학술논문

Nonpharmacological Treatments for Hospitalized Patients with Stroke: A Nuanced Approach to Prescribing Early Activity
Document Type
Review Paper
Source
Neurotherapeutics: The Journal of the American Society for Experimental Neurotherapeutics. :1-9
Subject
Early stroke
Recovery
Hospital
Language
English
ISSN
1933-7213
1878-7479
Abstract
Stroke remains a leading cause of adult disability. To date, hyperacute revascularization procedures reach 5–10% of stroke patients even in high resource health systems. There is a limited time window for brain repair after stroke, and therefore, the activities such as prescribed exercise in the earliest period will likely have long-term significant consequences. Clinicians who provide care for hospitalized stroke patients make treatment decisions specific to activity often without guidelines to direct these prescriptions. This requires a balanced understanding of the available evidence for early post-stroke exercise and physiological principles after stroke that drive the safety of prescribed exercise. Here, we provide a summary of these relevant concepts, identify gaps, and recommend an approach to prescribing safe and meaningful activity for all patients with stroke. The population of thrombectomy-eligible stroke patients can be used as the exemplar for conceptualization.