Demidenko T D, Bogat Z I
Zh Nevropatol Psikhiatr Im S S Korsakova. 1983;83(5):684-8.
The success of treating 549 patients who had survived cerebral stroke and received a course of therapy at a specialized rehabilitation outpatient clinic has demonstrated the feasibility and efficacy of rehabilitation in outpatient conditions. Comparison of the results of treatment in the study (139 patients) and the control (100 patients) groups offers a good idea as to the social significance of such rehabilitation. 75.8% of the study patients admitted for treatment immediately after the acute stage of the disease were found capable of working (including subjects with minimal disability), whereas the corresponding figure in the control group was only 16%. A new organizational structure, a neurologic outpatient rehabilitation department, providing combined biological and psychosocial methods of treatment is discussed. The principles of the design of the therapeutic and restorative process including psycho- and physiotherapy, as well as special methods of exercise therapy and occupational therapy are presented.
对549名脑卒中幸存者在一家专业康复门诊接受了一个疗程治疗的成功案例，证明了门诊康复治疗的可行性和有效性。对研究组（139名患者）和对照组（100名患者）的治疗结果进行比较，能很好地了解这种康复治疗的社会意义。研究组中75.8%的患者在疾病急性期后立即接受治疗，结果显示他们能够工作（包括残疾程度最低的患者），而对照组的相应比例仅为16%。本文还讨论了一种新的组织结构——神经科门诊康复部，该部门提供生物和心理社会相结合的治疗方法。介绍了治疗和恢复过程的设计原则，包括心理治疗和物理治疗，以及运动疗法和职业疗法的特殊方法。
