Jung Chul, Ye Dong Hyun, Lee Seung Hak
Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Brain Neurorehabil. 2020 Nov 24;14(1):e2. doi: 10.12786/bn.2021.14.e2. eCollection 2021 Mar.
Stroke and cardiac disorders are difficult to approach separately. Stroke survivors commonly have cardiovascular comorbidities and vice versa. These patients often need both neurorehabilitation and cardiac rehabilitation; therefore, this is an important issue in the rehabilitation process. However, no consensus has been reached on the integration of cardiac rehabilitation and neurorehabilitation. We report the case of a 52-year-old male patient who had ischemic stroke after mitral valvuloplasty. The patient underwent 3 weeks of inpatient neurorehabilitation, and then transited to 6 weeks of outpatient cardiac rehabilitation and occupational therapy. After 9 weeks of well-integrated rehabilitation, the patient experienced neurologic recovery and improvement in his cardiopulmonary fitness. Like this case, successful integrated rehabilitation will contribute to enhancing patients' functional recovery.
中风和心脏疾病很难单独处理。中风幸存者通常伴有心血管合并症，反之亦然。这些患者往往既需要神经康复，也需要心脏康复；因此，这是康复过程中的一个重要问题。然而，在心脏康复与神经康复的整合方面尚未达成共识。我们报告一例52岁男性患者，该患者在二尖瓣成形术后发生缺血性中风。患者接受了3周的住院神经康复治疗，然后过渡到6周的门诊心脏康复和职业治疗。经过9周的良好整合康复治疗后，患者神经功能得到恢复，心肺功能也有所改善。像这个病例一样，成功的整合康复将有助于提高患者的功能恢复。
