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.