Slide 1

Rehabilitation Following CVA Nachum Soroker, M.D. Loewenstein Rehabilitation Hospital Raanana, and Sackler Faculty of Medicine, Tel-Aviv University, Israel Slide 2 Lecture overview Epidemiological considerations in stroke rehabilitation. Brief survey of the brain vascular supply and of stroke syndromes. Principles of medical care and rehabilitation in stroke. Rehabilitation oriented assessment of structural impairment in different cortical regions following stroke. Slide 3 Stroke statistics Incidence: ~ 2000/10 6 per year First event / Recurrent events = 5/1 ~ 30 % die within the first 3 weeks Stroke 3 rd leading cause of death behind heart diseases and cancer 7.6 % of ischemic strokes and 37 % of hemorrhagic strokes result in death within 30 days Stroke death rate fell ~ 15% from 1988 to 1998 ~ 30 % recover completely ~ 40 % left with disability : ~ 90 % initially unable to walk ~ 75 % initially have upper limb plegia / paresis ~ 50 % have some language / speech problems Slide 4 Stroke statistics (cont.) Prevalence: ~ 6000/10 6 (60% - 3600 - disabled) Recurrence rate following 1 st stroke or TIA: 14 % within 1y % survival in 1 and 4 years following ischemic stroke, in different age groups: