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2009 | 17 | 3 | 41-46

Article title

Contemporary possibilities of outcome measure of rehabilitation post-stroke


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Cerebral stroke due to its prevelance and social consequences is the most seroius disease of the nervous system. In the majority of countries stroke is the third and in some countries even the second most common cause of death, listed after myocardial infarction and before cancer and inuries. Cerebral stroke causes a signifi cant deterioration of the patient's functioning and their quality of life. Rehabilitation of stroke survivours is the most signifi cant goal of neurological rehabilitation. The main aim of post-stroke rehabilitation is to help the patients regain their independence and to improve their quality of life. This review article presents contemporary possibilities of evaluating post-stroke rehabilitation. The authors mentions stroke scales, functional scales, means of assessing particular functions. Using evaluation of the quality of life in order to assess the rehabilitation results in stroke survivors has been granted special attention.
Udar mózgu ze względu na swoje rozpowszechnienie i skutki społeczne jest najpoważniejszą chorobą układu nerwowego. W większości krajów zajmuje trzecie miejsce na liście przyczyn zgonów, a w niektórych nawet drugie - za zawałami serca, a przed nowotworami i urazami. Niepełnosprawność, będąca następstwem udaru, odbija się na jakości życia chorego i jego opiekunów. Rehabilitacja osób po udarze mózgu jest najczęściej realizowanym zadaniem rehabilitacji neurologicznej. Głównym celem rehabilitacji po udarze jest odzyskanie jak największej samodzielności i w dalszej perspektywie poprawy jakości życia obniżonej wskutek choroby. W artykule przeglądowym przedstawiono aktualne możliwości oceny wyników rehabilitacji osób po udarze mózgu. Wymieniono skale udarów, skale funkcjonalne, sposoby oceny poszczególnych funkcji. Specjalną uwagę zwrócono na wykorzystanie oceny jakości życia w celu oszacowania wyników rehabilitacji osób po udarze.










Physical description


1 - 7 - 2009
8 - 11 - 2010


  • Jerzy Kukuczka University of Physical Education in Katowice
  • Private Neurological Surgery of Tadeusz Kruzel, Legnica


