Ann Physiother Clin | Volume 2, Issue 1 | Review Article | Open Access
Zdravko Maček*, Mario Kolar, Marin Tučić and Mario Mandić
Department of Physiotherapy, Special Hospital for Medical Rehabilitation, Croatia
*Correspondance to: Zdravko Maček
Fulltext PDFStroke is the leading cause of disability and one of the leading causes of death in the world. The number of stroke survivors is projected to increase by 25%, which is a major financial challenge for society given that stroke survivors are living with major and long-lasting consequences including immobility. Physiotherapy plays a significant role in the rehabilitation of patients' functional movement after the stroke occurs. Neurophysiotherapy divides into acute phase, subacute phase and chronic phase according to the time of recovery. The aim of the paper is to review those interventions based on expertly and scientifically proven effects by reviewing available physiotherapy interventions and methods. The complex field of Neurophysiotherapy needs to be directed towards specific and scientifically effective methods of treating patients affected by a stroke. For the problem reasoning approach of physiotherapy treatment of patients affected by a stroke it is recommended: early mobilization, treatment of shoulder pain and subluxation, mobilization of the feet, treatment of somatosensory functions, balance, muscling from sitting to standing, muscle strengthening and endurance exercises, cyclic bilateral arm and leg training, gait training, mirror therapy, CIMT, application of robotics and virtual reality, hydrotherapy, electrotherapy, and education and social activation of the patient and his or her family. Conclusion: It is necessary to constantly monitor and research new methods of treatment and evidence of the effectiveness of individual methods. Specific recommendations for physiotherapy treatment of a patient after a stroke can assist the physiotherapist in day-to-day clinical practice and standardize effective treatment methods. Recommendations for physiotherapy treatment for a patient with disabilities after a stroke allow the physiotherapist to develop a creative approach in treating the patient within physiotherapy based on scientifically proven methods.
Neurophysiotherapy; Recommendations; Scientifically effective therapy; ASA; AHA
Maček Z, Kolar M, Tučić M, Mandić M. Recommendations for Physiotherapy Intervention after Stroke. Ann Physiother Clin. 2020; 2(1): 1011.