Rusin M J
Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta.
Arch Phys Med Rehabil. 1990 Oct;71(11):914-22.
Rehabilitation medicine and geriatric medicine are similar in their concern for functional improvement in the face of chronic medical conditions. Although many patients served by rehabilitation medicine fall within the geriatric age range, a knowledge of normal aging does not necessarily inform clinical decision making or research practices in rehabilitation. Using stroke as an example of a disorder affecting primarily geriatric patients and requiring the technology of rehabilitation, ways in which age might affect assessment of outcome are examined. Three areas dealing with conceptual and methodologic issues--depression, neurochemical interventions, and family--are highlighted. The final section outlines recommendations for research on rehabilitation outcome of geriatric stroke patients.
康复医学和老年医学在关注慢性病患者功能改善方面具有相似之处。虽然康复医学所服务的许多患者处于老年年龄范围，但正常衰老的知识不一定能为康复领域的临床决策或研究实践提供信息。以中风为例，中风是一种主要影响老年患者且需要康复技术的疾病，本文探讨了年龄可能影响预后评估的方式。重点强调了涉及概念和方法学问题的三个领域——抑郁、神经化学干预和家庭。最后一部分概述了针对老年中风患者康复结局研究的建议。
