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Neurorehabilitation and Pain Management [email protected] | +90 0542 215 80 80
 

Stroke Rehabilitation


What does stroke-stroke treatment involve?

  • Brain Hemorrhage – Stroke / Stroke
  • Brain Vascular Congestion – Stroke / Stroke
  • Clot Dropping to the Brain – Stroke / Stroke

WORKING HOURS

Monday- Friday

09:00 – 18:00

 

TELEPHONE

Memorial Şişli
+90 212 314 66 66 (Internal:2415)
Whatsapp
+90 542 215 8080

 

 

ADDRESS

Piyalepaşa Avenue,

No.434385, Şişli, İstanbul

Stroke emerges as a result of cerebral bleeding, atherosclerosis or embolism. In the early phase, proper positioning in the bed and frequent position change can prevent decubitus and joint contractures. In addition, passive exercises for motion range in joints, pulmonary exercises, evaluation of the swallowing, appropriate nutrition, skin care, treatment of the sleep problems, psychological and social support are other factors, which should be considered during the rehabilitation in the early phase of stroke. Early, immediate, and comprehensive rehabilitation are important for the maximization of the success. If the general status of the stroke patient is stable, the physiotherapy and rehabilitation program should be initiated in the early phase. This time is usually the first 24-72 hours after the event.

 

The rehabilitation should be initiated as early as possible. The patients should also be followed up by the physiotherapy and rehabilitation specialists after the discharge. Robotic rehabilitation – robotic physiotherapy (robotic bed, robotic gait, and hand-arm rehabilitation) provide significant support to the patients during the recovery period. In patients, who developed paralysis after the stroke, functional disturbances and other concomitant health problems should be evaluated by a physiatrist, while the patient is still hospitalized in the neurology clinic. The patient may be included in a comprehensive rehabilitation program after this evaluation.

The robotic rehabilitation contributes significantly to the improvement of the symptoms during stroke rehabilitation. The ultimate goal of stroke rehabilitation is to return the patient to his/her family, occupation, and social life. For this purpose, neurological rehabilitation techniques, robotic rehabilitation, swallowing, and speech therapy, occupational therapy are implemented to the hemiplegia patients in the physiotherapy and rehabilitation clinic.

A comprehensive rehabilitation program includes several physiotherapy methods like gait therapy, hand and arm exercises, self-care, speech, swallowing and eating, and occupational therapy. The patient may be referred to the physiotherapy and rehabilitation clinic usually in 3 to 7 days after the event.

HOW IS HEMIPLEGIA TREATED?

Neurorehabilitation – robotic rehabilitation – center under the supervision of an experienced physiotherapy and rehabilitation specialist is the right choice for successful stroke treatment. Such a center has a comprehensive team consisting of physiotherapy and rehabilitation specialist (physiatrist), ergotherapist, rehabilitation nurse, physiotherapy technician, robotic rehabilitation technician, occupational therapist, and swallowing-speech therapist.

 

The prescription of the suitable prosthesis by a physiatrist in the early phase is critical in stroke patients with the function loss in organs due to the paralysis.

WHAT IS COMPREHENSIVE PHYSIOTHERAPY IN HOSPITALIZED STROKE PATIENTS?

  • 24-hour supervision by a physician
  • Daily follow-up by a physiotherapy and rehabilitation specialist.
  • Consultation with neurology, neurosurgery, internal medicine, and cardiology
  • Allocation of a nurse for every 4-6 patients (if necessary specialist nurse care is provided)
  • Active physiotherapy and rehabilitation programs (4-6 hours/day)
  • Robotic early gait and mobilization training
  • Robotic gait rehabilitation + virtual reality
  • Robotic hand-arm rehabilitation + virtual reality
  • Physiotherapy
  • Neurophysiological exercises
  • Evaluation and treatment of the swallowing problems
  • Speech therapy
  • Pulmonary rehabilitation
  • Balance training and computer-assisted training for the prevention of falls
  • Tracheostomy management (changing the tube, care etc.)
  • Nasogastric tube and PEG method (opening, removal, care etc.)
  • Botulinum toxin injection (guided with EMG or US)
  • Mean hospitalization time is 4-8 weeks