Journal article

Early rehabilitation after stroke

Julie Bernhardt, Erin Godecke, Liam Johnson, Peter Langhorne

Current Opinion in Neurology | LIPPINCOTT WILLIAMS & WILKINS | Published : 2017

Abstract

PURPOSE OF REVIEW: Early rehabilitation is recommended in many guidelines, with limited evidence to guide practice. Brain neurobiology suggests that early training, at the right dose, will aid recovery. In this review, we highlight recent trials of early mobilization, aphasia, dysphagia and upper limb treatment in which intervention is commenced within 7 days of stroke and discuss future research directions. RECENT FINDINGS: Trials in this early time window are few. Although the seminal AVERT trial suggests that a cautious approach is necessary immediately (<24 h) after stroke, early mobility training and mobilization appear well tolerated, with few reasons to delay initiating some rehabilit..

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Grants

Awarded by National Institute for Health Research


Awarded by Stroke Association


Awarded by Chest Heart and Stroke Scotland


Funding Acknowledgements

J.B. is funded by a National Health and Medical Research Council Established Fellow award. L.J. was supported by the Commonwealth Collaborative Research Network funding to Victoria University. E.G. and P.L. have nothing to declare.