Risultati della riabilitazione motoria del soggetto con sindrome pseudobulbare.

The aim of this study was to determine whether rehabilitation treatment has a real effect on the functional capacity of patients with pseudobulbar syndrome (SP), and whether there is any difference in efficacy between rehabilitation treatment initiated as early as possible following stroke, compared to treatment initiated some months after the last occurrence. We studied 50 SP patients divided into three groups according to time passed since the last stroke: group 1, 20 patients, less than 180 days after stroke; group 2, 30 patients, more than 180 days after stroke, At the end of the rehabilitation treatment, there was an improvement in motility (p <0.005), functional capacity (p <0.001) and reduction in disability (p <0.001) only in group 1. We attribute this result to the specific pathological substrate of the syndrome and its chronic-progressive course, which would seem to hinder the action of compensatory mechanisms involved in late recovery.