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In 1620, Johann Jakob Wepfer, by studying the brain of a pig, developed the theory that stroke was caused by an interruption of the flow of blood to the brain. [6] [page needed] After that, the focus became how to treat patients with stroke. [citation needed] For most of the last century, people were discouraged from being active after a stroke.
Johann Jakob Wepfer (December 23, 1620 – January 26, 1695) was a Swiss pathologist and pharmacologist who was a native of Schaffhausen. He studied medicine in Strasbourg , Basel and Padua , and in 1647 returned to Schaffhausen to practice medicine.
The National Institutes of Health Stroke Scale, or NIH Stroke Scale (NIHSS), is a tool used by healthcare providers to objectively quantify the impairment caused by a stroke and aid planning post-acute care disposition, though was intended to assess differences in interventions in clinical trials. The NIHSS was designed for the National ...
In 1658, Johann Jakob Wepfer studied a patient in which he believed that a broken blood vessel had caused apoplexy, or a stroke. In 1749, David Hartley published Observations on Man , which focused on frame (neurology), duty ( moral psychology ) and expectations ( spirituality ) and how these integrated within one another.
The FIM's assessment of degree of disability depends on the patient's score in 18 categories, focusing on motor and cognitive function. Each category or item is rated on a 7-point scale (1 = <25% independence; total assistance required, 7 = 100% independence).
Martin Luther was described as having an apoplectic stroke that deprived him of his speech shortly before his death in 1546. [253] In 1658, in his Apoplexia, Johann Jacob Wepfer (1620–1695) identified the cause of hemorrhagic stroke when he suggested that people who had died of apoplexy had bleeding in their brains.
The scale was originally introduced in 1957 by Dr. John Rankin of Stobhill Hospital, Glasgow, Scotland as a 5-level scale ranging from 1 to 5. [ 3 ] [ 4 ] It was then modified by either van Swieten et al. [ 5 ] or perhaps Prof. C. Warlow's group at Western General Hospital in Edinburgh for use in the UK-TIA study in the late 1980s to include ...
The acronym was created to expedite administration of intravenous tissue plasminogen activator to patients within 3 hours of acute stroke symptom onset. The instruments at this time with most evidence of validity were the Cincinnati Prehospital Stroke Scale (CPSS) and the Los Angeles Prehospital Stroke Screen (LAPSS). [3]
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