Stroke Rehabilitation - Overview
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This topic covers
rehabilitation after a stroke. For information on stroke itself, see the topic
What is stroke rehabilitation?
The best way to get
better after a stroke is to start stroke rehabilitation ("rehab"). In stroke
rehab, a team of health professionals works with you to regain skills you lost
as the result of a stroke. Rehab can help you to:
- Do as well as you can and be as independent as
- Learn to live with the changes to your brain and body
caused by the stroke.
- Adjust to living within your home, family,
Rehab starts while you are still in the hospital. After
you leave the hospital, you can continue treatment at a rehab center or at
home. Some rehab programs offer at least 3 hours of therapy a day, 5 or 6 days
A key part of rehab is taking steps to prevent a future
stroke. To stay in good health, you may need to take medicines and make some
lifestyle changes. Work with your rehab team to decide what type of exercise,
diet, or other lifestyle choices are best for you.
You have the
greatest chance of regaining your abilities during the first few months after a
stroke. So it is important to start rehab soon after a stroke and do a little
Who is on a stroke rehab team?
your family, loved ones, and caregivers are the most important part of the
rehab team. A team of health professionals will work with each other, you, and
your caregivers to help you recover from a stroke. A rehab team may
include doctors and nurses who specialize in stroke rehab, as well as
rehabilitation therapists such as:
physical therapist to work on problems with movement,
balance, and coordination.
occupational therapist to help you practice eating,
bathing, dressing, writing, and other daily tasks.
speech-language pathologist to help you relearn language
skills and also help if you have problems with swallowing.
recreational therapist to help you return to activities that you enjoyed before
counselor to help you deal with your
- Other health professionals, such as a
dietitian to help you plan a healthy diet and a
vocational counselor to help you find a job or get back to work.
social worker or case manager will help you and your
caregivers arrange for the help and equipment you may need at home after you leave the
What kinds of problems can people have after a stroke?
The problems you have after a stroke depend on what part of your brain
was affected and how much damage the stroke caused. People who have had a
stroke often have:
- Problems with movement and sensation. You
may have pain, numbness, or tingling in your arms and legs; muscle stiffness or
spasms; weakness; and trouble with walking and moving. You may have problems
with your sense of touch or how well you feel hot and cold, trouble swallowing
and eating, and urinary or bowel problems.
- Problems with vision. You may have problems seeing in some or all of the normal areas of vision.
- Problems with not being aware of one side of your body. If you don't look to that side, you may
forget or ignore that side of your body.
- Problems with language
and thinking. You may not be able to understand written or spoken language,
read or write, or express your thoughts. You may also have problems with memory
- Emotional problems. A stroke can cause feelings of
fear, anxiety, anger, sadness, and grief, both for survivors of a stroke and
their loved ones.