This document discusses acute stroke rehabilitation and the importance of early physiotherapy and mobilization. It outlines the differences between physiotherapy and rehabilitation for stroke patients and emphasizes the benefits of early ambulation within 24-48 hours of becoming stable, such as reducing complications, improving independence, and preventing disability. Newer interventions for acute stroke rehabilitation discussed include virtual reality, functional electrical stimulation, and robotic devices. The conclusion restates that early mobilization can save brain tissue, lead to better functional outcomes, prevent complications, improve quality of life, and allow patients to return to society.

1. Acute Stroke Rehabilitation
“Achieving Early Functionality”
Master Physiotherapy (MSK)
Head, Sr Consultant Physiotherapist
Nepal Physiotherapy Association
Neuro and Allied Clinic
Bhairahawa
Date:29/2/2020

2. Stroke Rehabilitation Center

3. Physiotherapy & Rehabilitation

4. Research Activities

5. Objectives
• Introduction
• Difference in Physiotherapy & Rehabilitation
• Importance of Stroke Ambulation
• Early Ambulation Vs Late Ambulation
• Contraindication of Early ambulation
• Newer Intervention For Acute Stroke Rehabilitation
• Advantages of Newer Intervention
• Limitation of Acute Stroke Rehabilitation
• Conclusion

6. Introduction
• An Important part of recovery after
stroke
• Ability to recover vary widely
• Rehabilitation leads to better outcome
• To relearn skills, regain independence
& improve quality of life

7. Acute stroke Physiotherapy Vs Rehabilitation
• Positioning
• Early mobilization
• Balance
• Gait & Mobility
• Orthotics
• Identify impairments
• Prevent complications
• Early Goal Treatment
• Systematic assessment
• Education

8. Importance of Stroke Ambulation
• Initial ambulation within 24-48
hours after stable condition
• To reduce complications
• Improve ability to ADL
• Reduce long term disability

9. Early Ambulation
• Saves penumbra
• Good functional outcomes
• Prevent complication
DVT, Spasticity,Contractue
• Prevent recurrent stroke
• Safe & feasible

10. Late Ambulation
• Destroys the Function of
penumbra
• Complication-
Spasticity,DVT,Contractutre
• Recurrent Stroke
• Decrease Functional outcome

11. Contraindication of Early Ambulation
• Cardiac Failure
• Renal Failure
• COPD
• Seizure

12. Newer Intervention of Acute stroke Rehabilitation
Virtual Reality Functional Electrical Stimulation

13. Newer Intervention of Acute stroke Rehabilitation
Robotic Devices Body Weight supported Treadmill Training

14. Advantage of Newer Intervention
• Improve Endurance
• Improve Balance
• Improve Strength
• Motivation
• Adaptability
• Motor Relearning Skills
• Improves Gait

15. Limitation Of Acute Stroke Rehabilitation
• Early Ambulation
• Strengthening Exercises
• Motor skills Relearning Exercises
• Drug & Biological Manipulation
• NeuroStimulation
• Speech Training

16. Conclusion
• Save Penumbra
• Early Mobilization
• Optimum Functional Outcome
• Prevent Complication
• Quality Of Life
• Motivation
• Return to Society