Hasler-Kündig S, Steinmann B
Schweiz Med Wochenschr. 1979 May 26;109(21):787-91.
61 patients with hemiplegia who had undergone hospital rehabilitation were examined 1 year later and 29 patients after an interval of 10--11 years. Special attention was paid to improvements and relapses with respect to walking ability, personal care, and social situation. The investigation showed that 62% of personal living on their own made progress in the activities of daily life; there were no relapses. 14% of those living in a family showed improvement while 29% relapsed. Of patients living in nursing homes only 5% showed improvement, while there were relapses in 42% of cases. The percentages of cases showing improvement (or relapses) with respect to walking ability are as follows: 20% (7.5%), 30% (22%) and 0% (21%). 32% of the patients had regular physiotherapy sessions. A change in the social situation had resulted for 50%; many of these were lonely and missed visitors. Persons looking after themselves showed the best prognosis following rehabilitation.
对61例接受过住院康复治疗的偏瘫患者在1年后进行了检查，并对29例患者在间隔10至11年后进行了检查。特别关注了步行能力、个人护理和社会状况方面的改善和复发情况。调查显示，62%能够独立生活的患者在日常生活活动中取得了进步，且没有复发。14%与家人同住的患者有改善，而29%复发。住在养老院的患者中只有5%有改善，而42%的病例出现了复发。在步行能力方面有改善（或复发）的病例百分比分别如下：20%（7.5%）、30%（22%）和0%（21%）。32%的患者接受了定期物理治疗。50%的患者社会状况发生了变化；其中许多人很孤独，想念访客。能够自理的患者康复后预后最佳。
