Abstract (EN):
Medical and psychological knowledge concerning the needs of handicapped persons should not be limited to methods used for diagnosis and treatment. For the post-stroke victim, therapy must take into consideration both the functional and subjective situation of the handicapped person. The goal is to involve the person in a self-assessment process to better apprehend his/her personal interpretation of the circumstances of the cerebral event as well as the current situation and possibilities for evolution. The rehabilitation unit should be a center of transition from disease to disability.Beyond the rehabilitation phase, the goal is to achieve real social integration. In our opinion, patient-centered rehabilitation care should evolve into the development of an integral life project. Evaluation tools are constantly being developed to describe the neurological, motor and neuropsychological disorders related to stroke. The system for identifying and measuring handicap (SIMH) that we propose enables an assessment of the lesions and functional problems involved as well as the subjective situation experienced by the stroke victim. SIMH is adapted not only for rehabilitation purposes, but also as a tool for a better integration into familial, social and educational and occupational life. © 2007. Elsevier Masson SAS.
Language:
French
Type (Professor's evaluation):
Scientific