A stroke (CVA) is the sudden death of brain cells in a localized area due to inadequate blood flow (Vascular event).




AIMS OF REHABILITATION STROKE
- Attaining medical stability
- Preventing complication
- Managing risk factors
- Preventing secondary stroke
- Using compensatory strategies to restore function by active patient participation
- Using an interdisciplinary team approach that is time based, goal focused, and has functional approach for the patient
STROKE REHABILITATION PROGRAMME
- Relearn correct posture
- Improve bed mobility & Sitting balance
- Transfer techniques
- Range of motion exercises
- Graduated mobilization program with gait retraining
- Fatigue management techniques
- Hypertonic management
- Bladder/Continence & Bowel program
- Cognitive stimulation
– Attention and concentration should improve as his fatigue lessen - Speech therapy/ Dysarthria program
- Evaluation of Swallowing Function
MANAGING COMPLICATION STROKE
- Evaluation of Swallowing Function
- Initiate Nutrition and Hydration
- Prevention Subluxation of shoulder
- Shoulder pain – Position & Support
- Falling (fall risk assessment)
- Dysphagia – Nutrition & Hydration
- Treatment of spasticity – Physical therapy (heat, cold, serial cast, orthosis)
- Bladder and Bowel Management
- Sitting in Upright Position to Improve Orthostatic Tolerance