Stroke rehabilitation at Mar Sleeva Medicity Palai in Kottayam is structured treatment for the disabilities a stroke leaves behind: weakness or paralysis on one side of the body, difficulty in speaking or understanding speech, unsafe swallowing, poor balance and loss of hand function. Physical Medicine and Rehabilitation, physiotherapy, occupational therapy and speech therapy work on one shared recovery plan, so movement, communication and daily independence are treated together rather than in isolation.
Physical Medicine and Rehabilitation specialist assesses the extent of hemiplegia, aphasia and dysphagia, sets functional goals and revises them as the patient progresses. The problems that appear later in stroke recovery, spasticity, painful shoulder, falls and bladder difficulty, are treated as part of the same plan, and families are trained to continue the programme safely at home with outpatient review through the recovery period.
Every stage is planned by the physiatry team and delivered together by physiotherapy, occupational therapy and speech therapy, with goals reviewed as the patient progresses.
Assessment, positioning, joint protection and assisted movement started during the acute admission, so stiffness, pressure sores and a painful shoulder are prevented rather than treated later.
Progressive work from sitting balance to standing, transfers and walking, with parallel bars, walking aids and ankle foot orthoses used as needed until movement is steady and safe.
Task based retraining of reach, grasp and fine hand control, along with treatment of the shoulder pain and subluxation that commonly follow weakness on the affected side.
Swallowing assessment and diet texture guidance to reduce the risk of food entering the lungs, with therapy for aphasia, slurred speech and voice changes after stroke.
Botulinum toxin injections, nerve blocks and splinting to reduce the tightness that limits movement, causes pain and makes dressing, washing and hand hygiene difficult.
Therapy for memory, attention, planning and one sided neglect, with support for the low mood and anxiety that follow stroke in a large number of patients and quietly slow recovery.
Occupational therapy for dressing, bathing, feeding and toileting, including one handed techniques, along with braces, wheelchairs and assistive devices matched to the level of recovery.
Family members trained in transfers, exercises and safe feeding before discharge, with a written home programme, review appointments and physiotherapy and occupational therapy visits at home through our Home Care service.
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