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KMID : 1024720120020010001
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Geriatric Rehabilitation
2012 Volume.2 No. 1 p.1 ~ p.9
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Geriatric Stroke Rehabilitation: Problem Oriented
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Yoo Seung-Don
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Abstract
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Stroke is an increasing socioeconomic importance as the leading cause of long-term disability. It causes about 10% of all deaths in industrialized countries. Almost 90% of these deaths are among people aged over 65 years. There are differences related to epidemiology, pathophysiology, combined diseases, and functional outcome of patients with advanced age compared with the young. Based on these differences, this article reviews the common problems and rehabilitative aspects of stroke related to advanced age. At first, understanding of perfusion status is important for clinical applications of rehabilitation in the patients with ischemic stroke to prevent the recurrence of ischemic neurologic symptoms. Therefore, acetazolamide-enhanced brain perfusion SPECT including meaning and role of assessment
of vascular reserve in carotid stenosis were reviewed. Post-stroke fatigue frequently occurs in around 50% of patients. It can last more than one year after the event, and is characterized by a different quality from usual fatigue and good response to rest. There are few therapy studies. Depression is a common post-stroke complication affecting approximately one-third of patients. Early initiation of antidepressant therapy in non-depressed stroke patients is effective
in preventing post-stroke depression. The occurrence of hemiplegic shoulder (HSP) pain varies from 20% to 80% in stroke patients. Because of the multiple causes and factors involved in HSP, it is difficult to treat the pain. The results of treatment are not satisfactory.
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KEYWORD
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Depression, Fatigue, Hemiplegic shoulder pain, Stroke rehabilitation, Vascular reserve
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