Early Physiotherapy for Stroke Patients by Dr. Shabnam Hashmi
A stroke can dramatically change a person’s life in a matter of minutes. It can affect mobility, coordination, balance, speech, and the ability to perform daily activities. However, one of the most effective ways to promote recovery after a stroke is early physiotherapy. As a Consultant Neuro Physiotherapist in Bengaluru, Dr. Shabnam Hashmi emphasizes the importance of timely intervention to improve long-term outcomes and restore independence.
Why Early Physiotherapy Matters After a Stroke
A stroke causes damage to parts of the brain responsible for movement and coordination. The earlier a physiotherapy program is started—often within 24 to 48 hours in stable patients—the better the chances of preventing complications and promoting neuroplasticity (the brain's ability to rewire itself).
Early movement and rehabilitation can help:
Regain motor control
Reduce muscle stiffness (spasticity)
Improve balance and posture
Prevent muscle wasting
Reduce the risk of secondary complications like pressure sores, pneumonia, and deep vein thrombosis (DVT)
Key Benefits of Early Physiotherapy
Faster Recovery: Initiating physiotherapy soon after a stroke accelerates the healing process. With guided movement and muscle stimulation, the brain starts relearning essential motor functions.
Improved Independence: Stroke often impacts the ability to walk, eat, dress, or bathe. Early rehabilitation focuses on regaining these daily skills, helping patients return to a more independent lifestyle.
Reduced Risk of Long-Term Disability: Physiotherapy helps prevent joint stiffness, muscle weakness, and poor posture, all of which can contribute to long-term disability if left unaddressed.
Enhanced Quality of Life: By restoring movement and improving confidence, early physiotherapy can significantly enhance a patient’s emotional well-being and social interaction.
Techniques Used in Early Stroke Rehabilitation
As a Neuro Physiotherapist, Dr. Shabnam Hashmi tailors each treatment plan to suit the patient’s unique condition, stage of recovery, and goals. Common techniques include:
1. Positioning and Passive Range of Motion (PROM)
In the initial stages, proper positioning in bed or wheelchair is crucial to prevent bedsores and joint stiffness. PROM exercises help maintain joint flexibility when patients are unable to move actively.
2. Active-Assisted and Active Exercises
As the patient gains some control, they are guided to perform movements with or without assistance. These exercises focus on strengthening weakened muscles and improving coordination.
3. Balance and Gait Training
Stroke often affects balance and the ability to walk. With the help of parallel bars, walkers, or body-weight-supported treadmills, patients practice standing and walking in a safe environment.
4. Neurodevelopmental Techniques (NDT)
This involves retraining the brain through repetitive, task-specific activities. It helps restore normal movement patterns and reduce abnormal reflexes.
5. Functional Task Training
From sitting up in bed to brushing teeth, therapy includes practicing everyday tasks that build confidence and independence.
6. Constraint-Induced Movement Therapy (CIMT)
In cases of one-sided weakness, this technique involves restricting the unaffected limb to encourage use of the weaker side, promoting brain rewiring.
7. Use of Assistive Devices
Depending on the patient's needs, braces, canes, or splints may be used to support weak limbs and encourage mobility.
Family Involvement and Home Care
Recovery from stroke is not just a clinical process—it requires active support at home. Dr. Shabnam Hashmi educates family members on safe handling techniques, positioning, and exercises to be continued at home for maximum benefit.
Home modifications like installing grab bars, removing tripping hazards, and using anti-slip mats can also make the recovery environment safer and more supportive.
When Should Physiotherapy Begin?
While the exact timing depends on the patient’s stability and medical condition, early mobilization typically starts within the first 24–48 hours post-stroke. It is important to begin under the supervision of a qualified Neuro Physiotherapist who can assess the risk and tailor the treatment plan accordingly.
Expert Stroke Rehabilitation in Bengaluru
Dr. Shabnam Hashmi offers compassionate, evidence-based neuro-rehabilitation services to stroke patients in Bengaluru. With personalized care plans, advanced techniques, and patient education, she is committed to helping patients regain function and improve their quality of life.
Regain Control After Stroke—Start Physiotherapy Early
Timely intervention can make a world of difference in stroke recovery. If you or your loved one has experienced a stroke, don’t wait.
Visit Dr. Shabnam Hashmi – Consultant Neuro Physiotherapist in Bengaluru.
Disclaimer: The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. The information is provided solely for educational purpose and should not be considered a substitute for medical advice.
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