Extra rehabilitation improves activity after stroke

How much extra rehabilitation is necessary in order to optimise outcomes?

People who have had a stroke commonly have difficulty walking and using the arm to complete self-care tasks. Repetitive practice of these tasks (or components of the tasks) with progressive increases in difficulty to challenge the patient is required to bring about improvement in function. Guidelines for stroke management recommend a large amount of practice in order to maximise outcome after stroke.
Rehabilitation is resource intensive, both for the patient and the healthcare system. It is therefore important to determine the effect increasing the amount of usual rehabilitation. Specifically, how much extra rehabilitation time is required to bring about measureable improvements in activity after stroke?

The challenge now is to determine how to increase the amount of rehabilitation. Implementation will demand a change in clinical practice that is far-reaching; models of delivery, patient expectations, and therapist beliefs should be guided by the findings of this review.

> From: Schneider et al., J Physiother 62 (2017-01-27 05:45:39) 182-187 . All rights reserved to the Australian Physiotherapy Association. Click here for the online summary.

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