THE ROLE AND SIGNIFICANCE OF HOME REHABILITATION IN THE PROCESS OF PATIENTS' RECOVERY AFTER STROKE
Abstract
The relevance of the study is due to the fact that stroke holds a leading position among the causes of long-term disability in the adult population worldwide, leaving about half of surviving patients with severe physical and cognitive impairments. In the context of the current trend toward shortening the duration of hospital treatment, the functional recovery process is often incomplete at the time of discharge, which shifts the primary burden of rehabilitation to the home environment. The first three months after a vascular catastrophe are critically important, as it is during this period that brain plasticity and the potential for functional reorganization are maximal. Organizing a multidisciplinary process at home allows for context-specific training in an environment familiar to the patient, proving highly clinically and economically effective compared to traditional care. The implementation of innovative approaches, such as home telerehabilitation and structured family support, opens new opportunities to minimize post-stroke disability and successfully return individuals to a fulfilling life. [1]
References
1.Allen L, John-Baptiste A, Meyer M, et al. Evaluating the impact of a home-based stroke rehabilitation program: a cost-effectiveness study. Disabil Rehabil 2019;41:2060–5.
2.American Heart Association. Heart Disease and Stroke Statistics – 2004 Update. Dallas, TX: American Heart Association; 2003.
3.Bonita R, Mendis S, Truelsen T, et al. The Global Stroke Initiative. Lancet Neurol 2004;3:391–3.
4.Brandstater ME. An overview of stroke rehabilitation. Stroke. 1990;21:1140–2.
5.Di Carlo A. Human and economic burden of stroke. Age Ageing 2009;38:4–5.
6.Kulkantrakorn K, Jirapramukpitak T. A prospective study of the one-year cumulative incidence of depression after ischemic stroke and Parkinson's disease: a preliminary study. J Neurol Sci. 2007;263:165–8.
7.Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet 2011;377:1693–702.
8.Leys D, Hénon H, Mackowiak-Cordoliani MA, et al. Poststroke dementia. Lancet Neurol 2005;4:752–9.
9.Robinson-Smith G, Johnston MV, Allen J. Self-care, self-efficacy, quality of life, and depression after stroke. Arch Phys Med Rehabil. 2000;81:460–4.
10.Anderson CS, Jamrozik KD, Stewart-Wynne EG. Models of acute hospital care, rehabilitation, and discharge after acute stroke: the Perth Stroke Study 1989–1990. Cerebrovasc Dis. 1994;4:344–53.
