What it is
A short, honest summary.
- —Stroke brain ke ek hisse tak blood supply ka achanak rukna hai, ya to clot (ischaemic) se ya bleed (haemorrhagic) se.
- —Nuksaan brain ko hota hai. Dikhne waale asar — kamzori, speech ki dikkat, nigalne ki pareshani — uske downstream hain.
- —Recovery asli aur ongoing hai. Brain event ke baad mahinon nahi, saalon tak naye connections banaata hai.
What families notice
The signals worth taking seriously.
- 01Body ke ek taraf kamzori ya sunnpan
- 02Shabd banaane ya samajhne mein dikkat
- 03Paani ya khaane par khaansi ya ghutan
- 04Balance ka khona, chakkar, ya khade hone ka dar
- 05Emotional badlaav — frustration, alagaav, low mood
My approach
How the work is structured.
- —Pehle hi session mein ek poora neurological aur functional assessment.
- —Ghar jo vaastav mein deta hai uske ird-gird bane programmes — chairs, darwaaze, bathroom ka layout.
- —Family caregivers ko positioning, transfers, swallow safety aur roz ki exercise par training.
- —Khaas, measurable goals: 'behtar ho jaayein' nahi, balki 'aathvein hafte tak bina sahaare chair se khade hon.'
What recovery looks like
A plain-language picture.
“Pehle teen mahinon mein tez gains, baarah mahinon tak steady gains, aur uske aage saalon tak saarthak gains ki ummeed rakhein — bashart mehnat jaari rahe.”
FAQ
Common questions, answered briefly.
- Stroke ke baad physiotherapy kitni jaldi shuru honi chahiye?
- Jaise hi medical team clear kare — aksar hospital mein 48 ghanton ke andar. Ghar ke programmes aam taur par discharge ke ek hafte ke andar shuru hote hain.
- Kya stroke recovery ke liye online physiotherapy effective hai?
- Haan, khaaskar programme design, family coaching aur review ke liye. Hands-on kaam zaroorat hone par in-person hota hai.
- Agar stroke ko ek saal se zyaada ho gaya to?
- Recovery ab bhi available hai. Kaam ka tareeka badalta hai, par woh khatm nahi hota.
For clinicians
Clinical detail, assessment and evidence.
Clinical summary
The picture in clinician register.
Stroke is an acute focal neurological deficit caused by infarction (≈85%) or haemorrhage (≈15%). Rehabilitation-relevant recovery is non-linear: the steepest functional gains fall within the first three months as oedema resolves and penumbral tissue recovers, with slower neuroplastic gains continuing for years. The intensity and task-specificity of practice are the strongest modifiable predictors of motor outcome.
Terminology
Terms worth being precise about.
- Hemiparesis
- Weakness affecting one side of the body, contralateral to the lesion.
- Spasticity
- Velocity-dependent increase in tone from upper-motor-neuron involvement; emerges over weeks.
- Hemispatial neglect
- Reduced awareness of one side of space, common with right-hemisphere lesions; a major rehabilitation barrier.
- Learned non-use
- Behavioural suppression of an affected limb that compounds the original deficit if not addressed early.
- Aphasia vs. dysarthria
- Aphasia is a language-processing deficit; dysarthria is a motor-speech deficit. They are managed differently.
Assessment aur measures
What the first sessions measure.
- —Functional baseline within the first session — Modified Rankin Scale and a task inventory of transfers, gait, and upper-limb use.
- —Motor recovery tracked with the Fugl-Meyer Assessment; upper-limb function with the Action Research Arm Test.
- —Balance and falls risk with the Berg Balance Scale; gait with the 10-metre walk test.
- —Tone graded with the Modified Ashworth Scale; re-measured as spasticity evolves.
- —Swallow screened at intake; escalate to speech-and-language therapy where aspiration risk is suspected.
Red flags
Signs that need urgent escalation.
- Sudden new or worsening deficit — treat as recurrent stroke and arrange emergency assessment.
- Severe headache, vomiting, or a falling level of consciousness.
- New-onset seizure activity.
- Unilateral calf swelling, warmth, or pain — screen for deep vein thrombosis.
- Rapidly worsening swallow or signs of aspiration — fever, wet voice, chest changes.
Referral aur MDT
When and to whom to refer.
Coordinate with the stroke physician on secondary prevention (blood pressure, antiplatelet/anticoagulation). Refer to speech-and-language therapy for dysphagia or communication, occupational therapy for ADL and upper-limb retraining, clinical psychology for post-stroke mood, and orthotics for ankle-foot orthosis assessment where foot drop limits gait.
Evidence
References and guideline anchors.
- Practice intensity and motor outcome — PLACEHOLDER — verify against current guidelines before launch.
- Early supported discharge and home-based rehabilitation — PLACEHOLDER — verify against current guidelines before launch.