Rehabilitation Pathways for Functional Impairment Following Stroke: A Study on Post-Stroke Sequelae
List of Authors
Bitao Zou, Di Zuo, Nur Akmar Taha, Xijie Yuan, Yanmei Zhu
Keyword
Stroke Rehabilitation, Functional Impairment, Telerehabilitation, Barthel Index, China
Abstract
Stroke is one of the leading causes of long-term disability, and functional improvement should be achieved by effective rehabilitation. A review was done to summarize the findings from 44 studies listed in PubMed that looked at how well different types of rehabilitation, like inpatient, outpatient, community-based, home-based, and telerehabilitation, work for people recovering from strokes. The results highlighted the relevance of inclusive, multidisciplinary, and person-centered models of rehab care, with caregiver dynamics and early intervention and digital health tools. Starting with the limited accessible resources, such as finances, the burden on the caregivers, and disjointed healthcare services, there is a substantial impact on the outcome of the rehabilitation process, especially in regions like China where the inequality is still great. Among the identified facilitators, it is possible to note such factors as strong healthcare policies, education of caregivers, and adaptation of interventions to cultures, such as the integration of traditional Chinese medicine. Recommendations for future research involve comparative effectiveness studies, predictive modeling, and culturally sensitive research. Comprehensive and personalized rehabilitation interventions are a focus that policymakers and clinicians should put much emphasis on to increase the independence of the patient, recovery, and the quality of life of the patient in the long-term scenario.