Compliance to rehab makes recovery from stroke more effective

Yes, blame the patient for their lack of recovery. Wrong, wrong, wrong, the blame belongs squarely on your doctor.
https://economictimes.indiatimes.com/magazines/panache/compliance-to-rehab-makes-recovery-from-stroke-more-effective/articleshow/62521616.cms
There has been a lot of focus on preventing strokes and measures taken to manage the risk factors.

However, there is limited evidence available regarding the patients’ journey during the time period after discharge from hospitals post stroke.

Due to lack of awareness regarding availability of rehabilitation services and less focus on the comprehensive approach to therapy, the burden of care falls on family members.

A recent study by Nightingales Home Health which incorporated clinicians’ perspective, looks at how to bridge the gap in community reintegration of stroke patients, finding insights regarding current practices in stroke rehabilitation in the community and understanding patients’ behaviour.
Here are some key takeaways:

Stroke Stats
1.5 million+
Number of cases of stroke reported in India each year
17.5%
increase in incidence of stroke in the past 15 years

Urban India - one-and-a-half times more at risk of stroke than rural India

2:1 ratio of male-female incidence of stroke; men are more at risk than women

About The Study
Quantitative survey conducted among 31 neurologists

Research conducted across 3 cities: Bengaluru, Mumbai and Hyderabad

Double-blinded research: Participating doctors were not aware of the organisation behind the study and vice-versa, thereby achieving unbiased result.

Findings
80% - neurologists perceive home rehab to be a feasible option for stroke patients.

90% - neurologists perceive multidisciplinary services as an ideal solution to manage disabilities caused by stroke at home.

What makes home rehab feasible?
Compliance to prescribed therapy - 78 %

Cost effectiveness - 61 %

Improved access to quality comprehensive care - 61 %

Stroke rehabilitation may take years to see positive outcomes.
Reasons for patient dropout from rehabilitation:

Lack of motivation due to severity of disability - 56 %

Lengthy rehabilitation phase - 29 %

Physiotherapy (77%) is the top service offering that neurologists recalled to be included in a home rehab programme, also widely accepted by patients. Other services like speech and language therapy or occupational therapy are not very well accepted by patients due to lack of awareness or lack of availability.

77% neurologists feel family members learning exercises and treating patients at home without therapists’ supervision adds to their care-giving burden.

Home rehabilitation as a concept is considered a feasible option by a majority of neurologists owing to the associated benefits/drivers sucsuch as compliance, access, cost effectiveness and multidisciplinary services. Early comprehensive rehabilitation post stroke and compliance to prescribed rehabilitation programme increases patients’ chances of a better recovery and resumption of their daily activities with minimal support.