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Rehabilitation After Hemorrhagic Stroke: From Acute to Chronic Stage

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Stroke Revisited: Hemorrhagic Stroke

Part of the book series: Stroke Revisited ((STROREV))

Abstract

The ultimate goal of rehabilitation in hemorrhagic stroke does not differ from that in ischemic stroke: to reduce disability, regain independence, and improve quality of life. Due to the lack of studies in this specific population, the rehabilitation principles and practice guidelines for hemorrhagic stroke follow those for ischemic stroke. Stroke is a complex syndrome, and the rehabilitation process therefore requires an integrated program provided by a multidisciplinary team. Although controversy about very early rehabilitation in stroke patients has arisen recently, it is generally accepted that early rehabilitation prevents stroke complications and promotes functional recovery. As stroke has various symptoms, the rehabilitation process should include a comprehensive assessment of motor, cognitive, and communication functions, swallowing, and emotions. Medical complications during rehabilitation affect functional recovery and may even increase the risk of mortality in stroke patients. Thus, preventing stroke complications should be considered not only in the acute phase but also in the chronic phase of stroke. Most spontaneous recovery in stroke patients occurs within 6 months after onset, and a substantial number of patients are left with chronic disabilities. Novel therapies to reduce residual disabilities and improve functional outcomes have attracted much attention recently, with rehabilitation robots, virtual reality, and noninvasive brain stimulation being of particular interest in this field. Researchers and clinicians are attempting to combine these novel therapies with conventional stroke rehabilitation. The gathered evidence may impact future rehabilitative practice.

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Author information

Authors and Affiliations

  1. Department of Physical and Rehabilitation Medicine, Sungkyunkwan University School of Medicine, Seoul, South Korea

    Yun-Hee Kim

  2. Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Seoul, South Korea

    Yun-Hee Kim

  3. Samsung Advanced Institute for Health Science and Technology, Sungkyunkwan University, Seoul, South Korea

    Yun-Hee Kim

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  1. Yun-Hee Kim
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Correspondence to Yun-Hee Kim .

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Editors and Affiliations

  1. Department of Neurology, Seoul National University Hospital Department of Neurology, Seoul, Korea (Republic of)

    Seung-Hoon Lee

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Kim, YH. (2018). Rehabilitation After Hemorrhagic Stroke: From Acute to Chronic Stage. In: Lee, SH. (eds) Stroke Revisited: Hemorrhagic Stroke. Stroke Revisited. Springer, Singapore. https://doi.org/10.1007/978-981-10-1427-7_16

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  • DOI: https://doi.org/10.1007/978-981-10-1427-7_16

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-1426-0

  • Online ISBN: 978-981-10-1427-7

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