Physical therapy aims on retraining your muscles they will become as useful as before your stroke. The process requires plenty of time and patience.

A result of stroke is that muscles may not remember how to perform tasks that were once simple, like sitting and cycling. A stroke patient needs to, with the help of a physical therapist, relearn these skills. Muscles will be retrained and be reminded how cooperate again with physical therapy.

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Regaining mobility with physical therapy
Physical therapy focuses on getting the stroke patient to use arms and legs that have been affected or paralyzed by the stroke.

While occupational therapy concentrates on helping post-stroke patients learn to feed themselves, chew and swallow, and groom themselves, the main goal of physical therapy is mobility. Physical therapy goals are making the stroke patient able to walk, sit, stand, and get in and out of bed, a chair, and a car all on their own.

The procedure in the Frazier Rehab Institute, a service of Jewish Hospital and St. Mary’s HealthCare in Louisville, Ky is explained by Mary Ann Owsley, PT, supervisor of the physical therapy stroke team for inpatient rehab. Physical therapists evaluate and treat the dysfunctions that stroke patients are coping with, the musculoskeletal deficits. Therapy will start in acute care, with early mobilization training and exercises.

They get them out of bed and moving around as soon as possible, even if initially all they are able to do is sit up on the side of the bed and train sitting balance. They progress to being more independent with all of their basic mobility, from getting in and out of the wheelchair to the bed, to walking with different types of aids, like canes and walkers.

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Success through strength
Physical therapy involves using the muscles and strengthen them, even before the patient can do this on his own. Therapy contains both active and passive range-of-motion and strengthening exercises. Active exercises are ones the patient performs on his own strength; passive exercises are performed by the physical therapist or with help from the therapist. Both types of exercises help to make the muscles stronger.
The physical therapy contains an exercise plan for the patient which makes sure that muscle strength can be maintained and new skills will be repeated..

Educate the family
Training the family members and caregivers is also a part of physical therapy.. Start working with the families as soon as possible. So the family can help with any of the techniques for positioning and range of motion. Educate the family togehter with the stroke patient as far as the limitations that they may be left with.”

Follow a plan
Physical training often starts while the stroke patient is still in the hospital. It is useful to continue to work with the same physical therapist once you return home or move to the inpatient stroke rehab centre as in the hospital. However, if your initial rehabilitation was not at a primary stroke centre with health providers specifically trained in stroke, try to find a physical therapist to help with your stroke recovery at a certified stroke rehab centre.

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Cost management
Often, private health insurance plans will not cover all of your expenses. Health insurance often cover either a percentage of the therapy costs or a set number of therapy sessions. Usually Medicare pays for post-stroke physical therapy. Check out your coverage before physical therapy begins so you understand what costs you will be responsible for yourself.
Physical therapy works best when it starts in an early stage and is continued regularly. Follow sessions a few times each week. Your muscle will start to remember and respond and your body will repair the damage done by stroke, but it takes time.

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