[Rehabilitation of post-traumatic hemiplegia in an infant].
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The authors describe a method of documentation for assessing the condition of the patient on the basis of own experiences with over 1200 patients after stroke and a review of the pertinent literature. In a comprehensive evaluation of the condition of the patient after beginning of rehabilitation treatment and after its completion the participants were: the attending physician, a neuropsychologist, a kinesitherapeutist and a logopedist. All aspects having an influence on the functional state were taken into consideration: motor ability, contact with the surroundings, psychic state, sphincter control, cardiovascular efficiency, ventilatory efficiency, sensory function, general functioning. This method makes possible a reliable, objective and comparable documentation to be obtained, which facilitates assessment of the progression in treatment and the methods used in the treatment.
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The methods devised by DeSouza et al. and by Fugl-Meyer et al. for description of upper extremity function after stroke were compared by parallel assessments in a consecutive series of 50 patients with hemimotor deficit. Very close positive associations between both methods indicated a high degree of cross-validity. As both methods appear to be externally valid, have good inter-rater reliability and as the time needed for assessing the arm function of a hemiplegic or hemiparetic patient rarely exceeds 10 min, it appears that the two methods possess about equal descriptive power.
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