Dombovy M L, Sandok B A, Basford J R
Stroke. 1986 May-Jun;17(3):363-9. doi: 10.1161/01.str.17.3.363.
Survivors of stroke are often left with severe mental and physical disabilities, which create a major social and economic burden. Many investigators have attempted to assess the role of rehabilitation in reducing such disability. Few controlled studies provide accurate assessment and documentation of benefit. Because of the presence of multiple variables and inadequate measures of outcome, it is difficult to design studies evaluating the effectiveness of rehabilitation for stroke. It is unclear how early rehabilitation should begin and what aspects of rehabilitation are important. Intensive rehabilitation is an expensive and limited resource; thus, the ability to identify the subgroup of patients with stroke who are likely to benefit is a critical issue. Although preliminary guidelines for the selection of patients who are appropriate for rehabilitation are given, no uniform criteria reliably differentiate patients who need rehabilitation from those who will recover spontaneously or do poorly. Controlled studies in the practice of rehabilitation for stroke will provide much useful information for patient management.
中风幸存者常常会留下严重的身心残疾，这带来了重大的社会和经济负担。许多研究人员试图评估康复在减轻此类残疾方面的作用。很少有对照研究能对益处进行准确评估和记录。由于存在多个变量以及结局测量不充分，很难设计出评估中风康复效果的研究。目前尚不清楚康复应多早开始以及康复的哪些方面很重要。强化康复是一种昂贵且有限的资源；因此，识别可能从中受益的中风患者亚组的能力是一个关键问题。尽管给出了选择适合康复患者的初步指南，但没有统一的标准能够可靠地区分需要康复的患者与那些会自发恢复或恢复不佳的患者。中风康复实践中的对照研究将为患者管理提供许多有用信息。
