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Stroke Rehabilitation

  • Paola M. P. Seidel
  • Geoffrey K. Seidel
Chapter

Abstract

Poststroke rehabilitation in the acute setting begins within the first 24 h after onset. Consultation with a physician specialist in Physical Medicine and Rehabilitation (physiatrist) begins with a neurologic assessment and coordination of a multidisciplinary team approach utilizing the expertise of physical, occupational, and speech therapists, nursing, and other medical specialties to maximize functional outcome and prevent morbidity and mortality. The physiatrist plays a crucial role in the management of oral secretions, dysphagia, aspiration pneumonia, bowel and bladder dysfunction, prevention of deep vein thrombosis, skin ulceration, communication impairments, aphasia, contractures, spasticity, and emotional lability in the early period after stroke. Successful stroke rehabilitation involves customized treatment plans, coordination with multiple medical and surgical specialists, as well as appropriate education of both the patient and caregivers. The physiatrist and stroke treatment team members in conjunction with a discharge coordinator will determine the most appropriate discharge plan, to an inpatient rehabilitation center, a subacute nursing facility, or a community-based rehabilitation program.

Keywords

Stroke Stroke rehabilitation Prognosis Outcome Stroke outcome Stroke assessment Inpatient rehabilitation Subacute rehabilitation Outpatient rehabilitation Physiatry Physical therapy Occupational therapy Speech therapy Dysphagia 

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Copyright information

© The Author(s) 2018

Authors and Affiliations

  • Paola M. P. Seidel
    • 1
  • Geoffrey K. Seidel
    • 1
    • 2
  1. 1.Department of Physical Medicine and RehabilitationWayne State UniversityDetroitUSA
  2. 2.Michigan State UniversityLansingUSA

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