  • Barnes M. P., Gerstenbrand F., Gilhus N. E. and European Federation of Neurological Societies Task Force. Standards in neurological rehabilitation. Europ. J. Neurol., 1997, 4, 325-331.
  • World Health Organisation. Cerebrovascular Disorders (Offset Publications). Geneva: World Health Organization; 1978. ISBN 9241700432. OCLC 4757533.
  • WHO MONICA Project, Principal Investigators: The World Health Organization MONICA Project (monitoring trends and determinants in cardiovascular disease): a major international collaboration. J. Clin. Epidemiol., 1988, 41, 105-114.
  • Roberts L., Counsell C. Assessment of clinical outcomes in acute stroke trials. Stroke, 1998, 29, 5, 986-991.[PubMed][Crossref]
  • Vanclay F. Functional outcome measures in stroke rehabilitation. Stroke, 1991, 22, 105-108.[PubMed][Crossref]
  • Van Gijn J. Measurement of outcome in stroke prevention trials. Cerebrovasc, Dis., 1992, 2, suppl 1, 23-34.
  • Opara J. Possibilities of objective evaluation of treatment and rehabilitation effects after stroke. Pol. Merkur. Lekarski, 1999, 6, 36, 336-339. Polish.
  • Opara J. Klinimetria w udarach mózgu. AWF, Katowice 2006. Polish.
  • Allen C. M. Predicting the outcome of acute stroke: a prognostic score. J. Neurol. Neurosurg. Psychiatry, 1984, 47, 475-480.[Crossref]
  • Bruins Slot K., Berge E., Dorman P. i wsp. Impact of functional status at six months on long term survival ischaemic stroke: prospective cohort studies. B. M. J., 2008, 336, 376-379.
  • Shah S., Vanclay F., Cooper B. Improving the sensitivity of the Barthel Index for Stroke rehabilitation. J. Clin. Epidemiol., 1989, 42, 703-709.[Crossref]
  • Dromerick A. W., Edwards D. F., Diringer M. N. Sensitivity to changes in disability after stroke: a comparison of four scales useful in clinical trials. J. Rehabil. Res. Dev., 2003, 40, 1, 1-8.[Crossref]
  • Gowland C., Stratford P., Ward M. i wsp. Measuring physical impairment and disability with the Chedoke-McMaster Stroke Assessment. Stroke, 1993, 24, 1, 58-63.[Crossref]
  • Lundgren-Nilsson A., Tennant A., Grimby G., Sunnerhagen K. S. Cross-diagnostic validity in a generic instrument: an example from the Functional Independence Measure in Scandinavia. Health Qual. Life Outcomes, 2006, 23, 4, 55-62.
  • Opara J. Functional Index "Repty" - a scoring scale for evaluation of ADL in hemiplegic patients. Neurol. & Rehabil., 1999, 5, 6, 339-342.
  • Opara J., Szeliga-Cetnarska M., Chromy M. i in Repty stroke scales. Functional Index "Repty" for the evaluation of ADL in hemiplegic patients after cerebral stroke. Part II. Neurol. Neurochir. Pol., 1998, 4, 803-812. Polish.
  • Johansson B. B., Jadback G., Norrving B. i wsp. Evaluation of long-term functional status in first-ever stroke patients in a defined population. Scand. J. Rehabil. Med., 1992, suppl. 26, 105-114.
  • Pohjasvaara T., Erkinjuntti T., Vataja R., Kaste M. Comparison of stroke features and disability in daily life in patients with ischemic stroke aged 55 to 70 and 71 to 85 years. Stroke, 1997, 28, 729-735.
  • Chong D. K. Measurement of instrumental activities of daily living in stroke. Stroke, 1995, 26, 6, 1119-1122.[Crossref][PubMed]
  • Wade D. T., Legh-Smith J., Langton Hewer L. R. Social activities after stroke: measurement and natural history using the Frenchay Activities Index. Int. Rehabil. Med., 1985, 7, 176-181.[PubMed]
  • Nouri F. M., Lincoln N. B. An extended activities of daily living scale for stroke patients. Clin. Rehabil., 1987, 1, 301-305.[Crossref]
  • Whiting S., Lincoln N. An ADL assessment for stroke patients. Br. J. Occup. Ther., 1980, 43, 44-46.
  • Wade D. T., Hewer R. L. Stroke: association with age, sex, and side of weakness. Arch. Phys. Med. Rehabil., 1986, 67, 541-544.
  • Hamilton B. B., Laughlin J. A., Fiedler R. C., Granger C. V. Interrater agreement of the seven level Functional Independence Measure (FIM). Scand. J. Rehab. Med., 1994, 26, 3, 115-119.
  • Holden M. K., Gill K. M., Magliozzi M. R. i wsp. Clinical gait assessment in the neurologically impaired. Reliability and meaningfulness. Phys. Ther., 1984, 64, 1, 35-40.
  • Jaracz K., Kozubski W. Quality of life in stroke patients. Acta Neurol. Scand., 2003, 107, 5, 324-329.[Crossref][PubMed]
  • Ahlsio B., Britton. M., Murray W., Theorell T. Disablement and quality of life after stroke. Stroke, 1984, 15, 886-890.[Crossref][PubMed]
  • Aström M., Asplund K., Aström T. Psychosocial function and life satisfaction after stroke. Stroke, 1992, 23, 527-531.[PubMed][Crossref]
  • Carod-Artal J., Egido J. A., Gonzalez J. L., Vardela de Seijas E. Quality of life among survivors evaluated 1 year after stroke. Experience of a stroke unit. Stroke, 2000, 31, 2995-3000.
  • Mayo N. E., Wood-Dauphinee S., Cote R. i wsp. Activity, participation, and quality of life 6 months poststroke. Arch. Phys. Med. Rehabil., 2002, 83, 1035-1042.
  • Studenski S., Duncan P. W., Perera S. i wsp. Daily functioning and quality of life in a randomized controlled trial of therapeutic exercise for subacute stroke survivors. Stroke, 2005, 36, 8, 1764-1770.[Crossref]
  • Visser-Meily A., Post M., Schepers V., Lindeman E. Spouses' quality of life 1 year after stroke: prediction at the start of clinical rehabilitation. Cerebrovasc. Dis., 2005, 20, 6, 443-448.[Crossref]
  • Wolf S. L., Winstein C. J., Miller J. P. i wsp Retention of upper limb function in stroke survivors who have received constraint-induced movement therapy: the EXCITE randomised trial. Lancet Neurol., 2008, 7, 1, 33-40.[PubMed][WoS][Crossref]
  • Langhammer B., Stanghelle J. K., Lindmark B. Exercise and health-related quality of life during the first year following acute stroke. A randomized controlled trial. Brain Inj., 2008, 22, 2, 135-145.
  • Hartman-Maeir A., Soroker N., Ring H. i wsp. Acvities, participation and satisfaction one-year post stroke. Disabil. Rehabil., 2007, 29, 7, 559-566.[WoS][Crossref]
  • Haacke C., Althaus A., Spottke A. i wsp. Long-term outcome after stroke: evaluating health-related quality of life using utility measurements. Stroke, 2006, 37, 1, 193-198.[Crossref]
  • Acree L. S., Longfors J., Fjeldstad A. S. i wsp. Physical activity is related to quality of life in older adults. Health and Quality of Life Outcomes, 2006, 4, 37-42.
  • Hop J. W., Rinkel G. J. E., Algra A., van Gijn J. Quality of life in patients and partners after aneurysmal subarachnoid hemorrhage. Stroke, 1998, 29, 798-804.[PubMed][Crossref]
  • Aprile I., Di Stasio E., Romitelli F. i wsp. Effects of rehabilitation on quality of life in patients with chronic stroke. Brain Inj., 2008, 22, 6, 451-456.
  • Avendano M., Glymour M. M. Stroke disparities in older Americans: is wealth a more powerful indicator of risk than income and education? Stroke, 2008, 39, 5, 1533-1540.[Crossref][PubMed][WoS]
  • Teoh V., Sims J., Milgrom J. Psychosocial predictors of quality of life in a sample of community-dwelling stroke survivors: a longitudinal study. Top Stroke Rehabil., 2009, 16, 2, 157-166.[WoS][Crossref]
  • Ada L., Dean C. D., Lindley R., Lloyd G. Improving community ambulation after stroke: The AMBULATE Trial. BMC. Neurology, 2009, 9, 8-13.[WoS][Crossref][PubMed]
  • Rousseaux M., Daveluy W., Kozlowski R. Value and efficacy of early supported discharge from stroke units. Ann. Phys. Rehabil. Med., 2009, 52, 3, 224-233.[PubMed][Crossref]
  • Clarke P. J., Lawrence J. M., Black S. E. Changes in quality of life over first year after stroke: Findings from the Sunnybrook Stroke Study. J. Stroke Cerebrovasc. Dis., 2000, 9, 121-127.

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