a Department of Rehabilitation Medicine , St Vincent's Hospital , Sydney , New South Wales , Australia.
b Faculty of Medicine, University of New South Wales , Sydney , New South Wales , Australia.
Disabil Rehabil. 2018 Jun;40(12):1480-1484. doi: 10.1080/09638288.2017.1295473. Epub 2017 Mar 12.
Transient ischemic attack (TIA) and mild stroke represent a large proportion of cerebrovascular events, at high risk of being followed by recurrent, serious events. The importance of early education addressing risk management, secondary prevention and lifestyle modifications is the centerpiece of further stroke prevention. However, delivering education and rehabilitation to this population can be complex and challenging.
Via synthesis of a narrative review and clinical experience, we explore the unique and inherent complexities of rehabilitation management and education provision for patients following mild stroke and TIA.
A considerable proportion of TIA/mild stroke survivors have ongoing rehabilitation needs that are poorly addressed. The need for rehabilitation in these patients is often overlooked, and available assessment tools lack the sensitivity to identify common subtle impairments in cognition, mood, language and fatigue. Active and accessible education interventions need to be initiated early after the event, and integrated with ongoing rehabilitation management. Priority areas in need of future development in this field are highlighted and discussed. Implications for rehabilitation Survivors of mild stroke and TIA have ongoing unmet rehabilitation needs and require a unique approach to rehabilitation and education. Rehabilitation needs are difficult to assess and poorly addressed in this cohort, where available assessment tools lack the sensitivity required to identify subtle impairments. Education needs to be initiated early after the event and involve active engagement of the patient in order to improve stroke knowledge, mood and motivate adherence to lifestyle modifications and secondary prevention. Rehabilitation physicians are currently an underutilized resource, who should be more involved in the management of all patients following TIA or mild stroke.
短暂性脑缺血发作（TIA）和轻度中风占脑血管事件的很大比例，复发严重事件的风险很高。早期教育在管理风险、二级预防和生活方式改变方面的重要性是进一步预防中风的核心。然而，为这一人群提供教育和康复服务可能很复杂和具有挑战性。
通过综合叙述性综述和临床经验，我们探讨了轻度中风和 TIA 后患者康复管理和教育提供的独特和固有复杂性。
相当一部分 TIA/轻度中风幸存者仍有未得到满足的康复需求。这些患者的康复需求经常被忽视，并且现有的评估工具缺乏识别认知、情绪、语言和疲劳方面常见细微损伤的敏感性。需要在事件发生后尽早启动积极且易于获取的教育干预措施，并将其与正在进行的康复管理相结合。该领域需要未来发展的优先领域被突出并讨论。
轻度中风和 TIA 的幸存者有持续未满足的康复需求，需要对康复和教育采取独特的方法。在这个群体中，康复需求难以评估且处理不当，现有的评估工具缺乏识别细微损伤所需的敏感性。教育需要在事件发生后尽早开始，并让患者积极参与，以提高对中风的认识、情绪并激励他们遵守生活方式改变和二级预防。康复医师目前的利用率较低，应该更多地参与 TIA 或轻度中风后所有患者的管理。
