Rehabilitation after an ischaemic stroke
NORMAN Neurological Rehabilitation Centre
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In the vast majority of cases, rehabilitation after an ischaemic stroke can bring positive results.
To maximise the chances of reducing the deficits caused by a stroke, those seeking help for their loved ones should pay attention to a few things. Professional rehabilitation after an ischaemic stroke, arranged early, is the key to a successful recovery. Intensive neurological rehabilitation stays carried out under the constant care of specialists are often a good option. In the context of restoring function after a stroke, professional rehabilitation means therapy delivered by a trained and experienced neurological therapist, individually for each patient, on a one-to-one basis and with full control over the adoption of new movement patterns.
When an ischaemic stroke occurs, blocked blood vessels stop supplying blood, which damages the areas of the brain that the blood no longer reaches. It is worth understanding exactly what an ischaemic stroke is and the mechanisms behind it. The most common deficits are left-sided paresis, right-sided paresis, paresis of the hand and upper limb, paralysis of two or four limbs, as well as aphasia and other speech difficulties. The cause is damage to the nervous system, which is why the person leading the therapy should have genuine neurological expertise.
This is precisely why rehabilitation should be led by a university-educated neurological therapist.
A neurological physiotherapist with experience — and, above all, a record of success in rehabilitating stroke patients — is the fundamental criterion when choosing a specialist to work with someone after an ischaemic stroke. Appropriately chosen and delivered therapy is essential for the whole rehabilitation process and for making the most of the patient’s potential. Unsuitable therapy can, sadly, do harm. If you notice mistakes or a lack of results, it is worth considering a change of therapist or rehabilitation centre.
It may also turn out that, even after such a change, it is impossible to fully undo the earlier therapeutic mistakes. In that case, therapy takes longer and the costs increase.
This is precisely why rehabilitation should be led by a therapist experienced in working with people after an ischaemic stroke.
Neurological rehabilitation, which is the foundation of rehabilitation after an ischaemic stroke, involves creating new compensatory patterns in the person affected. So that healthy areas of the brain can take over the functions previously carried out by the damaged areas, the physiotherapist teaches the nervous system new movement patterns. Unsuitable therapy and a lack of full supervision of the patient during exercises can lead to patterns being ingrained that are harmful to function.
This is the most important reason why you need to check whether a loved one’s therapy will be delivered on an individual basis.
This is precisely why rehabilitation should take the form of one-to-one sessions, with the therapist working individually with the patient.
The human mind has a great capacity for neuroplasticity, which is why properly delivered stroke rehabilitation brings positive results in most cases.
Read next
Loss of speech after a stroke. Aphasia and the role of the speech therapist in the therapy process.
Aphasia after a stroke is the loss of the ability to understand and produce speech. We explain the types of aphasia, the role of the speech therapist and the directions rehabilitation can take.
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Can every stroke patient be rehabilitated?
Whether rehabilitation after a stroke is possible depends on the patient’s health, the time since the event and the right choice of therapy. We explain when rehabilitation is possible and how to find the right course of action.
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When should rehabilitation after a stroke begin?
Early rehabilitation after a stroke usually starts on the neurology ward, but its scope and pace always depend on the patient’s condition and the doctor’s decision.
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Stroke – brain areas and the effects of brain damage.
The brain is the source of our identity, intellect and emotions. Here is a short guide to the different areas of the brain and the deficits that can arise when they are damaged by an ischaemic stroke.
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Stroke – emotions, mood and depression
A stroke can damage the brain structures responsible for regulating emotions and mood, which is why depression, anxiety, motivation problems and difficulties with rehabilitation can appear afterwards.
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Stroke symptoms: how to recognise them and how to respond?
Recognising the symptoms of a stroke quickly and calling for help immediately can save a life and reduce the risk of lasting complications.
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Spinal cord injury vs spinal cord stroke. What is the difference?
A spinal cord injury and a spinal cord stroke are two distinct conditions with different causes, prognosis and potential deficits. We explain the key differences and the typical consequences of spinal cord damage.
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10 most common mistakes made by neurological physiotherapists.
Karolina Łozińska describes the most common mistakes made during neurological therapy and the working principles that help to avoid them.
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Memory loss after a stroke. What it involves and what can help.
Memory loss after a stroke can involve difficulty remembering words, recognising places and learning new things. We explain what can help in everyday functioning and therapy.
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The next step
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We are here to answer any questions you may have about the rehabilitation process.
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