Stroke: Difference between revisions
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[[Dynamic Gait Index|Dynamic Gait Index]], the [[4-item Dynamic Gait Index|4-item Dynamic Gait Index]], and the [[Functional Gait Assessment|Functional Gait Assessment]] show sufficient validity, responsiveness, and reliability for assessment of walking function in patients with stroke undergoing rehabilitation, but the Functional Gait Assessment is recommended for its psychometric properties<ref>Lin JH, Hsu MJ, Hsu HW, Wu HC, Hsieh CL. [http://stroke.ahajournals.org/cgi/content/abstract/STROKEAHA.110.589739v1 Psychometric Comparisons of 3 Functional Ambulation Measures for Patients With Stroke]. Stroke. 2010 Jul 29; online article ahead of print</ref>. | [[Dynamic Gait Index|Dynamic Gait Index]], the [[4-item Dynamic Gait Index|4-item Dynamic Gait Index]], and the [[Functional Gait Assessment|Functional Gait Assessment]] show sufficient validity, responsiveness, and reliability for assessment of walking function in patients with stroke undergoing rehabilitation, but the Functional Gait Assessment is recommended for its psychometric properties<ref>Lin JH, Hsu MJ, Hsu HW, Wu HC, Hsieh CL. [http://stroke.ahajournals.org/cgi/content/abstract/STROKEAHA.110.589739v1 Psychometric Comparisons of 3 Functional Ambulation Measures for Patients With Stroke]. Stroke. 2010 Jul 29; online article ahead of print</ref>. | ||
== Physiotherapy == | |||
Physiotherapists should be involved early, and should make their own assessment of how much they can work with a patient. Early mobilization is associated with better outcomes - even after taking account of the potential confounding influence of disease severity. If rehabilitation is to take place on a different ward from acute care, the care received should be made as seamless as possible. Type and intensity of therapy should be determined by the patient's needs not location.<ref name="oxford">Harwood R, Huwez F, Good D. Stroke Care: A practical manual. New York: Oxford, 2011.</ref> | |||
== Management / Interventions<br> == | == Management / Interventions<br> == |
Revision as of 23:48, 20 October 2013
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Clinically Relevant Anatomy
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Mechanism of Injury / Pathological Process
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Clinical Presentation[edit | edit source]
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Outcome Measures[edit | edit source]
Dynamic Gait Index, the 4-item Dynamic Gait Index, and the Functional Gait Assessment show sufficient validity, responsiveness, and reliability for assessment of walking function in patients with stroke undergoing rehabilitation, but the Functional Gait Assessment is recommended for its psychometric properties[1].
Physiotherapy[edit | edit source]
Physiotherapists should be involved early, and should make their own assessment of how much they can work with a patient. Early mobilization is associated with better outcomes - even after taking account of the potential confounding influence of disease severity. If rehabilitation is to take place on a different ward from acute care, the care received should be made as seamless as possible. Type and intensity of therapy should be determined by the patient's needs not location.[2]
Management / Interventions
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Differential Diagnosis
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Stroke Scales & Clinical Assessment Tools
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- ↑ Lin JH, Hsu MJ, Hsu HW, Wu HC, Hsieh CL. Psychometric Comparisons of 3 Functional Ambulation Measures for Patients With Stroke. Stroke. 2010 Jul 29; online article ahead of print
- ↑ Harwood R, Huwez F, Good D. Stroke Care: A practical manual. New York: Oxford, 2011.