Post Stroke Rehabilitation

dr. Muhammad Luthfi Dharmawan, SpKFR

Stroke

This is no just a Disease

This is a Disaster
Stroke as a Killer
2018. 10,9% total population (> 15 year old)
2020. 1 in 6 death from cardiovascular disease was
due to stroke
Every 40 seconds, someone has a stroke. Every 3.5
minutes, someone dies of stroke
Stroke as a Disabling Disease

Stroke is the Champion

Facts About Stroke
1. A stroke does not have to be fatal
2. Stroke can be prevented
3. Most strokes have good prognosis
functionally
Impact of Stroke on Body Function
● Cognition and emotional impairment
● Communication impairment
● Visual Impairment
● Dysphagia
● Motor Disorder
● Bowel / Bladder Dysfunction
● Sensory Disorder
● Sexual Disfunction
Management of Stroke
Preventive
Promotive
Curative
Rehabilitative
Not a Simple Task
Always Complicated
Should be “Tailor made” Programme
Rehabilitation
Rehabilitation is a series of recovery programs to restore optimal
function.
In general, the rehabilitation process aims to help stroke survivors
regain their physical abilities, psychological conditions, social
adaptation, work skills, hobbies and education with reference to
physiological or anatomical limitations, environment, expectations,
and future life plans.
Rehabilitation Team
Rehabilitation
Approach
Post Stroke Rehabilitation
● Preventing Complication
● Teaching new adaptive methods
● Ensuring that appropriate aids are provided and use
properly
● Retraining the damaged nervous system and preventing or
overcoming “learned disuse”
● Enhancing Quality of Life
Post Stroke Rehabilitation
InPatient OutPatient

Acute Phase Sub Acute Phase Chronic Phase

Preventing Retraining the damaged

Complication nervous system and
preventing or overcoming
Teaching new adaptive methods
“learned disuse”
Provide Cerebral
Perfusion Enhance QoL
Appropriate Aids

Enhance QoL
Acute Phase Rehabilitation
Positioning
Bed Mobilization
Transfer
Sub Acute & Chronic Phase Rehabilitation
If Medically Stable

If he/she is on Sub acute phase and has Functional Problem

Refer to P&MR Specialist as soon as possible

Thank You