Abstract
Most of the members of the therapeutic
team in stroke rehabilitation take the effectiveness of physical
treatments after stroke
for granted. Yet, published data show that the
evidence is not so straightforward or easy to evaluate. The majority of
the
hard evidence, however, does imply that stroke
patients benefit from rehabilitation with physiotherapy. This benefit
may be
statistically small, but for a given individual,
it could mean the difference between living at home or in an
institution.
Few studies address the question of the optimal
physiotherapy in stroke rehabilitation. The evidence available today
suggests
that it does not matter which form of treatment
is chosen and that any of the available approaches will improve the
patient's
functional status. In other words, if an optimal
treatment exists, we have, so far, failed to identify it. Until further
evidence
emerges, we should therefore select therapies
that are most cost-effective and that can be given to the largest number
of
patients. Well-planned clinical trials aimed at
finding the best approach and discriminating potential responders from
nonresponders
are urgently needed.
Until they realize that they have to stop neuron death in the hyperacute phase will something positive get done. Their silo is not the solution to the stroke rehab problem.
Until they realize that they have to stop neuron death in the hyperacute phase will something positive get done. Their silo is not the solution to the stroke rehab problem.
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