Abstract
466 patients with chronic neurologic diseases and who had been on a "total push" rehabilitation program were evaluated. The patient groups were divided into symptom and syndrome groups comprising (1) hemiplegia, (2) ataxia, (3) disseminated central nervous system lesions, (4) extrapyramidal disease, (5) flaccid paralyses, and (6) paraplegia. A scoring method for measuring progress in ambulation and self care was devised for use as an objective measuring device. The patients reached a plateau of rehabilitation in a period averaging about 12 weeks. Over 80% of the patients were able to return to their home environment in spite of severe initial disabilities in self care and ambulation. The type of neurologic disease was the most important factor in rehabilitation, the paraplegic patient group requiring the longest periods of hospitalization. Only 6 patients continued to require hospital or infirmary type care and 51 patients required domiciliary care. It was concluded that the rehabilitation program materially lessens the hospital period and greatly decreases the chronic neurologic inpatient load in the hospital.