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.
Rehabilitation Services in CESN
Canadian Stroke Best Practice Recommendations: Stroke Rehabilitation Practice Guidelines
Ontario Stroke Evaluation Report 2016: A Focus on Stroke Rehabilitation
CESN Rehabilitation Newsletters – Stroke Rehabilitation Best Practices Highlights
Ontario Regional Stroke Network Rehab Transfer Working Group “Key Principles – Access to Stroke Rehabilitation”

The Interprofessional Team includes physicians, nurses, physiotherapists (PTs), occupational therapists(OTs), speech-language pathologists(S-LPs), social workers, psychologists, recreational therapists, pharmacists, dietitians, and rehabilitation assistants. Core stroke rehabilitation therapies are OT, PT, and S-LP. The regulating colleges for these regulated health professionals in Ontario are:

Support Personnel – The regulated health profession for each of these therapies may supervise associated rehabilitation support personnel (Occupational Therapist Assistant, Physiotherapist Assistant, Communication Disorders Assistant). While supervising their associated support personnel, regulated health professionals may directly assign clinical tasks and related work to assist in the provision of the their therapy. Regulated health professionals must follow guidelines of their regulatory college when working with support personnel.

Rehabilitation may begin as early as two days after the stroke event while still in acute care. For some, rehabilitation may continue in a hospital in-patient rehabilitation setting. Others may participate in 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.