Preface

Stroke is a major public health issue and its prevalence is increasing as the aging population increases. Despite the best treatment available, 30%–50% of stroke survivors are left with significant physical and/or psychological disabilities and consequent decline in quality of life. Neurorehabilitation is an established standard of care for improving functional capabilities and quality of life following a stroke. A good rehabilitation schedule can result in substantial recovery in up to 80% of cases. Stroke rehabilitation is a multidisciplinary approach involving physicians or stroke specialists, nurses, physiotherapists, psychologists, nutritionists, occupational therapists, speech therapists, and audiologists. However, there is a shortage of neurorehabilitation programs across the globe, more so in resource-poor countries. This book covers widespread topics related to stroke rehabilitation during both the acute and chronic phases. Experts in the field discuss not only medical aspects but also issues of patients and community participation. The book also addresses cognitive deficits and psychological problems faced by patients and their caregivers.

The field of stroke rehabilitation has a bright future. Despite the good potential for recovery, rehabilitative measures are underutilized. Major barriers to their implementation include limited availability, geographical distance, high cost, and lack of awareness about their benefits. This book is a comprehensive reference that includes the latest knowledge and practical guidance on the subject. There is a requirement to develop low-cost tools that will have high acceptance among patients and caregivers. To maintain the continuum for stroke care and reduce morbidity and mortality, there is a need for public health systems in both developed and developing countries to improve stroke awareness and to implement proper strategies of triage, acute treatment, well-defined rehabilitation plans, and teleservices.

This book is a useful resource for all those connected with stroke care including physicians, physiotherapists, and rehabilitative specialists.

> **Dr. Pratap Sanchetee, MD, DM (Neurology)** Consultant Neurologist, Sanchetee Neurology Research Institute, Jodhpur, Rajasthan, India

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Section 1

Rehabilitation
