In an attempt to know the actual state of the apoplectic outside the hospital, a crosssectional population survey was made from the viewpoint of the rehabilitation at Kuzumaki Town in Iwate Pref. in Augusts, 1964, with the following results:
1) Kuzumaki is a town of 433.9 square km. in area with a population of 16, 649. Its death rate is 7.99‰ a year and that from apoplexy is 2.76‰
2) By the method of multiple information, 62 apoplectic patients were found, being 3.72‰ of the population, of which 74% were males and 26% females. The incidence was found in 7.19‰, 3.41‰, and 3.49‰. respectively in the three different regions of the town; 0.4‰ in 30-39-year, 2.2‰ in 40-49-, 9.7‰ in 50-59-, 32.0‰, in 60-69-, 38.1‰ in 70-79- and 10.4‰ in over 80- year groups.
3) Clinical diagnosis made on the basis standardized by the group in the Ministry of Education, 1962, “Cause of apoplexy, with special reference to specificity of Japanese” revealed 65% of cerebral infarction, 27% of intra-cranial haemorrhage and 8% of transitory cerebral ischemia and so on.
4) An evaluation of activities of daily living (ADL) of the patients revealed 13% in the dependent group, 13% in the partially dependent group, 47% in the partially independent group and 27% in the independent group.
5) The correlation of several factors with ADL of the patients was studied and the factors associated with poor rehabilitation potential are summarized as follows: (1) Woman, (2) Age over fifty, (3) Cerebral infarction with recidiv, (4) Right hemiplegia, (5) Markedly impaired speech, (6) Fecal incontinence, (7) On the functional tests; (a) Unable to raise the suffered leg as stretching on the supine, (b) Under the head on arm-raising and (c) Not over the middle finger on the opposition of thumb and the other, (8) Limitation of passive range of motion and (9) Bad motivation and emotional incontinence.
6) Only 32% of the patients were admitted to the hospital after the stroke and only 21% were administered physiotherapy like massage.
7) On the basis of the results obtained, above we emphasize that the promotion of study and establishment of institutes are necessary for the rehabilitation of the apoplectic.
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