This document discusses stroke rehabilitation. Stroke rehabilitation is a progressive, goal-oriented process to help people with stroke-related impairments reach their optimal physical, cognitive, emotional, communicative, and social functional levels. It aims to maximize functional independence, optimize psychosocial adaptation, and reintegrate patients into the community. The rehabilitation team includes neurologists, physiatrists, nurses, physical therapists, occupational therapists, speech therapists, psychologists, and social workers. Principles of stroke rehabilitation are restoration, compensation, and modification. Rehabilitation stages include flaccidity, spasticity appearance, increased spasticity, decreased spasticity, complex movement combination, disappearance of spasticity, and return to normal function. Re

1. पक्षघात पुनर्स्ाापना
Roshan Kumar BK(PT)
Chief Physiotherapist
Neuro & Allied Clinic
Anchalpur-9,Bhairahawa
Nepal

2. उदेश्य
 What is stroke rehabilitation?
 Why Stroke rehabilitation ?
 Who are the team members in stroke rehabilitation ?
 What are the principles of stroke rehabilitation?
 What is the purpose of stroke rehabilitation ?
 What is the rehabilitation stage of stroke ?
 How long is rehabilitation after a stroke?
 Take Home Message

3. पक्षघात पुनर्स्ाापना भनेको क
े हो ?
 Stroke Rehabilitation is a progressive,
dynamic, goal oriented process
 Enabling person with stroke related
impairment to reach their optimal
• Physical
• Cognitive
• Emotional
• Communicative &
• Social functional level

4. पक्षघात पुनर्स्ाापना ककन गने ?
• To saves penumbra
• To achieve early functionality
• To maximize functional independence
• To optimize psychosocial adaptation of
patients and families

5. जारी…..
• To reintegrate into community
• To reduce long term disability
• To prevent Complication
• To prevent recurrent stroke
• To enhance quality of life

6. पक्षघात पुनर्स्ाापनाका सद् यहरु को को हुन ?
• Neurologist
• Physiatrists
• Rehabilitation Nurse
• Physical Therapist
• Occupational Therapist
• Speech and language pathologist
• Psychologists
• Orthotist
• Social workers

7. पक्षघात पुनर्स्ाापनाका कसद्दान्तहरु क
े क
े हुन ?
Restoration
Compensation &
Modification
• To begin as possible early
• To assess the patient systematically
• To prepare the therapy plan carefully
• To build up in stages
• To include the types of rehabilitation approach
specific to deficits
• To evaluate patient’s progress regularly

8. पक्षघात पुनर्स्ाापनाका उदेश्य क
े क
े हुन ?
 To be as independent in ADL
 To enables participation in education,
work & recreation
 To enable meaningful life roles such as
taking care of family

9. जारर…..

10. पक्षघात पुनर्स्ाापनाका च्र्णहरु क
े क
े हुन ?
I. Flaccidity
II. Spasticity appearance
III. Increased spasticity
IV. Decreased spasticity
V. Complex movement combination
VI. Disappearance of spasticity
VII. Normal Function returned

11. पक्षघात पुनर्स्ाापनाका कती समयसम्म गने ?
 Weeks
 Months
 Years

12. जारर…..

13. घर सन्देश
• Prevent Risk Factors of stroke
• Treat within 4.5 hr
• Maintain vitals
• Maintain positioning
• Maintain respiratory
• Early Mobilization
• Regular follow up with neurologist
• Regular physiotherapy for 3 months to 1 year
• Psychotherapy

14. धन्यबाद