Comprehensive Versus Consultative Rehabilitation Services Postacute Stroke: Outcomes Differ

In the Journal of Rehabilitation Research & Development, Margaret Stineman and colleagues compare outcomes of postacute stroke patients provided with comprehensive rehabilitation with those provided with consultative rehabilitation services. Of the nearly 3000 patients in the study, 23 percent received comprehensive rehabilitation while the remaining patients received consultative services. The researchers found that those who received comprehensive rehabilitation compared with consultative gained on average 12.8 more points of physical independence on a 78-point scale and gained 1.5 more points of cognitive independence on a 30-point scale. Additionally, the likelihoods of discharge to home from the hospital and one-year post hospital discharge survival were significantly higher among those who received comprehensive rehabilitation.