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Therapy impact on functional outcome
in a controlled trial of Stroke Rehabilitation

The effects of stroke and post-stroke rehabilitation processes

Despite several advances in medical science, the management of acute stroke is not as efficient as it ought to be as there are large proportions of the patients suffering a massive stroke found to be left with certain impairments. In the coming decades, the efficiency in handling stroke patients is expected to rise worldwide and this would certainly bring in a revolutionary change in the families of the stroke patients, economies as well as the healthcare systems. One of the major factors in reducing the stroke disabilities is the effective method of neuro-rehabilitation.

Process of stroke rehabilitation takes time
Controlled trials of stroke rehabilitation could lead to improved rehabilitative practices
for post-stroke rehab patients.

Here in this review, we would briefly discuss the several novel therapies that are very efficiently being employed in the stroke rehabilitation that includes:

  • brain stimulation through non-invasive ways,
  • pharmacological rehabilitation,
  • and robotics.

There are several stroke rehabilitation trials by the medical scientists which are presently underway and can significantly impact the future of the rehabilitative practice.

The effects of stroke

Many of the patients who survive a stroke may have several long-term effects which include disability in conducting certain day-to-day activities, development of speech impairment and certain handicaps which includes reduced participation. After a stroke, the long-term effect is being determined by the size as well as the site of the stroke lesion that is formed initially. The extent of the discovery depends on the nature and intensity of the stroke. The stroke rehabilitation processes which are majorly involved in the cerebral recovery post-stroke. Stroke may result in several signs and symptoms but the most widely found common impairments are motor impairments, which majorly affect the movement control of the leg and arm. 80% of the stroke survivors are affected by this issue, but the intensity of the problem differs from patient to patient depending on the nature of stroke s/he survived.

Non-motor impairments

There are also non-motor impairments that can be caused due to stroke and these result in significant disabilities after the stroke. These particular impairments may influence the extent and rate of stroke recovery considerably. The most frequently encountered non-motor impairment issues include the cognitive decline.

 Cognitive decline may be a loss of power in executive functioning, lesser alertness, lesser attention, lesser concentration and partial memory loss.

 Also, there can be impairments like abnormal communication capabilities and low mood which can be done away with the interaction and motivation from the rehabilitation staff who are well-trained professionals to handle the stroke survivors’ issues.

 There can be an appearance of the sensory impairments and also perceptual and visual impairments, which may also affect the patient’s participation in stroke rehabilitation.

These different deficits majorly affect the driving and reading abilities, mobility and also result in social isolation, low mood and inferior quality of life. There are several studies conducted which assess the therapeutic interventions of stroke rehabilitation and it has been found out that the rehabilitation techniques considerably improve the stroke survivors’ outcomes such as the non-motor deficits.

Principles attached to stroke rehabilitation

The process of stroke rehabilitation is a highly dynamic process and the aim of the treatment is to reduce the disabilities related to stroke. There is substantial evidence in the support teams which are engaged in multidisciplinary treatments that are engaged in the treatment of the stroke rehabilitation. They offer a complete care package with the delivery of the cyclical process that involves assessing, setting of the goal, right intervening and reassessing the patient’s requirement of the stroke rehabilitation.

Stroke recovery is a complex and heterogeneous process which would occur with the combination of learning-dependent and spontaneous processes. In the process of stroke rehabilitation, the patient is involved in an interdisciplinary setting of a goal which is completely patient-oriented. The therapy should be given to the stroke survivor in an environment where the patient would feel comfortable. The stroke rehabilitation should be started at the earliest after the stroke occurred and the intensity of the rehabilitation should be maintained as per the tolerance level of the patient. The training schedule that is included in stroke rehabilitation is aimed at attaining the goals which are relevant for the patient’s requirements and that helps in assisting the patient in the process of functional recovery in the most natural way possible. By creating the required learning solutions that are apt for the stroke survivor, the patient is made to undergo the neural plasticity. The evidence that surrounds the neuro-restorative processes reveals that the cell-based and pharmacological therapies impact on the functional outcome in a controlled trial of Stroke Rehabilitation.

Prediction of recovery post stroke

The accurate prognosis regarding the stroke recovery to a large extent depends on the duration, type, and goals of the individual patients in stroke rehabilitation. There are several factors which impact the recovery of stroke and this includes the baseline functional and cognitive status of the patient along with the non-motor deficits that have occurred after the stroke.

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