St. David's HealthCare

St. David's HealthCare is one of the largest health systems in Texas and Austin's third-
largest private employer, with more than 60 sites throughout Central Texas, including
seven hospitals, four urgent care centers, four ambulatory surgery centers, and two
freestanding emergency departments, with a third set to open in Bastrop this summer.

St. David's HealthCare has a long history of serving the residents of Central Texas
with exceptional medical care. Our 7,500 employees touch over 858,000 lives each
year with a spirit of warmth, friendliness and personal pride.

Visit our main website at www.StDavids.com

Active Adult Stroke Program

The Active Adult Stroke Rehabilitation Program at St. David’s Rehabilitation Hospital is the only evidence-based comprehensive program in Texas dedicated to increasing the opportunity for successful long-term outcomes.

The Active Adult Stroke Rehabilitation Program at St. David’s Rehabilitation Hospital is the only evidence-based comprehensive program in Texas dedicated to increasing the opportunity for successful long-term outcomes.

The neural plastic ability of the brain makes the latest rehabilitation techniques successful(1). St. David’s Rehabilitation utilizes stroke rehabilitative methods for motor recovery based on verified clinical studies of brain remodeling and motor recovery. Strategies in stroke recovery combine task-specific training and enriched therapeutic environments. Individual strategies result in establishing therapeutic goals, to prevent maladaptive plasticity, and to maximize functional gain.

Admission Criteria

  • Stroke with significant decline in function
  • Requires daily medical management by a rehabilitation physician
  • Potential to make practical and sustainable improvement
  • Able to participate in an intense level of therapy (5+ hours per day)
  • Clear path back to the community and active lifestyle

Evidence for Early and Long-term Intervention

Early stroke rehabilitation is crucial for enhancing successful recovery. Neural plastic changes are greater if practice is meaningful, repetitive and intensive(2,3). It is recommended that therapy is provided through an systematic approach in a cyclical process of assessment, goal setting, intervention and reassessment(1). These strategies include:

  • Constraint-induced movement therapy (CIMT)
  • Body weight supported treadmill training (BWSTT)
  • Functional neuromuscular electrical stimulation (FES)
  • Computer-assisted Biofeedback
  • Virtual reality training (Wii System)

The program is geared to meet the distinct needs and priorities of the active adult stroke survivor. Additionally the team focuses on the more challenging demands of parenting, working, driving, community involvement and sports. Special emphasis is placed on patient and family education and training. The primary goal of the program is to maximize independence and return to community and a productive healthy lifestyle.

Physical Therapy focuses on functional stability and mobility. Some of the available therapies and latest technologies are: Adaptive Driving Program, Aquatic therapy, LiteGait™, WiiFit™, MotoMet™, Neuromuscular retraining and biofeedback, simulated training environments, Psychology, and Vestibular/Balance therapy.

Occupational Therapy focuses on activities in daily life: Functional training (perception, cognition, vision deficits), Special equipment training and activities of daily living (bathing, showering and cooking).

Speech-Language Therapy uses a variety of techniques and equipment to improve swallowing (functional electrical neuromuscular stimulation, compensatory strategies), cognition (multi-sensory training, problem-solving, memory), and communication (augmentative devices, language analysis, speech training, computer training).

References

  1. N. Takeuchi and S. Izumi, "Rehabilitation with poststroke motor recovery: a review with a focus on neural plasticity." Journal of Stroke and Treatment, vol. 2013.
  2. K.N. Arya, S. Pandian, R. Verma, and R.K. Garg, "Movement therapy induced neural reorganization and motor recovery in stroke: a review," Journal of Bodywork and Movement Therapies, vol. 15, no. 4, pp. 528-537, 2011.
  3. T. Mulder and J. Hochtenbach, "Adaptability and flexibility of the human motor system: impllications for neurological rehabilitation," Neural Plasticity, vol. 8, no. 1-2, pp. 131-140, 2001.
 
 

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