Barolin G S
Wien Klin Wochenschr. 1982 Jan 8;94(1):19-24.
Rehabilitation requires the interplay of three essential factors, namely medicine, organization and humanity. The concept of entirety and permanency implies that rehabilitation must commence on the very first day of acute therapy and continue, with the aid of relatives, after discharge from hospital. Depression very frequently accompanies a stroke and requires expert handling both with psychopharmaceutical drugs and psychotherapeutical methods (including nursing staff and family) to overcome this hurdle to rehabilitation. Physiotherapy is of paramount importance, with particular emphasis on active movement. Therapeutic management with medicines must continue along the lines commenced in the acute stage. The therapy of stroke requires a considerable involvement of manpower, which must not be denied to this step-child of rehabilitation. Apart from medical considerations, it is salutary to remember that every fifteenth person is likely to be handicapped after a stroke at some time in his life.
康复需要医学、组织和人文这三个基本要素相互配合。整体性和永久性的概念意味着康复必须在急性治疗的第一天就开始，并在亲属的帮助下，在出院后继续进行。中风后常常伴有抑郁症，需要借助精神药物和心理治疗方法（包括护理人员和家人）进行专业处理，以克服这一康复障碍。物理治疗至关重要，尤其要强调主动运动。药物治疗管理必须按照急性期开始的方案持续进行。中风的治疗需要大量人力投入，而这个康复领域的“继子”绝不能被剥夺这些资源。除了医学考量外，值得记住的是，每十五个人中就可能有一人在一生中的某个时候中风后出现残疾。
