Importance of Physiotherapy post Stroke

Stroke is a life-altering condition that affects millions of people worldwide every year. It occurs when the blood supply to the brain is interrupted, leading to the death of brain cells and causing various physical and cognitive impairments. One of the most effective ways to recover from a stroke and regain independence is through physical rehabilitation (Physiotherapy). In this blog we are going to see how physiotherapy plays a vital role in the rehabilitation process after stroke.

Physiotherapist helping the stroke survivor.

Goals of Physiotherapy after Stroke

Physiotherapy after a stroke is crucial for several reasons. Firstly, it helps individuals regain control over their bodies and improve their motor functions. Stroke survivors often experience muscle weakness or paralysis on one side of the body, which can make it difficult or even impossible to perform daily activities such as walking, dressing, or eating. Through physical therapy, stroke survivors can regain strength, improve their balance, and relearn how to perform their essential tasks.

Physiotherapy focuses on improving physical function, mobility, and overall well-being. Here are some key reasons why physiotherapy is crucial for stroke survivors:

  • Regaining Motor functions
  • Balance and co-ordination
  • Restoring mobility
  • Pain management
  • Adaptation to the changes
  • Psychological and Emotional Support

In addition to the physical benefits, physical rehabilitation after stroke also has a positive impact on the overall quality of life for both stroke survivors and their caregivers. As individuals regain independence and improve their physical functioning, they often experience increased self-esteem and a sense of accomplishment. This, in turn, leads to reduced dependency on others for support and improved social participation.

How Physiotherapy Helps In Stroke Recovery

Physiotherapy is a personalized and adaptive process. Here’s how it supports stroke recovery:

Early Mobilization:

Initiating physiotherapy early after a stroke is crucial. Early mobilization helps in reducing the risk of several complications such as deep vein thrombosis, pressure sores, and pneumonia. Additionally, it also sets the foundation for better long-term recovery outcomes.

Task-Specific Training:

Physiotherapists focus on task-specific training, which involves practicing real-life activities to improve functional independence. This could include walking, sitting, standing, etc.


Physiotherapy works on the concept of neuroplasticity, the brain’s ability to reorganize itself by forming new neural connections. Repetitive, targeted exercises can help retrain the brain and improve motor function.

Individualize Exercise Programs:

Physiotherapists often works on the tailored exercise programs that helps to address the unique needs of each stroke survivor. These programs may include strength training, flexibility exercises, balance training, and coordination activities.

Use of Assistive Devices:

Physiotherapists may recommend assistive devices such as canes, walkers, or orthotic devices to support mobility and safety during the recovery process.


In conclusion, physical rehabilitation after stroke is essential for maximizing recovery and regaining independence. It not only helps stroke survivors regain motor skills and physical functioning but also plays a crucial role in preventing secondary complications and improving cognitive function. By engaging in regular physical therapy sessions, stroke survivors can continue to improve their quality of life long after the initial recovery phase. It is important for healthcare professionals, caregivers, and stroke survivors themselves to recognize the importance of physical rehabilitation and incorporate it into their stroke recovery plan.

-By Dr. Virendra Vikram Singh (Physiotherapist)

Leading Causes of Stroke and Prevention Strategies.

Stroke is a devastating medical emergency that affects millions of people worldwide. It is one the leading cause of death and long-term disability of individuals. Fortunately, the brain damage can be reduced if the right steps are taken early on. To help with this, it is crucial to know the symptoms of stroke, the warning signs, when it is important to seek medical attention, and the prevention strategy to minimize the complications.

Brain Stroke: Leading cause and prevention

To make you understand better about stroke we will discuss the leading cause of stroke and the changes in lifestyle which can prevent stroke.

Leading Causes of Stroke

One of the best ways to prevent stroke is awareness. You should first understand the major risk factors of stroke so that you can take action immediately if you experience any of them. By managing the risk factors early on you can reduce the chances of having stroke. To manage the risk factors, you should know the leading causes of stroke.

While some of the risk factors are beyond our control but some of them are influenced by our lifestyle choices. If you are experiencing any of the risk factors mentioned below, then you need to communicate with your medical advisor about the same.

1.High Blood Pressure (Hypertension)

Hypertension is one of the leading causes of stroke because it weakens the blood vessels and increases the risk of blood clots which can lead to ischemic stroke..

Additionally, high blood pressure increases the risk of vessel rupture as it places extra strain on the wall of arteries, which can cause hemorrhagic stroke.

Maintaining a healthy blood pressure through lifestyle changes such as a balanced diet(low sodium), regular exercise, stress management techniques, and limiting alcohol consumption can help in preventing stroke.

2. Smoking

Tobacco contains harmful chemicals that damage the blood vessels, promote plaque buildup, and increase the risk of blood clots in arteries. Each of these factors contribute to increase the risk of stroke.

