Post Stroke Rehab Guide

 

What is the post-stroke condition?

When someone faces a stroke after getting medically out of danger from critical conditions, it is called a stroke condition. Positioning of the patient is done by the physiotherapist to decrease the chances of pattern formation and further loss of functions. Now it starts the recovery phase when no episodes of stroke are coming. Episodes primarily last 72 hours after the specialist performs the patient’s position. After 2 to 4 weeks, the rehabilitation phase within the hospital is called post-stroke inpatient rehabilitation. This starts under the supervision of a certified stroke rehab specialist.

Types of rehabilitation therapy in advanced rehabilitation centers and hospitals(post-stroke)

• Physical Therapy (PT)

• Occupational Therapy (OT)

• Speech-Language Therapy

• Cognitive Rehab Therapy

• Psychological Counseling

• Aquatic Therapy

• Vocational Rehab

• Constraint Induced Movement Therapy 

• Mirror Therapy

• Robot-Assisted Therapy

•  Electrical Neuromuscular Stimulator

• Balance and Gait Training

• VR Therapy

• Vision Rehabilitation

• Social Support Therapy

• Pain Management Therapy

• Orthotic and Prosthetic Training

• Biofeedback Therapy

• Adaptive Technology Training

inpatient post stroke rehabilitation in a rehab center/ hospital

Inpatient rehabilitation of post-stroke patients starts when they are out of danger after a stroke and can last three or more days. After that, with the help of a rehab specialist, the patient is properly positioned. This is necessary to prevent further loss of function and pattern formation, as there are two-stroke patterns: post-stroke flexion and extension patterns. If the patients have no more episodes of stroke under the supervision of a rehab specialist, inpatient rehab exercises start.

Inpatient rehab exercises

In-patient exercises included 

• Patient positioning on the bed
• Rang of motion exercises
• Stitching exercise
• Breathing exercise

These are exercises for patients in rehabilitation hospitals. However, in rehab centers, both outpatient and inpatient stroke rehab facilities are available as the rehab centers have both facilities.

Outpatient rehab exercise for home

Rehab for stroke patients at home is stats when a patient is discharged from the hospital. 

Now, the options are rehab centers or homes. The best rehab facilities are available in rehab centers, but private rehab is so costly. For home rehab, there are the following exercises.

Start with a range of motion exercises.

ROM

Movement of every joint of the patient-affected limb.

Stretching

Stretching of long muscles like hams and calf muscles as they usually become weak.

Grade 2 exercise and 3 exercise

After gaining grades one and two, I mean when a patient can move his body on the affected side without the assistance of a Physiotherapist or machine. Grade 3 exercises are anti-gravity ROM and gait training.

Grade 4 and 5 rehab exercises for stroke

Anti-gravity movement against small resistance force from the physiotherapist or external force.

Grade five included balance and coordination exercises.  

Advance machine exercise

Advanced machine rehab exercises are done by the VR machine with the help of gaming software.

Post-stroke physical therapy recovery exercises

overview of 2 major and some rare types of stroke

A stroke occurs when the blood delivered to the mind is reduced or blocked. That is why the oxygen and nutrition supply is compromised. This may lead to brain accidents”. There are two significant types ischemic and hemorrhagic stroke. Cryptogenic stroke, cerebral venous sinus thrombosis, lacunar stroke, watershed stroke, brain stem stroke, and fat embolism stroke are less discussed.

Thrombotic stroke definition

Thrombotic stroke originates from the clot forming locally in the brain.

Embolic stroke concept

An embolic stroke occurs when a clot or any other debridement comes from any body part and blocks the brain vessel.

stroke key signs and symptoms

Face drooping, arm weakness, and speech difficulty are the signs of a stroke. Other symptoms of stroke are surprising numbness, intense headache, hassle walking, imaginative and prescient problems, and confusion.

After stroke rehab exercises step by step(post-stroke)

After a stroke, there are two types of stroke recovery phases: acute recovery phase and rehabilitation phase.

Acure recovery phase exercises post-stroke

In this phase, gentle movements improve blood circulation and prevent stiffness and further loss of body function. There is exercises list of exercise with a picture demo

• towel slide with hands
• passive ROM exercises
• sitting balance exercises on the bedside
• ankle pumps
• breathing exercises
• hands gentle grip exercises
• patient bed positioning

Post-stroke Rehabilitation recovery phase exercises

Mobility and Strength Exercises

• Upper Body Strengthening
• Arm Lifts with Weights
• Heel and Toe Raises

Balance Training

• Single leg stand
• Sidestepping
• Weight shifting

Coordination and Motor Control

• Hand Squeeze
• Finger Tapping
• Marching in Place

Functional exercises

• Sit to stand
• Reaching for Objects
• Step-ups

FAQs or People ask about stroke.

What are the best preventions of stroke?

Manage Health Conditions,  Reduce Stress,  Regular Health Screenings, Limit Risky Substances