Stroke Rehabilitation Treatment Plan

Written by Tang Ying
Physical Medicine and Rehabilitation
Updated on September 13, 2024
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In the rehabilitation treatment of stroke patients, we first need to conduct a comprehensive rehabilitation assessment, evaluating the patient's current primary clinical symptoms, nutritional status, and rehabilitation functional impairments. Based on the results of the assessment, we determine the patient's main functional impairments, targeting a series of functional impairments such as mobility, hand function, as well as speech and swallowing disorders. We adopt a series of therapeutic interventions including exercise therapy, occupational therapy, physical therapy, swallowing therapy, speech therapy, psychological therapy, rehabilitation engineering, and rehabilitation nursing. Generally speaking, through evaluation, we develop a personalized rehabilitation treatment plan for the patient, comprehensively promoting the patient's overall recovery, improving the patient’s ability to live independently, and helping them return to their families, society, and work positions as soon as possible.

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Written by Tang Bo
Neurology
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What are the symptoms of a stroke?

Stroke, also commonly referred to as cerebrovascular accident, is caused by the rupture or blockage of blood vessels within the skull, leading to necrosis of brain tissue and a series of symptoms. It is divided into ischemic stroke and hemorrhagic stroke. Ischemic stroke, commonly known as cerebral infarction or stroke, while hemorrhagic stroke refers to cerebral hemorrhage. Generally, ischemic strokes account for 80% of cases. Ischemic stroke is caused by blockage of blood vessels leading to necrosis of brain tissue, presenting with a series of symptoms such as hemiplegic numbness. Cerebral hemorrhage results from rupture of brain blood vessels causing damage to brain cells and symptoms of compression, and may also present with symptoms such as hemiplegic numbness. Both types can be differentiated by their symptoms, and can also be definitively diagnosed through a CT scan.

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Written by Tang Bo
Neurology
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Is a stroke a cerebral infarction?

Stroke includes cerebral infarction. Stroke is divided into ischemic stroke and hemorrhagic stroke. Therefore, ischemic stroke is cerebral infarction, and hemorrhagic stroke is cerebral hemorrhage. Thus, one cannot say it is solely a cerebral infarction; it includes cerebral infarction. If symptoms of stroke appear, such as unclear speech or limb weakness, it might be either hemorrhagic or ischemic stroke. In such cases, it is crucial to seek medical attention immediately. For hemorrhagic stroke, one should visit the neurosurgery department, and for ischemic stroke, the neurology department is appropriate. Initially, a CT scan should be performed to make a clear diagnosis.

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Written by Zhang Hui
Neurology
1min 9sec home-news-image

What is a stroke?

The English term for 脑卒中 is stroke, which generally refers to a group of cerebrovascular diseases. These diseases often onset acutely and mainly consist of two types. The first type is ischemic stroke, which includes diseases like cerebral thrombosis, watershed infarction, cerebral infarction, and cerebral embolism. The second type is hemorrhagic stroke, which primarily includes cerebral hemorrhage and subarachnoid hemorrhage among other bleeding-related disorders. Regardless of the type, the onset of stroke is very sudden, and patients rapidly develop severe neurological deficits. For example, a patient may experience sudden slurred speech, paralysis of one side of the body, or numbness and weakness on one side. There will inevitably be obvious symptoms like dizziness, headache, nausea, vomiting, and stiffness of the neck. If a stroke is suspected, it is crucial to rush to the hospital immediately. Doctors will make an accurate diagnosis and provide appropriate treatment based on the patient's medical history and cranial CT scans.

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Written by Tang Ying
Physical Medicine and Rehabilitation
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What is the goal of rehabilitation during the acute phase of a stroke?

Rehabilitation goals during the acute phase of stroke. In the acute phase, we usually can intervene with rehabilitation treatment 48 hours after the patient’s vital signs have stabilized. The main goals of rehabilitation during the acute phase are to prevent complications such as pressure ulcers, atelectasis pneumonia, urinary tract infections, deep vein thrombosis, and muscle atrophy. Additionally, it aims to improve impaired neurological functions such as sensory, motor, and speech therapies, and to enhance the patient’s ability for self-care and mobility.

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Written by Tang Ying
Physical Medicine and Rehabilitation
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What does "brain stroke dnt" mean?

The term "DNT" refers to the time from when an acute stroke patient arrives at the hospital to the start of intravenous thrombolytic treatment. Both domestic and international guidelines recommend the DNT to be within 60 minutes—the earlier, the better. This standard was established by the National Health and Family Planning Commission. The time it takes for pre-hospital emergency care and in-hospital medication administration is approximately 60 minutes each. It is only by improving the time from pre-hospital treatment to medication administration within this golden window that we can enhance the patient's survival rate, prognosis, and quality of life, while minimizing disability rates.