neurorehabilitationinstroke脑中风复健

neurorehabilitationinstroke脑中风复健内容摘要：

• 三個月後病況更趨穩定，絕大部分患者不需住院照護，此時復健醫師會建議病患接受門診復健治療。 在此時期病患仍會持續進步，對於少數病況不穩定的病患，例如接受氣管插管或反覆性肺炎或泌尿道感染等，則可能必須住院照護。 18 Impairment evaluation • 1. Higher mental function – recognition and interpretation of sensory info with intact sensory input system • 2. Communication disorders – Aphasia – language disorder – Dysphasia and dysarthria – speech disorder 19 Impairment evaluation • 3. Cranial nerves • 4. Motor Impairment – Medical Research Council 05 system used in early stroke – Brunnstrom stage correlate with functional recovery – Bohannon – objective dynamometer correlates with performance in functional tasks – FuglMeyer: movement and disability – Tone – Modified Ashworth Scale 20 Impairment evaluation • 5. Sensory impairment – Frequently with motor impairment distribution – Thalamic leison – Parietal lobe perceptual deficits • 6. Balance coordination and posture – Secondary to deficits in motor and sensory function, cerebellar lesion, vestibular dysfunction。 ataxia 21 Natural History Of Recovery of Gait • Walking is the oute most desired by stroke survivors • The Copenhagen Stroke Study – Gait impaired in 63% – Initially • 51% no walking function • 37% independent walking – After rehab • 22% still no walking function • 66% independent walking Jensen H. Arch Phys Med Rehabil 1995。 Francisco, 2020 22 Natural History Of Recovery of Gait • Walking Function95% of patients reached their best level of walking function within 11 weeks from stroke onset (Jensen H. Arch Phys Med Rehabil 1995) • How many more of。