Neurological rehabilitation of patients after stroke: Guidelines of Austrian Stroke Society 2018
Keywords:stroke, neuroprotection, neurorehabilitation
Post-stroke rehabilitation includes a complex of measures aimed to continue intensive emergency therapy in purpose to do everything possible to reduce damage to the brain of patient. The primary goal of such interventions is to start promptly after the urgent treatment that contributes patients to adapt as soon as possible and recover social functioning. The article presents a brief review of the guidelines of Austrian Stroke Society (ASS, 2018) on neurological rehabilitation of patients after stroke.
There are early and late or long-term rehabilitation. The terms “neuroreparation”, “neuroplasticity” and “neurorecovery” appear to be appropriate for evidence-base guidelines.
The standard approach to further recovery of patients after stroke included a care model providing the following but not the parallel care. However, taking into account stroke-induced biological process, the urgent need in particular early rehabilitation (within 24 hours if possible) is a incontestable fact.
Neuroprotection and neurorecovery require integrated therapeutic approach. It is of great importance to make a decision about early prescription of necessary medications. The fact of high priority of neurovascular system protection from ischemic injury is supported. Thus, sometimes the ischemic penumbra could be saved even within 24 hours after stroke by recovering perfusion of brain tissues and administrating neuroprotective agents.
Recovery after stroke is a targeted process enabling patient to achieve better physical, cognitive, emotional, social and functional status. That is why reasonable measures should be started as early as possible (within 24–48 hours) after stroke with the assistance of multidisciplinary professional team in specialized medical centers.
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