Rehabilitation After Hemorrhagic Stroke: From Acute to Chronic Stage

Just useless generic blathering. 

Rehabilitation After Hemorrhagic Stroke: From Acute to Chronic Stage

• Authors
• Authors and affiliations

• Yun-Hee Kim

• Yun-Hee Kim
  • 1
  • 2
  • 3
  Email author

1. 1.Department of Physical and Rehabilitation MedicineSungkyunkwan University School of MedicineSeoulSouth Korea
2. 2.Center for Prevention and RehabilitationHeart Vascular Stroke Institute, Samsung Medical CenterSeoulSouth Korea
3. 3.Samsung Advanced Institute for Health Science and TechnologySungkyunkwan UniversitySeoulSouth Korea

Chapter

First Online: 06 September 2018

Part of the Stroke Revisited book series (STROREV)

Abstract

The ultimate goal of rehabilitation in hemorrhagic stroke does not differ from that in ischemic stroke: to reduce disability, regain independence, and improve quality of life. Due to the lack of studies in this specific population, the rehabilitation principles and practice guidelines for hemorrhagic stroke follow those for ischemic stroke. Stroke is a complex syndrome, and the rehabilitation process therefore requires an integrated program provided by a multidisciplinary team.(Why a multidisciplinary team?)  Although controversy about very early rehabilitation in stroke patients has arisen recently, it is generally accepted that early rehabilitation prevents stroke complications and promotes functional recovery. As stroke has various symptoms, the rehabilitation process should include a comprehensive assessment of motor, cognitive, and communication functions, swallowing, and emotions. Medical complications during rehabilitation affect functional recovery and may even increase the risk of mortality in stroke patients. Thus, preventing stroke complications should be considered not only in the acute phase but also in the chronic phase of stroke. Most spontaneous recovery in stroke patients occurs within 6 months after onset, and a substantial number of patients are left with chronic disabilities. Novel therapies to reduce residual disabilities and improve functional outcomes have attracted much attention recently, with rehabilitation robots, virtual reality, and noninvasive brain stimulation being of particular interest in this field. Researchers and clinicians are attempting to combine these novel therapies with conventional stroke rehabilitation. The gathered evidence may impact future rehabilitative practice.