The Need For Continuous Home-Based Stroke Rehabilitation Programs

Continuing stroke rehabilitation at home is a veryrehabilitation skills from hospital-based caregivers
important factor for the long-term recovery ofto patients and home-based caregivers, which are
patients. Studies show that once stroke patientsmostly family members.
are released from hospitals their treatmentsCalled Constraint-Induced (CI) Movement Therapy,
become spare or are not given the samethe program is composed of 3 components
attention anymore.including a transfer package. CI Therapy is more
Data from a 2005 survey conducted in U.S.of a behavioral intervention program that
states by BRFSS show that only 30.7% of strokeharnesses neuroplasticity to the advantage of the
survivors receive outpatient rehabilitation causingpatient borne from 20 years of study.
lower rates of patients recovering betterThe transfer package of the program is a set of
functional status and quality of life. Studies alsotechniques that will help patients apply learnings
show that less than 10% of those who had afrom their lab into their life after it. This includes
stroke within two years received occupational orhaving progress diaries, phone calls with therapists,
physical therapy. The numbers showed thatbehavioral contracts, as well as physical restraint
patients who did receive therapy reported lowerof using their arm outside the training setting.
levels of disability and problems over time.Psychologists have discovered that patients who
Meanwhile, patients who received continuous,received their transfer package under their CI
long-term rehabilitation benefited in learning newTherapy program were the only ones who
strategies to compensate for abilities lost, forgedimproved significantly and had a significant
new neuronal connections to bypass injured brainincrease in gray matter as compared to those
cells, minimized medical complications and reducedwho did not. Their research also showed that
the risk of another stroke, and made the most ofpsychologists can use their expertise in directly
functional abilities.augmenting physical problems.
The rising cause of therapy and fees ofThere is now an increasing need to educate
therapists and professional caregivers is one oftherapists in this kind of approach so that they will
the factors that hinder this. Behavioral constraintshave better understanding of their patients and
also come into play such as the patient notbecome more effective and consistent in the
wanting to attend follow-up treatment, especiallycare of stroke patients. There is also a need to
for those who suffered minor stroke after theystandardize the process among hospitals for
have started to feel better or have becomereleasing the patient already, such that they too
independent already. But the biggest gap comes inmust incorporate a transfer package as well.
the transfer of technology to those who willIndeed, continuing stroke rehabilitation at home is
actually use it.very important as the stroke survivor attains
Due to this, psychologists from the University ofmany benefits from it. It must be given priority
Alabama in Birmingham have come up with abeing crucial for the stroke survivor's continuous
program for the effective transfer ofrecovery.