中风康复：惊人的影响与残留后果。

Hillis Argye E, Tippett Donna C

Department of Neurology, Johns Hopkins University, Baltimore, MD, USA ; Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, USA ; Department of Cognitive Science, Krieger School of Arts and Sciences, Johns Hopkins University, Baltimore, MD, USA.

Department of Neurology, Johns Hopkins University, Baltimore, MD, USA ; Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, USA ; Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Johns Hopkins University, Baltimore, MD, USA.

Adv Med. 2014;2014. doi: 10.1155/2014/378263.

There is startling individual variability in the degree to which people recover from stroke, and the duration of time over which recovery of some symptoms occur. There are a variety of mechanisms of recovery from stroke, which take place at distinct time points after stroke and are influenced by different variables. We review recent studies from our laboratory that unveil some surprising findings, such as the role of education in chronic recovery. We also report data showing that the consequences that most plague survivors of stroke and their caregivers are not dependence in activities of daily living, but loss of more high level functions, such as empathy or written language. These results have implications for rehabilitation and management of stroke.

人们从中风恢复的程度以及某些症状恢复所需的时间存在惊人的个体差异。中风恢复有多种机制，这些机制在中风后的不同时间点发生，并受到不同变量的影响。我们回顾了我们实验室最近的研究，这些研究揭示了一些惊人的发现，比如教育在慢性恢复中的作用。我们还报告了数据，表明最困扰中风幸存者及其照顾者的后果不是日常生活活动的依赖，而是更高级功能的丧失，如同理心或书面语言能力。这些结果对中风的康复和管理具有启示意义。