Being released from the hospital or skilled nursing facility after an illness or injury is not the completion of treatment in many cases. If MSC treatment becomes available for stroke patients, it is possible that current mortality and morbidity rates could substantially improve due to the direct enhancement of neuroprotection and neurorestoration mechanisms rather than only indirect facilitation or prevention of further damage, e.g. decompressive surgery.
Microsoft Kinect is a device which has been utilised to allow Virtual Rehabilitation differing from more conventional therapy in its ability to provide more shoulder exercises for stroke patients innovative and exciting ways to rehabilitate 27 It can also allow for remote rehabilitation where clinicians are still able to monitor patient progress.
When considering the patient's primary need for self-help, it is worth noting that brain injuries can lead to cognitive, emotional and behavioral changes, complicating the efforts that should be made in an active way by the patient, either in physiotherapy or at home.
From the Institute for Sport, Physical Education and Health Sciences, University of Edinburgh, Edinburgh, United Kingdom (D.H.S.); School of Sport, Exercise and Rehabilitation Sciences, MRC-Arthritis Research UK Centre, University of Birmingham, Birmingham, United Kingdom (C.A.G.); and Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom (G.E.M.).
The patients in the body-weight supported treadmill and walking program group that started at six months made significant improvements in walking speed, despite widely held assumptions and reports that most functional improvements after stroke are complete by six months.
For example, severely impaired stroke patients were considered improved when they were able to walk around inside the house, whereas patients who were already mobile at home were considered improved when they could progress to walking independently in the community.
Although you might think strength is one of the greatest concerns you have in stroke recovery, a review of 151 studies showed that focusing only on developing strength does improve function, but not to the degree that a comprehensive skills-building program can.
A recently updated Cochrane review (45 trials, 2188 participants) takes this approach by examining the effects of exercise interventions after stroke on multiple outcomes measures, including mortality, disability, dependence, physical fitness, physical function, mobility, risk factors, mood, and quality of life.