Recovery and Rehabilitation after Intracerebral Hemorrhage

Saulle, Michael; Schambra, Heidi M.

doi:10.1055/s-0036-1581995

Cited by 50 publications

(58 citation statements)

References 88 publications

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“…A decreased incidence of mortality, morbidity and dependency have been reported in stroke patients who undergo therapeutic training in an inpatient unit than those who receive general rehabilitation in a nondedicated unit [71]. Medically stable neurological patients need to be placed in the best possible unit for which several deliberations need to be considered [11]. On termination of a course of inpatient rehabilitation, further therapy may be instituted on an outpatient basis or an extended functional training at home may be considered [11].…”

Section: Role Of Dedicated Rehabilitation Servicesmentioning

confidence: 99%

“…Medically stable neurological patients need to be placed in the best possible unit for which several deliberations need to be considered [11]. On termination of a course of inpatient rehabilitation, further therapy may be instituted on an outpatient basis or an extended functional training at home may be considered [11].…”

Section: Role Of Dedicated Rehabilitation Servicesmentioning

confidence: 99%

“…SICH can lead to various impairments including motor and cognitive deicits, sensorimotor impairment, impaired mobility, depression, swallowing dysfunctions, constipation and urinary incontinence [11]. The rehabilitation in SICH patients is targeted to facilitate the recovery process, avoid complications and optimize the functional outcomes acute as well as well as in post-acute recovery phase [11].…”

Section: Introductionmentioning

confidence: 99%

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Intracerebral Hemorrhage: Issues in Rehabilitation

Dadlani¹,

Agrawal²

2017

Hemorrhagic Stroke - An Update

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While the advancements in the management of the spontaneous intracerebral hemorrhage (SICH) have resulted an increase in survival, this has also resulted in the number of survivors with signiicant functional morbidity that require long-term care and rehabilitation services. SICH can lead to various impairments, and the deicits related to SICH may include impairment in motor and sensory functions, emotional labiality, language dysfunctions, perception deicits and cognitive dysfunctions. In the present chapter, we present an overview of the issues in rehabilitation which are faced by medical personnel's while managing the patients with SICH.

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Section: Role Of Dedicated Rehabilitation Servicesmentioning

confidence: 99%

Section: Role Of Dedicated Rehabilitation Servicesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Intracerebral Hemorrhage: Issues in Rehabilitation

Dadlani¹,

Agrawal²

2017

Hemorrhagic Stroke - An Update

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“…The main neurological sequellae after ICH are similar to those seen after ischemic stroke: motor and sensory deficits, aphasia, neglect, cognitive dysfunction or depression [13]. After completing rehabilitation program, different results were obtained in the recovery of upper and lower limb function, sensory function or trunk control.…”

Section: Introductionmentioning

confidence: 99%

“…In inpatient facilities, patients receive intense programs, 3 hours of daily therapy 5 to 7 days per week, but for shorter periods (usually less than 1 month). In outpatient facilities or in home-based recovery, the duration is 0.5-1 hour per day of therapy, 2-3 times per week, but for 1 to 2 months [13].…”

Section: Introductionmentioning

confidence: 99%

Importance of specific rehabilitation methods for patients with intracerebral hemorrage

Stănescu¹,

Cluj-Napoca²,

Dogaru³

et al. 2018

Balneo

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Intracerebral hemorrhage (ICH) is a severe type of stroke which causes bleeding in the brain parenchyma, accounting for 10-15% of all strokes. Prognosis of patients with ICH remains very poor despite new advances in management strategies, and has not improved in the last decades. Disability remains important in ICH survivors, only a small proportion of patients live an independent life after ICH. Development of new strategies in rehabilitation care is expected to improve survival and outcome after intracerebral hemorrhage. The main neurological sequellae after ICH are similar to those seen after ischemic stroke. Given the clinical and pathological differences between the two types of stroke, clinical recovery is expected to be different. Comparisons between rehabilitation results in hemorrhagic versus ischemic stroke have offered mixed results, but all of them agreed that rehabilitation is highly effective after hemorrhagic strokes. There are no standard recommendations regarding the specific procedures used in the rehabilitation program of ICH patients. In the absence of clinical data to guide specific practice, the rehabilitation of ICH patients is largely based on general principles learned from ischemic stroke recovery. Physical therapy, task-specific training, sensory stimulation, use of assistive devices for upper limb or gait functions, speech and language therapy, physiotherapy and balnear therapy are methods used in rehabilitation of patients with hemorrhagic stroke, with improvement in patients functional outcome. There is a need for further development of specific rehabilitation techniques to enhance recovery in ICH patients.

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A contemporary review of therapeutic and regenerative management of intracerebral hemorrhage

Sadaf

Desai

Misra

et al. 2021

Ann Clin Transl Neurol

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Intracerebral hemorrhage (ICH) remains a common and debilitating form of stroke. This neurological emergency must be diagnosed and treated rapidly yet effectively. In this article, we review the medical, surgical, repair, and regenerative treatment options for managing ICH. Topics of focus include the management of blood pressure, intracranial pressure, coagulopathy, and intraventricular hemorrhage, as well as the role of surgery, regeneration, rehabilitation, and secondary prevention. Results of various phase II and III trials are incorporated. In summary, ICH patients should undergo rapid evaluation with neuroimaging, and early interventions should include systolic blood pressure control in the range of 140 mmHg, correction of coagulopathy if indicated, and assessment for surgical intervention. ICH patients should be managed in dedicated neurosurgical intensive care or stroke units where continuous monitoring of neurological status and evaluation for neurological deterioration is rapidly possible. Extravasation of hematoma may be helpful in patients with intraventricular extension of ICH. The goal of care is to reduce mortality and enable multimodal rehabilitative therapy.

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Recovery and Rehabilitation after Intracerebral Hemorrhage

Cited by 50 publications

References 88 publications

Intracerebral Hemorrhage: Issues in Rehabilitation

Intracerebral Hemorrhage: Issues in Rehabilitation

Importance of specific rehabilitation methods for patients with intracerebral hemorrage

A contemporary review of therapeutic and regenerative management of intracerebral hemorrhage

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