What is Stroke Rehabilitation?
Stroke rehabilitation helps people with impairments after a stroke to regain as much function and independence as possible in physical, cognitive, emotional, communicative and social domains. Rehabilitation interventions are a set of activities that begin early after the stroke occurs, once the stroke survivor is medically stable and can identify goals for rehabilitation and recovery.
Who Provides Stroke Rehabilitation?
In rehabilitation, stroke survivors work with an interprofessional team including physicians (physiatrists and other), nurses, physiotherapists, occupational therapists, speech language pathologists, social workers, psychologists, recreational therapists, pharmacists, and dietitians.
Where does Stroke Rehabilitation occur?
For many stroke survivors, rehabilitation begins as early as two days after the stroke event while still in acute care. For some, rehabilitation may continue in the hospital in an in-patient rehabilitation setting. Others may benefit from rehabilitation in an outpatient setting, the community, or the home. Where the rehabilitation occurs depends on many factors including the severity of stroke, presence of rehabilitation goals, and availability of services. For more information on specialized stroke rehabilitation services available in Central East Stroke Network:
Rehabilitation Services in CESN
Canadian Stroke Best Practice Recommendations: Stroke Rehabilitation Practice Guidelines, Update 2015
The Canadian Stroke Best Practice Recommendations for Stroke Rehabilitation, 5th Edition (2015) is published in the International Journal of Stroke (IJS) and available freely online.
Rehabilitation Best Practices
Note that an Errata was posted June 2016 with an update to Dysphagia recommendations 7.1 (i) and 7.1 (ii). The updated text is not reflected in the link above.
Errata to the Dysphagia Section
All other supporting information, including performance measures, implementation resources, evidence summaries and references, remain available through www.strokebestpractices.ca, and not through the IJS.
Other Applicable Canadian Stroke Best Practice Recommendations
Stroke Best Practices
Acute Inpatient Stroke Care Guidelines, Update 2015
Mood, Cognition and Fatigue following Stroke Practice Guidelines, Update 2015
Managing Transitions of Care Following Stroke, Guidelines Update 2016
Ontario Stroke Evaluation Report 2016: A Focus on Stroke Rehabilitation
Hall RE, French E, Khan F, Zhou L, Linkewich B, Willems D, Huffman S, Sooley D, Pagliuso S, O’Callaghan C, Levi J, Bayley M. November 2016
This report documents improvements made in stroke rehabilitative care in Ontario from 2011/12 to 2014/15, by presenting detailed information on stroke survivor outcomes and implementation of best practices in rehabilitation at multiple levels of analysis. The report also includes recommendations for improving the province’s stroke rehabilitative care system.
CESN Newsletters – Stroke Rehabilitation Best Practices Highlights
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