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Printable Handouts
Navigable Slide Index
- Introduction
- Stroke impact
- Focusing on the stroke problem
- Stroke is more than a "brain attack"
- Stroke rehab and recovery
- Trends for all stroke rehab RCTS
- Implementing research into practice
- Neurological rehab systems
- Stroke rehab units
- Stroke rehabilitation units
- Rønning & Guldvog study (1998)
- Role of intensity of therapy
- Challenges with providing therapy intensity
- Intensity of activity in hospital
- Increasing intensity in a time of restraint
- Early rehabilitation
- Limits to standardization of care
- Limits to standardization of care - heterogeneity
- Personalizing treatment
- Biomarkers & proportional recovery
- Evidence-based algorithms
- Prognostic treatment algorithm
- Rehab of severe strokes: the challenge
- Importance of caregiver
- FIM gains & caregivers in severe stroke
- Rehab strategy for severe stroke
- Summary of part 1
Topics Covered
- Stroke rehabilitation
- Stroke impact
- Importance of rehabilitation
- Standardization of key elements of stroke rehab care
- Stroke rehab units
- Intensity of therapy
- Early rehab
- Individualizing treatment
- Biomarkers
- Propositional recovery
- Evidence-based algorithm
- Importance of caregivers
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Talk Citation
Teasell, R. (2021, April 28). Stroke rehabilitation: principles of stroke [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved November 2, 2024, from https://doi.org/10.69645/VQQN2396.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Robert Teasell has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
Stroke rehabilitation: principles of stroke
Published on April 28, 2021
37 min
A selection of talks on Clinical Practice
Transcript
Please wait while the transcript is being prepared...
0:00
Our talk today is on stroke rehabilitation.
I'm Robert Teasell, Professor of Physical Medicine and
Rehabilitation at the Schulich School of Medicine and Dentistry, Western University.
I'm also affiliated with Parkwood Institute and
the Lawson Research Institute in London, Ontario, Canada.
This is two talks.
In the first part of the talk,
we're going to talk about the impact of stroke and discuss
some of the principles of stroke in terms of standardization,
then talk about things like personalizing care in terms of biomarkers, etc.
The second part of the talk will deal more with some of the challenges with regard to
individualized treatment approaches, try and delve
into some of the motor and cognitive rehabilitation,
then some of the newer trends in terms of integrating
treatment approaches, and finally talk about community stroke rehabilitation.
0:54
Stroke is an important issue in our society,
it's a common life-altering event.
In Canada where I live,
62,000 people per year suffer a stroke, and over
405,000 are living with stroke complications.
This is going to increase over the next two decades as our population ages.
Well over a third of stroke survivors have some form of discernible disability, or
are still dependent for their activities of daily living, five years after a stroke.
Not only does stroke affect stroke patients,
but it also affects caregivers, who experience an increase in
their physical demands along with a decrease in their health-related quality of
life, and they're two-and-a-half times greater at risk of suffering
psychological distress than somebody who doesn't have to care for a stroke patient.
Up to 50 percent of chronic stroke patients report depression.
You can see that stroke has a significant impact
not just on the stroke survivor,
but for those people who have to care for them as well.
There's been a lot of focus on stroke.