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.