CVA (Cerebrovascular Accident)

Cerebrovascular disease has a high incidence both in our country and worldwide, leading to elevated rates of morbidity and mortality, as well as varying degrees of disability.

Regardless of the type of stroke, EARLY INITIATION OF REHABILITATION IS KEY TO REDUCING LONG-TERM SEQUELAE.

Our Approach to Stroke Rehabilitation

We admit patients in the subacute phase of stroke recovery, including those who are still on mechanical ventilation, if required.
An interdisciplinary team—including internal medicine physicians, physiatrists, neurologists, motor and respiratory physical therapists, speech-language pathologists, and occupational therapists—designs a personalized treatment plan targeting each patient’s specific disabilities.

At the same time, nutritionists tailor dietary plans to meet individual needs.
Our in-house neurologist monitors patients regularly, though we also allow follow-up by their primary neurologist or referring specialist if applicable.

Our specialized rehabilitation nurses provide 24-hour care.

Stroke-Specific Rehabilitation Activities

MOTOR PHYSICAL THERAPY
Muscle strengthening
Physical therapy
Postural control
Wheelchair sitting training
Transfer training
Standing exercises
Gait training

RESPIRATORY PHYSICAL THERAPY
Weaning from mechanical ventilation protocol
Respiratory muscle strengthening exercises
Monitoring with oximetry, volumetric capnography, P0.1, Pimax and Pemax, and esophageal balloon pressure
Phonation tests
Swallowing assessment (Blue test and bedside evaluation)
Decannulation

OCCUPATIONAL THERAPY
Bed and wheelchair positioning equipment for postural care
Fine motor skills training
Design and fabrication of orthoses and assistive devices
Neurocognitive stimulation
Training for independence in Activities of Daily Living (ADLs)
Assistive therapy (support for non-verbal communication)

SPEECH-LANGUAGE THERAPY
Language stimulation (Aphasia, Dysarthria, Apraxia, voice training)
Swallowing stimulation
Laryngeal desensitization with subglottic air stimulation

NUTRITION
Nutritional assessment using anthropometry and biochemical markers
Enteral or oral nutritional support adjusted to patient needs
Texture modification according to swallowing capacity
Patient and family education for home-based nutritional care

NURSING CARE:
Hygiene, comfort, and vital signs monitoring
Patient mobilization in bed and transfer to wheelchair
Prevention and treatment of pressure ulcers
Bowel and bladder retraining Support for independence in Activities of Daily Living (ADLs)