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Long-term rehabilitation after stroke: where do we go from here?

Part of: Bespoke shallow archive Weizmann

Published online by Cambridge University Press:  21 July 2010

NA Aziz
NA Aziz*
Affiliation:
Department of Family Medicine, University Kebangsaan Malaysia Medical Centre, Cheras Kuala Lumpur, Malaysia
*
Address for correspondence: Dr Noor Azah Aziz, Associate Professor in Family Medicine/Stroke Rehabilitation, Department of Family Medicine, Medical Faculty University Kebangsaan Malaysia Medical Centre (UKM MC), Cheras Kuala Lumpur, 53000Malaysia. Email: azah@ppukm.ukm.my; bila96@gmail.com
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Summary

Current guidelines in stroke management are divided on the issue of providing further rehabilitation to stroke patients who have had stroke six months ago and longer. Whilst consensus considers that long-term rehabilitation is neither practical nor beneficial, rehabilitation remains vital in the complex management of longer-term stroke care, as it provides continuity from the formal rehabilitation intervention in the hospital setting. Longer-term rehabilitation is principally a community-based intervention, as it aims to assist the survivors to become more independent through social and leisure-based interventions. Available evidence is limited, with available studies heterogeneous and small in sample size. This review aims to look into the existing evidence, and discusses the feasibility and challenges in providing longer-term rehabilitation to stroke survivors.

Keywords

strokerehabilitationrecoverycommunity
Type
Intermediate care & rehabilitation
Information
Reviews in Clinical Gerontology , Volume 20 , Issue 3 , August 2010 , pp. 239 - 245
Copyright
Copyright © Cambridge University Press 2010

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