What is the best management model for cerebrovascular disease rehabilitation?

    Stroke, also known as acute cerebrovascular disease, can cause a series of symptoms such as hemiparesis, aphasia, and even coma due to the damage to the central nervous system. The latest information shows that stroke has jumped to the second place in the disease spectrum in China, and some patients may have partial or complete recovery of neurological symptoms in the days or months after stroke. However, about 75% of patients are left with hemiplegia, aphasia, cognition, and behavior, and one of the main reasons why patients are limited in their ability to live is the lack of effective rehabilitation therapy. In order to reduce the disability rate and improve the survival and quality of life of this group of patients, early rehabilitation intervention is an important tool to address the high disability rate. For a long time, people only focus on medication for patients in the acute phase of stroke, ignoring rehabilitation in the acute phase. Although many patients have saved their lives, they are left with severe disabilities and eventually have to return to their families and cannot return to society.  Stroke damages the local brain tissue so that it cannot function effectively. However, the human brain has a high degree of reorganization and plasticity, which means that the brain can, in various forms, allow other parts of the brain to exercise its original functions instead of the damaged brain tissue. And this reorganization and plasticity ability is closely related to rehabilitation training, and the earlier and more adequate the rehabilitation training is, the more obvious the recovery of damaged brain function. Rehabilitation training helps to establish the brain’s collateral circulation and improve the brain’s blood circulation and oxygen supply, and promotes the normal recovery of self-regulatory functions. It not only prevents muscle and joint atrophy and reduces complications such as pneumonia and pressure sores, but also enhances the patient’s responsiveness to the outside world and improves the patient’s confidence in overcoming the disease. Therefore, early rehabilitation of acute stroke patients is important to reduce the degree of neurological deficits, improve self-care and motor functions, and prevent the occurrence of comorbidities.