Rehabilitation of Severe Strokes
Keywords:Severe, definition, classification, FRG, case-mix, cortical reorganization, animal studies, admission, slow-stream, specialized interdisciplinary stroke rehabilitation, SISR, ethics
Severe strokes often result in multiple disabilities and constitute not only the most disabled group of stroke patients but also the greatest rehabilitation challenge. On a per-person basis, severe stroke patients incur the greatest costs to the healthcare system, primarily due to increased length of stay in hospital and the frequent need for expensive long-term care or institutionalization (Navarrete-Navarro et al. 2003).
Research relating to the definition, classification, neuro-recovery and rehabilitation of severe strokes is provided in this review. Clinical evidence of various severe stroke rehabilitation models is discussed (including slow-stream, ICU, and specialized interdisciplinary stroke rehabilitation). As well, severe stroke rehabilitation ethical dialogue is presented.
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