What is stroke rehabilitation?
The goal of stroke rehabilitation is to help you learn
how to do things that you did before the stroke. When a
stroke occurs, some parts of the brain may be damaged
because brain cells have died. Or parts of the brain may
be temporarily damaged and start working normally again
after the stroke. Sometimes, a different part of the
brain "takes over" for a part damaged by the stroke.
A stroke can affect the senses, movement of your muscles,
and speech. It can change behavior, thoughts, and
memory. Familiar objects from the past may not be
familiar anymore. It is very common for a stroke to
cause paralysis or weakness on one side of the face or
body.
The mental problems caused by a stroke can be very
serious. Stroke survivors may cry easily or laugh
uncontrollably. Depression is common. It is important
for the family to understand that many mental problems,
even personality changes, may be caused by a stroke.
People who have had a stroke need support as they
recover.
Your health care provider will be able to tell what kind
of rehabilitation would help and when it should begin.
Rehabilitation can begin right after the stroke is over
and the person's condition is stable. This is usually
within 1 to 2 weeks after the stroke.
Most people who have had a stroke do get better. How fast
and how much improve depends on how bad the stroke was.
Most of the recovery that is possible will occur within 6
to 12 months after the stroke.
There are 3 main kinds of stroke rehab:
- Physical therapy
(PT) helps restore physical abilities
and skills like walking and range of movement. PT works
on problems such as partial or one-sided paralysis,
balance problems, and foot drop.
- Occupational therapy
(OT) involves relearning the skills
needed for everyday living such as eating, toileting,
dressing and taking care of yourself.
- Speech language therapy
is another major part of
stroke rehabilitation. Some stroke survivors can think
as well as before the stroke but are unable to get the
right words out or process words coming in. This is
usually caused by a stroke on the left side of the brain.
Speech language therapists can also help with memory loss
and other "thought" problems caused by the stroke.
What will I do in rehab?
What you do in rehab depends on what you need to relearn.
You may work to improve your independence in many areas.
These include:
- self-care skills such as feeding, grooming, bathing
and dressing
- mobility skills such as walking or propelling a
wheelchair
- communication skills in speech and language
- thinking skills such as memory or problem-solving
- social skills for interacting with other people
Depending on the severity of the stroke, you may have rehab
treatments in:
- a rehabilitation unit in the hospital
- a rehabilitation clinic
- your home
- a long-term care facility that provides therapy and
skilled nursing care
What are the benefits?
Stroke rehab can help you and your family during a difficult
time. And most insurance covers the cost of such programs.
- 10% of stroke survivors recover almost completely.
- 25% recover with minor impairments.
- 40% have moderate to severe impairments requiring special
care.
The most valuable benefits of stroke rehab are
independence and improved quality of life.


Disclaimer: This content is reviewed periodically and is subject to
change as new health information becomes available. The
information provided is intended to be informative and educational and is not a
replacement for professional medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
HIA File CRD3647F.HTM Release 9.0/2006. Copyright © 2006 McKesson Corporation and/or one of its subdiaries. All Rights Reserved.
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