- Unit for Neuroepidemiology and Health Services Research, Huddinge University Hospital, Solna, Sweden
- Department of Applied Epidemiology, National Centre for Epidemiology, “Carlos Ill” Institute of Health, Madrid, Spain
- Correspondence address: *Department of Applied Epidemiology, National Centre for Epidemiology, “Carlos III” Institute of Health, c/ Sinesio Delgado, 6, 28029 Madrid, Spain
- Department of Physical Therapy, Karolinska Institute, Solna, Sweden
- Department of Rehabilitation Medicine, University of Wisconsin, Madison, USA
In all, 22 reports of 20 randomized, controlled rehabilitation studies were evaluated. In 18 of these, the design of the trial was parallel, with a cross‐over format being employed in the remaining 2 instances. Seven studies related to intensive rehabilitation during the early post‐acute period. In six others, specific techniques ‐ sometimes associated with traditional physiotherapy procedures ‐ were compared: biofeedback, perceptual retraining, and amphetamine treatment. Eight experiments evaluated speech therapy in aphasia. Frequently, methodological considerations limited the interpretation of the results. The review showed that: 1) as regards activities of daily life and motor function, differences as between rehabilitation in stroke units on the one hand and non‐rehabilitation or rehabilitation in medical wards on the other, were detected in relatively few quality studies and remained particularly inconclusive insofar as life in the home environment was concerned; 2) rehabilitation for aphasia and perceptual dysfunction proved effective for at least several months after acute stroke; 3) in general, examination of the reports cited revealed no differences in the effects of biofeedback and perceptual retraining vs conventional physiotherapy; 4) rehabilitation, whether administered by specialists or amateur caregivers purpose‐trained by specialists, proved equally effective for aphasia. These conclusions constitute a valuable basis for the development and evaluation of modern rehabilitation programs for stroke patients.
- Aphasia
- clinical trial(s)
- epidemiology
- randomized‐trial(s)
- rehabilitation
- stroke
- technology(ies)
- 1 - Health Sciences ; 2 - Medicine ; 3 - Clinical Neurology
- 1 - Life Sciences ; 2 - Neuroscience ; 3 - Neurology
- 1 - Health Sciences ; 2 - Medicine ; 3 - General Medicine
- 1 - sciences appliquees, technologies et medecines ; 2 - sciences biologiques et medicales ; 3 - sciences medicales