Recovery helps stroke survivors relearn abilities that are lost when part of the cerebrum is harmed. For instance, these abilities can incorporate organizing leg developments so as to walk or completing the means associated with any unpredictable action. Recovery additionally shows survivors better approaches for performing assignments to bypass or make up for any remaining handicaps. People may need to figure out how to bathe and dress utilizing just a single hand, or how to impart viably when their capacity to utilize dialect has been endangered. There is a solid accord among restoration specialists that the most imperative component in any recovery program is painstakingly directed,well-engaged, dull practice—a similar sort of training utilized by all individuals.
Once a patient is medically stable, the focus of their recovery shifts to rehabilitation. Some patients are transferred to in-patient rehabilitation programs, while others may be referred to out-patient services or home-based care. In-patient programs are usually facilitated by an interdisciplinary team that may include a physician, nurse, pharmacist, physical therapist, occupational therapist, speech and language pathologist, psychologist, and recreation therapist.
Some factors that play a role in success of stroke rehabilitation are:
- The extent of the brain injury. The less severe the injury, the better the chances for recovery.
- The stroke survivor's attitude. A survivor's positive attitude can help him or her cope with difficult times and focus on getting better.
- Family support. A stroke survivor's family can be the most important form of support during rehabilitation. Family members can reassure stroke survivors that they're wanted, needed, and still important to the family.
- Time until start of rehabilitation. Rehabilitation must begin as soon after the stroke as possible. Even simple tasks such as exercising paralyzed muscles and turning the person in bed should begin very soon after the stroke. Stroke rehabilitation is most successful when it is a team effort. The stroke survivor and his or her family must work together with the doctor, nurse, and other rehabilitation specialists.
What's involved in stroke rehabilitation?
There are many approaches to stroke rehabilitation. Your rehabilitation plan will depend on the part of the body or type of ability affected by your stroke.
Physical activities might include:
- Motor-skill exercises. These exercises can help improve your muscle strength and coordination. You might have therapy to strengthen your swallowing.
- Mobility training. You might learn to use mobility aids, such as a walker, canes, wheelchair or ankle brace. The ankle brace can stabilize and strengthen your ankle to help support your body's weight while you relearn to walk.
- Constraint-induced therapy. An unaffected limb is restrained while you practice moving the affected limb to help improve its function. This therapy is sometimes called forced-use therapy.
- Range-of-motion therapy. Certain exercises and treatments can ease muscle tension (spasticity) and help you regain range of motion.
Technology-assisted physical activities might include:
- Functional electrical stimulation. Electricity is applied to weakened muscles, causing them to contract. The electrical stimulation may help re-educate your muscles.
- Robotic technology. Robotic devices can assist impaired limbs with performing repetitive motions, helping the limbs to regain strength and function.
- Virtual reality. The use of video games and other computer-based therapies involves interacting with a simulated, real-time environment.
Cognitive and emotional activities might include:
- Therapy for cognitive disorders. Occupational therapy and speech therapy can help you with lost cognitive abilities, such as memory, processing, problem-solving, social skills, judgment and safety awareness.
- Therapy for communication disorders. Speech therapy can help you regain lost abilities in speaking, listening, writing and comprehension.
- Psychological evaluation and treatment. Your emotional adjustment might be tested. You might also have counseling or participate in a support group.
- Medication. Your doctor might recommend an antidepressant or a medication that affects alertness, agitation or movement.