Birgitta Langhammer

Physiotherapy After Stroke - a Lifetime Endeavour: Why and How Birgitta Langhammer

The overall aim of this research was to evaluate the effect of physiotherapy in the acute and chronic stages of stroke in randomised controlled trials. Physiotherapy treatment using the Motor Learning Programme is preferable to that using the Bobath concept in acute rehabilitation of patients with stroke. There is no carry-over effect of gains obtained during initial physiotherapy regimes on long- term function if the exercises are not sustained. The association between walking and dynamic and static balance in acute rehabilitation of patients with stroke is strong. Balance is closely related to task, e. g. walking, getting up from a chair, turning, and reaching and cannot be regarded as separate from the task. A follow-up programme on a consultative basis is as beneficial as a compulsory exercise programme. However, the exercises need to be encouraged and instituted by medical staff with knowledge and an interest in intensive functional exercise programmes individually tailored for stroke patients.