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Presentation Title2016 Senior Leadership ConferencePresenter
What’s New In Stroke Rehabilitation
Cara Camiolo Reddy, MD, MMMMedical Director, Neuro Specialty RehabilitationIntermountain Medical Center
Disclosure
No financial disclosures/conflicts of interest
Learning Objectives
1. Identify the AHA/ASA Guidelines for Adult Stroke Rehabilitation and Recovery
2. Recognize emerging Rehabilitation Technology and identify appropriate patients
3. Consider Caregiver Needs in all phases of the post-stroke environment and identify available resources for facilitating caregiver understanding
4. Utilize the AHA/ASA Stroke Toolkit for rehabilitation care planning
What’s New: AHA/ASA Guidelines for Adult Stroke Rehabilitation and Recovery Endorsed by AAPM&R and American Society of Neurorehabilitation Affirmed by AAN and ACRM Published June 2016
Purpose: to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke
AHA/ASA Guidelines
Organized into 5 major sections:1. The Rehabilitation Program2. Prevention and Medical Management of Co-Morbidities3. Assessment4. Sensorimotor Impairments and Activities5. Transitions in Care and Community Rehabilitation
What’s New: Rehabilitation Technology
Robotic Assisted Therapy Gait Training Upper Extremity Function
Virtual Reality Gaming Systems
What’s New: Rehabilitation Technology
Robot-assited gait rehabilitation:• Increases the length and intensity and number of therpay sessions• Reduces therapist burden• Reduces healthcare costs
Used as an adjunctive tool to standard treatment rather than a substitute
What’s New: Indentifying Caregiver Needs
Review of literature found several themes:• Overwhelmed with emotion• Recognition as a stakeholder in recovery• Desire to be heard and informed• Persisting for action and outcomes• Being legitimate clients• Navigating an alien culture and environment• Managing the transition home
Luker et al, 2017.
What’s New: The Stroke Toolkit
www.strokeassociation.org/recovery HCP Quick Sheets Activation Kit Patient Planning List Patient Decision-Making Guide
The Future of Stroke Rehabilitation
Improved understanding of the natural history of recovery Better understanding of the neurobiology of spontaneous and treatment-
induced recoverey in human subjects Characterizing different stroke recovery phenotyes
Bernhardt et al, 2017.