So, it is important to quit smoking to prevent stroke or any another health issues and live a healthy life.

3. Diabetes

1 in 5 people who have a stroke are diabetic and the risk of stroke is more in people with diabetes than people who are not diabetic.

Diabetes contributes to hardening of the arteries(atherosclerosis), which increases the risk of blood clot or a ruptured blood vessel. People with diabetes are also likely to experience a number of additional stroke risk factors including obesity, poor diet, inactivity, high cholesterol.

Maintaining low sugar diets and doing regular exercise is important for managing the sugar level.

4. Obesity and Physical Inactivity

Obesity is also a major factor for stroke.

Being obese or overweight and leading a sedentary lifestyle can cause other health issue like diabetes, high cholesterol, and hypertension and all of these are major risk factors for stroke.

5. High Cholesterol

High levels of cholesterol is a significant risk factor of stroke because it contributes to the development of atherosclerosis, a condition characterized by the buildup of plaque in arteries. When cholesterol level is elevated Particularly LDL cholesterol, it can lead to accumulation of plaque on the walls of blood vessels, including those supplying blood to the brain.

There are two Types of cholesterol LDL (low-density lipoprotein) and HDL (high-density lipoprotein).

LDL is considered as bad cholesterol because it contributes to plaque buildup in arteries, making the arteries narrower and increase the risk of clotting which can cause stroke whereas HDL is considered as good cholesterol because it helps in preventing stroke by carrying LDL cholesterol away from the arteries, back to the liver.

Focusing on limiting your consumption of LDL and increasing your intake of foods with HDL can help in preventing stroke.

Management tips for leading causes of stroke through lifestyle changes

Leading cause of a stroke.

Mostly, stroke can be prevented by making some preexisting lifestyles change and adapting to a healthy lifestyle.

Here are the changes which can help maintaining a healthy lifestyle:

  • Maintain a healthy blood pressure level by taking low sodium diet
  • Quit smoking to avoid tobacco consumption
  • Focus to maintain a healthy low cholesterol diet
  • Eat food like Fish, nuts, etc. to increase consumption of good cholesterol
  • Limit alcohol consumption
  • Take your medications as prescribed for maintaining low blood pressure or diabetes.
  • Check blood pressure regularly to avaoid any further health issues
  • Improve physical activities and do regular exercise
  • Change your sleeping habits, try to take a good 6-8 hours sleep.

Furthermore, adapting to a healthy lifestyle can help in preventing stroke but it is also important to take medical attention and talk to your doctor about medications time to time to avoid any health-related concerns.

Dr. Virendra Vikram Singh(PT)

Understanding Stroke, Symptoms and Treatment options

Stroke also known as cerebrovascular accident (CVA), is a serious medical condition that occurs when blood flow to a part of the brain is disrupted, leading to damage to brain cells.
This disruption in blood flow can result from a blockage in artery supplying blood to the brain (ischemic stroke) or from the rupture of a blood vessel leading to bleeding into or around the brain (hemorrhagic stroke).

Journey of recovery post Stroke

Stroke symptoms vary depending on the location and extent of brain damage but some of the most common symptoms are:

  • Sudden numbness or weakness in the face, arm, or leg especially on one side of the body.
  • Speech may become slurred, or the person may face difficulty understanding others.
  • The person may suddenly have blurred or blackened vision in one or both eyes.
  • A sudden severe headache with vomiting, dizziness and a change in consciousness may be symptom of stroke.
  • A sudden onset of confusion or difficulty understanding what is happening around them.

Immediate medical attention is very crucial for stroke treatment.  It is advisable to seek medical care as soon as you notice any symptom as some treatments are most effective when given right away after stroke. Also getting medical help quickly can reduce brain damage and other complications and can improve the recovery.

Some of the treatment options for stroke may include:

  • Intravenous clot-busting medication
  • Mechanical thrombectomy
  • Surgical interventions or endovascular procedures
  • Rehabilitation therapies

Role of Rehabilitation after Stroke

Recovery after stroke is a journey that requires patience, dedication, and comprehensive rehabilitation. Rehabilitation aims to help individuals regain lost abilities, relearn skills, and adapt new challenges following a stroke. There are various components involved in the rehab process such as:

Role of physical rehabilitation after stroke

  • Physical Rehab/therapy
  • Occupational Therapy
  • Speech and Language Therapy
  • Cognitive Rehabilitation
  • Technology-assisted Rehabilitation

Rehab after a stroke often begins as soon as the individual’s medical condition is stable. Early intervention is crucial to capitalize on the brain’s neuroplasticity and maximize the chances of recovery. A comprehensive approach to rehab addresses physical, cognitive, emotional, and social aspects of recovery. Each step forward in rehab journey brings renewed hope and possibilities for a brighter future after stroke.

-By Virendra Vikram Singh (PT)