Actual recovery states of 160 cases with histories of CVA were investigated on home visits by public health nurses in Tamagawa district of Tokyo.
The results were as follows;
1) 59.3% of the cases were independants, 21.9% were partially dependants and 18.8% were completely dependants. The rate of return to job was 26.7%.
2) Numbers of completely dependants according to the lapse of time after the stroke was as follows; those number decreased remarkably one year after the stroke, but thereafter 1.0-1.3% of the cases were present per year stationally to ten years after the stroke. 11.9% of the cases still remained as completely dependant over one year after the stroke.
3) The ratio of male to female was 5:3 and the restoration of ADL showed no marke'd difference between them.
4) From this survey, factors pointed out as impedimental to restoration of ADL of post-CVA patients were right-side hemiplegia, incontinentia urinae et albi, decubiti, lack of motivation, moderate mental impairments and speech disturbances. Concomitant visual disturbance, tremor, convulsive seizure and involuntary movements were also noted as impedimental.
5) In living circumstances, incomplete heating using “Kotatsu” “Hibachi” or “Anka” in the winter and living rooms lack of sun shine through the seasons were noted as impedimental factors also.
6) Therapeutic exercises were experienced by only 11.9% of the cases and braces were used by only 1.3% of the cases.
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