Adult Stroke Rehabilitation and Recovery
Organization of Poststroke Rehabilitation Care (Levels of Care)
Prevention of Skin Breakdown and Contractures
Prevention of DVT
Treatment of Bowel and Bladder Incontinence
- Prompted voiding
- Pelvic floor muscle training (after discharge home)
- Stool consistency, frequency, and timing (before stroke)
- Bowel care practices before stroke
Assessment, Prevention, and Treatment of Hemiplegic Shoulder Pain
- Musculoskeletal evaluation
- Evaluation of spasticity
- Identification of any subluxation
- Testing for regional sensory changes
Central Pain After Stroke
Prevention of Falls
Poststroke Depression, Including Emotional and Behavioral State
Assessment of Disability and Rehabilitation Needs
Assessment of Motor Impairment, Activity, and Mobility
Assessment of Communication Impairment
Assessment of Cognition and Memory
Sensory Impairments, Including Touch, Vision, and Hearing
Dysphagia Screening, Management, and Nutritional Support
Nondrug Therapies for Cognitive Impairment, Including Memory
Use of Drugs to Improve Cognitive Impairments, Including Attention
Hemispatial Neglect or Hemi-Inattention
Cognitive Communication Disorders
- The overt communication deficit affecting prosody, comprehension, expression of discourse, and pragmatics
- The cognitive deficits that accompany or underlie the communication deficit, including attention, memory, and executive functions
Motor Speech Disorders: Dysarthria and Apraxia of Speech
- Physiological support for speech, including respiration, phonation, articulation, and resonance
- Global aspects of speech production such as loudness, rate, and prosody
Balance and Ataxia
Upper Extremity Activity, Including ADLs, IADLs, Touch, and Proprioception
Adaptive Equipment, Durable Medical Devices, Orthotics, and Wheelchairs
Chronic Care Management: Home- and Community-Based Participation
Treatments/Interventions for Visual Impairments
- Eye exercises for treatment of convergence insufficiency are recommended.
- Compensatory scanning training may be considered for improving functional ADLs.
- Compensatory scanning training may be considered for improving scanning and reading outcomes.
- Yoked prisms may be useful to help patients compensate for visual field cuts.
- Compensatory scanning training may be considered for improving functional deficits after visual field loss but is not effective at reducing visual field deficits.
- Computerized vision restoration training may be considered to expand visual fields, but evidence of its usefulness is lacking.
- Multimodal audiovisual spatial exploration training appears to be more effective than visual spatial exploration training alone and is recommended to improve visual scanning
- There is insufficient evidence to support or refute any specific intervention as effective at reducing the impact of impaired perceptual functioning.
- The use of virtual reality environments to improve visual-spatial/perceptual functioning may be considered.
- The use of behavioral optometry approaches involving eye exercises and the use of lenses and colored filters to improve eye movement control, eye focusing, and eye coordination is not recommended.
Ensuring Medical and Rehabilitation Continuity Through the Rehabilitation Process and Into the Community
Social and Family Caregiver Support
- Development of a support structure
- Financial assistance
Referral to Community Resources
Rehabilitation in the Community
Recreational and Leisure Activity
Return to Work
Return to Driving
Rehabilitation Interventions in the Inpatient Hospital Setting
Adult Stroke Rehabilitation and Recovery
May 4, 2016
Last Updated Month/Year
June 23, 2022
Supplemental Implementation Tools
External Publication Status
Country of Publication
The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke.
Female, Male, Adult, Older adult
Health Care Settings
Ambulatory, Home health, Hospital, Long term care, Outpatient
Speech language pathologist, physician, physical therapist, nurse, nurse practitioner, physician assistant
D000066530 - Neurological Rehabilitation, D000071939 - Stroke Rehabilitation, D000072038 - Cardiac Rehabilitation
stroke, Stroke Rehabilitation