Gordon E E, Drenth V, Jarvis L, Johnson J, Wright V
Arch Phys Med Rehabil. 1978 Sep;59(9):399-403.
Outcomes in self-care following rehabilitation in 226 patients were correlated with 11 stroke syndromes, reflecting several pathophysiologic disturbances subsequent to either infarction or hemorrhage in cerebral or vertebro-basilar vessels. Self-care was scored on a 20-point scale for bed movements, transfers, feeding, dressing, personal hygiene, and bathing. Interjudge error among therapists did not exceed 2.5%. Mean score in left cerebral infarction without aphasia was used as a referent value. Scores in left cerebral infarction with aphasia and right parietal lobe syndrome with and without spatial agnosia were similar to the referent. Brain stem dysfunction with spasticity and right cerebral infarction with paresis and spatial agnosia fell below the referent value (Pless than 0.05). Higher levels were achieved in the syndromes of left and right anterior cerebral artery territories, brain stem dysfunction with ataxia, and left parietal lobe syndrome with comprehension aphasia, although t-values were not significant. Length of stay among the 11 groups was fairly uniform except for the group with brain stem dysfunction with spasticity and the group with left hemiplegia with spatial agnosia. These groups indicated rather severe disabilities. Aside from neurologic dysfunction the range of scores was influenced by associated cardiopulmonary involvement.
226例患者康复后自我护理的结果与11种中风综合征相关，反映了脑或椎基底血管梗死或出血后几种病理生理紊乱。自我护理在床活动、转移、进食、穿衣、个人卫生和洗澡方面按20分制评分。治疗师之间的判断误差不超过2.5%。以无失语症的左侧脑梗死的平均评分为参照值。伴有失语症的左侧脑梗死以及伴有和不伴有空间失认症的右侧顶叶综合征的评分与参照值相似。伴有痉挛的脑干功能障碍以及伴有轻瘫和空间失认症的右侧脑梗死低于参照值（P<0.05）。左侧和右侧大脑前动脉区域综合征、伴有共济失调的脑干功能障碍以及伴有理解性失语症的左侧顶叶综合征达到了较高水平，尽管t值不显著。除了伴有痉挛的脑干功能障碍组和伴有空间失认症的左侧偏瘫组外，11组的住院时间相当一致。这些组显示出相当严重的残疾。除了神经功能障碍外，评分范围还受到相关心肺受累情况的影响。
