**3. Post-COVID-19 stroke and management**

To speed up recovery, extensive therapy and a wholistic strategy needed to be used. Rehabilitation is a procedure for solving problems, and it has a strong record of success [17]. It involves identifying the patient's main issues and worries, as well as how they develop and can be resolved. A multidisciplinary team worked together to deliver the appropriate skills to treat and intervene [18] using the holistic biopsychosocial model of illness as a framework [19]. In order to prevent a secondary stroke and other problems, recent research has recommended rehabilitation techniques and treatment for stroke patients during the pandemic [12]. A stroke care model was developed in one study during the COVID-19 epidemic. Its overarching objective was to protect patient outcomes while lowering the risk of COVID-19 exposure for both patients and healthcare professionals [20]. The intensity and extent of their recovery affected the functional gain in terms of regaining independence after the condition. Age was one of the predictor variables that was identified as having a significant impact on functional gain. One such study found that a person's chance of recovery is higher the younger they are. Additionally, the study noted that more limits were seen with longer stays. This was noted as a negative impact of the length of stay on effective ambulation [21]. Hence, to maximize recovery and achieve improved functional outcomes, it is necessary to carefully consider the management and rehabilitation of such a susceptible population.

Treatment and recovery for stroke victims who also have COVID-19 infection are very different from those who do not. According to recent studies, stroke patients with COVID-19 had worse clinical outcomes than stroke patients without COVID-19 [22]. This could be as a result of the various comorbidities that stroke survivors with COVID-19 may have. In addition to the typical clinical symptoms of a stroke patient, a person with COVID-19 infection may also exhibit dyspnea, extreme fatigue, a low endurance tolerance, musculoskeletal abnormalities, and diminished cardiovascular and respiratory functioning. In one study, 51.2% of COVID-19-infected stroke patients died, and the survivors were referred to rehabilitation centers for additional care [23]. In a different study, patients with COVID-19 had higher median National Institutes of Health Stroke Scale (NIHSS) scores than patients without COVID-19. Additionally, stroke patients who had COVID-19 had a greater probability of dying and suffering from severe impairment [24]. This might explain why stroke patients with COVID-19 receive different rehabilitation than stroke patients without

COVID-19. Future research needs to be done to fully understand the long-term risks, manifestations, and the appropriate management for this emerging rehabilitation population.
