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Physiotherapy and Rehabilitation after stroke. How much exercise can I do?

As strokes can cause major impairment to your motor and sensory skills, language and cognition, it is essential to start rehabilitation as soon as possible. This will increase your chances of regaining functions and return to your daily routines.

After a stroke, our brain cannot grow new cells to replace the ones that have been damaged, but the brain has the ability to reorganize its undamaged cells and make up for what has been lost. This is called Neuroplasticity. To facilitate this process of re-wiring after stroke, the sufficient repetition of exercise and tasks play a vital role, and research suggests that hundreds of repetition is required on daily basis to achieve this Neuroplasticity effect.

Recent stroke Rehabilitation guideline recommends appropriate rehabilitation tasks should be practised for at least 3 hours a day, on at least 5 days of the week, and covers a range of multidisciplinary therapy including physiotherapy, occupational therapy and speech and language therapy.

Various factors need to be considered in choosing repetition, frequency and nature of the task to be practised. These factors include patient’s interest and goal, fatigue level, any limitations from pain or other medical issues. This process can be guided by Rehabilitation you receive following your stroke, and your physiotherapist at Aspire Rehab will provide expert guidance on amount of exercise and task practise required, how to relearn movement and regain function.

Exercise can include:
  • Structured specific exercises to improve balance, strength, flexibility and co-ordination.
  • Daily routine practise – like cooking, washing and dressing.
  • Mobility and stair practise.
  • Playing with children
  • Gardening
  • Any other physical activities
  • Mental practice

Mental practice often described as Motor Imagery or Mental Imagery involves an individual visualising performing a task or any bodily movement without having to physically perform it and this helps in stimulation of the neural system and recovery.

Mental practice is most effective when combined with physical practice of the same task and movement (with support for physical practise, if required).

Physiotherapy and Rehabilitation also includes:
  • Sensory re-education
  • Spasticity management
  • Therapeutic pain management
  • Management of fatigue
  • Cognitive Rehabilitation

Aspire Rehab team can support in your journey to recovery- through specialist Physiotherapy and Rehabilitation.

Contact us to discuss your needs and how we can support you.

Why choose Aspire Rehab?

  • We provide an affordable and high quality service
  • Our Physiotherapists are registered with the Chartered Society of Physiotherapy (CSP), Neurology special interest group (ACPIN-Association of Chartered Physiotherapists Interested in Neurology), Health & Care Professions Council (HCPC).
  • All our physiotherapists are checked by the Disclosure and Barring Service (DBS)
  • We offer therapy at your convenience- home, care home, day centre, leisure centre/gyms, and clinics.
  • Flexible visiting hours (including evening and weekends) and do not have a waiting list.
  • You will always have the same physiotherapist visiting you at home
  • We are a team of experienced therapists, regularly updating our knowledge to provide evidence based and patient centred therapy
  • We are quick to respond and can bridge the gap if you are on an NHS waiting list for community Therapy/Rehabilitation.
  • We provide active rehabilitation and disability management.
  • We believe in a team approach, involving patients and their family members/carer to promote self-management
  • We protect your confidentiality and dignity at all times
  • We offer a multi-disciplinary approach, involving experienced Occupational Therapists, Physiotherapists and also work in partnership with other professionals- as required.