Stroke Rehab

Stroke Rehabilitation is a comprehensive clinical reference covering the complete inpatient and community stroke rehabilitation pathway. Built by a Neurology and Stroke Fellow and referenced to NICE NG236 (2023), RCP National Clinical Guideline for Stroke (2023), and ESO guidelines. Neuroplasticity is the biological basis of stroke recovery — intensity matters. Greater amounts of therapy are associated with better recovery. Start rehabilitation within 24–48 hours of admission. 8 REHABILITATION DOMAINS: Domain 1 — Organisation and Early Assessment - Stroke unit care — NNT 18 for one extra independent survivor - MDT goal-setting within 72 hours — all disciplines present - Functional assessment — NIHSS, mRS, Barthel, MoCA, swallow screen Domain 2 — Motor Recovery and Physiotherapy - Minimum 3h therapy/day, 5 days/week — RCP 2023 - CIMT — constraint-induced movement therapy, EXCITE trial - Robot-assisted therapy — NICE NG236, MIT-Manus - Mirror therapy, mental practice, AVERT trial Domain 3 — Walking and Balance Rehabilitation - Treadmill and overground walking — LEAPS trial - FES for foot drop — NICE IPG278 - Ankle-foot orthosis, aerobic exercise Domain 4 — Communication and Aphasia - SALT assessment within 24h, intervention within 72h - Minimum 45 min SALT/day — NICE NG236 - CIAT, technology-assisted therapy, AAC devices - Aphasia classification and therapy approach table Domain 5 — Cognition, Mood and Fatigue - Post-stroke cognitive impairment — MoCA, MMSE - Depression — PHQ-9, antidepressants, psychological therapy - Emotionalism, fatigue management Domain 6 — ADL, Spasticity and Shoulder Pain - Occupational therapy — upper limb function, home assessment - Botulinum toxin for spasticity — NICE TA491 - NMES, hemiplegic shoulder pain management Domain 7 — Community Discharge and ESD - Early supported discharge — reduces LOS - Community rehabilitation, driving, return to work - Carer support and needs assessment Domain 8 — Assessment Scales and Outcome Measures - mRS, Barthel, NIHSS, Fugl-Meyer, MoCA, MMSE - FIM, Rivermead, Rankin — interactive reference FEATURES: - Evidence-based with key RCT citations throughout - Every section references its source guideline - Works fully offline - One-time purchase — no subscription For qualified healthcare professionals only. All rehabilitation decisions require MDT input.