Follow-up study was carried out at 3 months after discharge on stroke patients who were discharged from the Nanasawa Hospital after receiving medical rehabilitation treatment. Total number of discharged stroke patients was 236, it was found among them that 3 had expired, 4 could not be located and 15 were in other institutions or hospitals.
214 cases at home who were contacted by visiting, mail and telephone at 3 months after discharge revealed as follows: mean admission period was 131 days, mean age was 61 and the ratio of male to female was 3.5:1. The ratio of return to job including house work was 28.9% of the cases. Among patients who had speech disturbances, this ratio was 23.6%. The ratio of return to paid job was 37.4% among males who had needed job due to economical circumstances. Among those who regained complete ADL and needed job, 31 cases did not return to job. Main reason of them was physical anxiety (15 cases), only one case complained of no place to be employed.
189 cases who were visited by public health nurses revealed as follows: 10.1% of the cases showed regressions in ADL at 3 months after discharge. The winter, old age, undesirable human relation in the family, lack of possibility to return to job, poor ADL status at discharge, poor economic status and lack of adjustment of living circumstances showed promoting effect on regressions of ADL in stroke patients after discharge from the hospital.

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The evaluation of patients' disability is one of the most important problems in the process of medical rehabilitation. The disability evaluation should necessarily be a comprehensive one that considers psychological, social and vocational as well as medical factors. It is also desirable that the evaluation method by which we assess patients' disability and presuppose the rehabilitation potential is as simple as possible, regardless of so many factors to be evaluated.
As regards neurological, orthopedic, psychiatric and psychological, and socioeconomic factors, I selected respectively 4 items which would inhibit restoration of the patient. Disability score was shown by the total score of these 16 items. The reliability of the results of this method was examined by comparing them with those of 6 ADL groups which were determined by ambulation and selfcare abilities. The results obtained can be summarized as follows:
1) The results of rehabilitative treatment in 106 patients were examined by comparing one's ADL group on admission and on discharge. A good many patients showed marked recovery, but no improvement was seen in 11 cases.
2) There was shown a high degree of correlation between disability score on admission and ADL groups on discharge. Thus it was assumed that disability score obtained by the method presented here can be a useful index for predicting the state of ADL on discharge.
3) The result of comparison of disability score on admission and duration of disease before admission didn't show any significant change. One of the important reasons, of this result was that this scoring method of disability lacked the detailed analysis of disuse syndrome.
4) The results of comparison according to age-groups less than 59 years and more than 60 years of both the disability score on admission and ADL groups on discharge were respectively accepted as significant.
5) The results of comparison according to the presence or non-presence of complication of both the disability score on admission and ADL groups on discharge were respectively not accepted as significant. This naturally shows that the factor which matters is the severity and kinds of complication rather than its presence or non-presence.

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