman)

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© 1996 Springer-Verlag Tokyo

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Brandstater, M.E. (1996). Prognostication in Stroke Rehabilitation. In: Chino, N., Melvin, J.L. (eds) Functional Evaluation of Stroke Patients. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68461-9_8

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  • DOI: https://doi.org/10.1007/978-4-431-68461-9_8

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68463-3

  • Online ISBN: 978-4-431-68461-9

  • eBook Packages: Springer Book Archive

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