The brain rewires fastest during the first 90 days after stroke. Early, intense, repetition-based therapy is the single biggest predictor of functional recovery.
Daily structure that works
- 1-2 sessions of supervised physiotherapy
- Speech therapy if needed
- Hand-function tasks (10-15 minutes, 4-5 times daily)
- Family-led practice between sessions
Common pitfalls
- Over-protective family members doing tasks for the patient
- Skipping sessions when energy is low (do shorter, not none)
- Ignoring shoulder pain — frozen shoulder is preventable
- Forgetting bowel/bladder retraining
Reading this from Sylhet — when do you next consult here?
Could you write about pediatric cases too? My son has the same complaint.
Came here from your YouTube channel. Clear and useful as always.