What are the misconceptions about stroke rehabilitation and perceptions?

  According to statistics, the world average incidence rate of cerebrovascular accidents (stroke) is about 200/100,000 population? years, while Beijing has a rate of 370 per 100,000 population? years; 70% of survivors have varying degrees of disability; and the annual national expenditure on stroke patients is about 10 billion yuan or more. Patients have motor-sensory impairment, consciousness, speech, swallowing, cognition, and psychosocial impairment, which greatly affects their mobility and social participation, reducing the quality of life of patients and their families, and creating a great deal of pressure on society and the government. The effectiveness and importance of rehabilitation for the overall treatment of stroke has been internationally recognized. As a result of the implementation of the three-tier stroke rehabilitation system network, the disability rate of stroke has been greatly reduced, with 90% being able to fully care for themselves in daily life and health costs declining. Stroke rehabilitation has become an important part of the stroke treatment system, moreover, stroke patients are entitled to it, and now rehabilitation has entered the scope of health insurance payment in many cities in China.  Here are some common misconceptions: Stroke-induced dysfunction can be restored by exercising hard on your own.  Rehabilitation is highly specialized. It is best done in a professional rehabilitation facility under the guidance of a professional rehabilitation physician and therapist, otherwise it can easily lead to certain disabilities (e.g., hand-carrying basket, circle-drawing gait) or non-recovery of function. This is especially true for speech disorders, swallowing disorders, etc.  Stroke rehabilitation is acupuncture, physical therapy, massage plus medication.  There is now a national and international consensus that active rehabilitation has a very positive effect on functional recovery and that passive training should be kept to a minimum. It is also wrong to hope for a certain medication. No drug worldwide has been recognized as effective in the treatment of post-stroke; drugs can be used as an adjunctive treatment; and finally, treatment with drugs, acupuncture, and massage alone can slow down the patient’s recovery process.  Wait until after discharge before starting rehabilitation.  Generally, once a patient’s condition has been stable for 48 to 72 hours, rehabilitation can be considered to begin. The purpose of early rehabilitation is to preserve the patient’s remaining functions to the greatest extent possible and to avoid “disuse syndrome” and the prevention of various disabilities. Therefore, early rehabilitation is the best way to reduce sequelae and increase the speed of recovery, and the first 3-6 months is the “golden period” of rehabilitation.  The first 3-6 months is the “golden period” for rehabilitation. If you don’t see any results after a long time, you should give up.  As the old saying goes, “Sickness comes like a mountain, and sickness goes like a silk.” Most of the stroke patients who have recovered damaged neurological functions and even returned to work after rehabilitation have gone through a long and arduous training process of recovering neurological functions from nothing to something and from something to something fully.