Post-Stroke Rehabilitation
Stroke can cause weakness, coordination problems, speech or swallowing changes, cognitive symptoms, and reduced independence with daily activities. Recovery often continues for months, and structured rehabilitation can make a meaningful difference in long-term function.
Our PM&R team coordinates individualized post-stroke rehab plans and works closely with therapy services to support recovery goals.
Symptom Onset & Initial Evaluation
After hospital discharge, common ongoing issues may include:
- Weakness or numbness on one side
- Balance problems or falls
- Spasticity (tight, stiff muscles)
- Fatigue and reduced endurance
- Speech/language or swallowing difficulties
- Cognitive changes (attention, memory, processing speed)
Your PM&R evaluation focuses on current function, safety at home, mobility needs, and therapy priorities.
Diagnosis
Stroke is typically already diagnosed through hospital-based imaging and neurologic evaluation. PM&R care focuses on:
- Functional assessment (walking, transfers, ADLs)
- Spasticity screening and pain evaluation
- Equipment needs (bracing, walker/wheelchair recommendations)
Treatment
Post-stroke rehabilitation is highly individualized and focuses on restoring function, maximizing independence, and supporting long-term recovery. Treatment plans often involve a coordinated, multidisciplinary approach and may include:
- Physical therapy to improve strength, balance, gait mechanics, and overall endurance
- Occupational therapy focused on activities of daily living (ADLs), upper extremity function, and home safety strategies
- Speech therapy, when needed, to address communication, cognitive challenges, and swallowing difficulties
- Spasticity management through stretching programs, medications, and targeted interventions when appropriate
- Adaptive equipment such as bracing, mobility aids, and home modifications to support safety and independence
Ongoing Management & Long-Term Care
Recovery after stroke continues well beyond the initial rehabilitation phase and benefits from ongoing monitoring and support. Long-term care typically includes:
- Regular follow-up visits to reassess progress and adjust therapy intensity, goals, and supports as recovery evolves
- Fall prevention strategies and caregiver support to promote safety at home and in the community
- Care coordination with neurology and primary care to optimize stroke risk-factor management and prevent recurrence