Stroke rehabilitation intervention should be early

  Post-stroke rehabilitation is divided into three stages: acute rehabilitation, recovery rehabilitation and sequelae rehabilitation. Among them, the rehabilitation in the first two periods is the most important. Once the rehabilitation is delayed until the sequelae appear, the effect is not only greatly reduced, but also the patient’s recovery rate has to be slowed down.  Acute phase rehabilitation refers to rehabilitation within two weeks after the stroke. Since most of the patients are still hospitalized and weak, the treatment includes proper limb positioning, maintaining joint mobility, preventing pressure sores, respiratory and urinary system infections, and deep vein thrombosis in the lower extremities, and starting self-care in bed as early as possible to prepare for functional training during the recovery period.  The recovery period is from two weeks to six months, of which three months is the best period for rehabilitation and functional recovery. 80% of the functions should be recovered during this period, and the goals of this period include rehabilitation of motor functions, focusing on suppressing spasticity, primitive reflexes and abnormal movement patterns, enhancing muscle strength, promoting coordination and fine movements, and improving and restoring the ability to perform activities of daily living. The focus of the program was on suppressing spasticity, primitive reflexes and abnormal motor patterns, strengthening muscle strength, promoting coordination and fine motor movements, and improving and restoring the ability to perform activities of daily living. At the same time, speech therapy is conducted to improve the patient’s communication ability, and work training for cognitive function is conducted to promote the patient’s overall recovery. If this period of rehabilitation is missed or is unsatisfactory, the best time for recovery will be lost and may also lead to complications such as shoulder-hand syndrome, decubitus ulcers, pulmonary infections, urinary tract infections, limb spasms, pain, and osteoporosis.