Rehabilitation After Stroke

Rehabilitation following a stroke is essential to help the brain relearn abilities affected by the stroke. The brain has the ability to create new pathways, allowing different parts of the brain to be used to perform movements and tasks that were achieved prior to the stroke.

gladstone hands on physiotherapy rehabilitation after stroke
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A stroke is caused by damage to the brain because of disruption/reduction in its blood supply. This results in a disruption/reduction of oxygen and nutrient supply to the brain causing brain cells to die at a high rate.  Strokes may result in a loss/impaired abilities due to weakness or paralysis in one side of the body. The extent of physical impairment is dependent on the area/s of damage or the extent of damage to the brain. Types of strokes include Transient ischemic attack (TIA/ mini stroke), Ischemic stroke (usually due to blood clots) and Haemorrhagic strokes (brain bleeding).

Physiotherapy forms a crucial part of stroke rehabilitation by assessing the level of physical disability and developing an appropriate treatment plan to assist the client in achieving their rehabilitation goals. Physiotherapy after stroke is aimed at improving functional movement patterns such as: activities in lying, sitting and standing, as well as transferring and walking. With the help of our physiotherapists, you will be able to learn how to retrain the movement patterns needed for normal function. The Physiotherapist will break down the functional movement into more manageable small patterns and retrain each pattern, before putting it together to achieve the overall movement. It takes a long time to retrain the movement patterns as the brain takes time to heal and learn to use other parts to perform the function of the damaged part of the brain.

A functional home/work assessment may be done as adaptations to client home and work environments may be required due to the extent of functional limitation/s caused by the stroke. This assessment is essential in ensuring a smooth transition from hospital to home life.

How long is rehab after stroke?

Following a stroke, you might be admitted to a rehabilitation facility, usually for 2-3 weeks of intensive rehabilitation 5-6 days weeks. After this initial intensive rehabilitation, you will return home and continue your rehabilitation at our clinic or at home in the form of home visits. It can take 2 years or longer to regain maximum function after a stroke.

What kind of therapy is needed after stroke?

Therapy that may be required include: Physiotherapy, speech therapy, occupational therapy. Physiotherapy will include strength, balance, coordination and functional pattern retraining.

What percentage of stroke patients make a full recovery?

10% of people make a full recovery, 25% recover with minor impairments and 40% of people recover with moderate impairments. Early intervention and rehabilitation is essential in achieving a steady recovery in speech, cognitive, sensory and motor skills.

What is the best exercise after a stroke?

Neurological rehabilitation guidelines advise stroke survivors to include 20-60 minutes of aerobic exercise every other day or daily if preferred. These include activities such as: walking, swimming, cycling etc. Exercise can be performed in shorter intervals until at least 20 minutes every other day is reached.

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Rehabilitation After Stroke


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FAQs


Do I need a doctor’s referral to go to a physiotherapist?

No doctor’s referral is needed as physiotherapists are qualified to assess and diagnose without a doctor’s referral.

If you recently had surgery it will be helpful to bring a note from the surgeon with the exact type of surgery that you had done.

If you have been referred on an EPC/GP management program (through Medicare), on WorkCover or DVA, you will need some documentation from your doctor.

Please call our office for more information.

What do I need to take with me?

Please bring any scans, X-rays or other medical history that you deem important. Also bring along any letters or paperwork provided by your GP or specialist. Please bring your private health fund card, DVA card or Medicare card if you have been referred on a GP management plan.

What should I wear?

Generally it is wise to wear loose fitting clothes that you will be able to move in as you may be required to do some exercises during the session.

What should I do after my appointment?

You should drink 1-2 liters of water after your appointment if possible.

Due to the fact that our physiotherapy and exercise physiology treatments promotes waste product secretion and clearance, water will help in removing the waste products from the area and reduce the risk of feeling stiff post treatment.

You should also try not to do heavy work post physiotherapy treatment as there is an element of pain relief that accompanies treatment and there is therefor a potential risk of injury.

The Doctor referred me on a GP management plan with visits through Medicare. How does that work?

Your GP would have given you a form or would have sent it through to our office. You will be eligible for a predetermined amount of visits that is determined by your GP. Medicare offers a rebate for physiotherapy sessions but a gap fee still applies for every appointment. Please call our office if you are unsure of the current gap fee. Please also bring your Medicare Card and a bank card of the bank account registered with Medicare to process your rebate. Exercise Physiology sessions currently does not attract a gap fee and is fully funded by Medicare.

Can I use my private health fund card to get an on-the-spot rebate?

Yes, but rebates are dependent on what type of cover you are on.

How much will my private health fund pay and how much will the gap fee be?

This will depend on your fund and your type of cover. Please contact your fund to find out.

Can I pay using EFTPOS?

Yes.

How do I contact Gladstone Hands On Physiotherapy?

You can call us on (07) 4978 5581, email us at [email protected], or send us a message on our contact page.

Our business hours are:

Monday08:00 – 17:00
Tuesday08:00 – 17:00
Wednesday08:00 – 17:00
Thursday08:00 – 17:00
Friday08:00 – 15:30
How do I get to Gladstone Hands On Physiotherapy?