Integrated Stroke Rehabilitation Therapy Team
Stroke Rehabilitation Therapy Team
This is an integrated therapy team consisting of occupational therapists, physiotherapists, speech and language therapists, and therapy assistants. The team is based on the 24 bedded Stroke Rehabilitation Unit, Rookwood B at Chorley Hospital and forms part of the Trust Stroke Pathway.
The stroke pathway indicates that on admission to the Trust with a stroke the patient will be taken to the acute stroke ward, ward 21 at Royal Preston Hospital. From there the patient will either be discharged or transferred to the Stroke Rehabilitation Unit, Rookwood B for further rehabilitation
On arrival to the stroke rehabilitation unit, the stroke therapy team will introduce themselves, complete an initial review/assessment and get to know the patient’s needs and goals (this may take several assessments). Rehabilitation will be designed based on the patient’s needs and initial assessments and the team will work with the patient and their families to set specific rehabilitation goals. Treatment and goals are continually reviewed to match patient needs as they change.
The team use evidence based rehabilitation techniques and strategies to promote recovery. Treatment will take place in different forms. This may include:
- Group Therapy Sessions
- Individual Sessions
- Education Sessions
- Discharge planning meetings.
- Personalised therapy programmes to complete on an individual basis between therapy sessions.
Treatment may involve:
- Hands on therapy intervention applying Bobath Principles
- FES (Functional Electrical Stimulation- an approach where electrodes are applied to the muscle to send low level electrical impulses to the nerves to activate muscles and encourage functional movement)
- Cognitive therapy intervention looking at memory, attention and executive skills
- Relaxation methods
- GRASP exercises (Graded Repetitive Arm Supplementary Programme)
- Sensory stimulation
- Personal Care practice e.g. washing and dressing
- Kitchen practice e.g. preparing hot drink and snack
Stroke Rehab Therapist roles
Their role is to support the patient to become as independent as possible in activities of daily living. They will help provide practical solutions to overcome some of the problems caused by stroke. They may look at appropriate seating, mental processing such as memory and concentration, vision, physical abilities and mood. This will often be completed via tasks such as feeding, washing, dressing and kitchen tasks and may involve learning new ways of doing and practicing everyday tasks. They may support your discharge planning and may arrange to visit the patient’s home if required to identify equipment or support needs for discharge.
The physiotherapists will assess in detail how the stroke has affected the ability to move. They will work with each patient to try and improve posture, balance, limb weakness and how they move. They will work through exercises with the patient within their current level of ability to mobilise muscles and joints, and practice movements and postures. Working closely with the OT’s, treatments will aim to improve independence and make movements easier such as sitting upright, reaching, standing and stepping etc.
Speech and Language Therapist:
They provide assessment, diagnosis and management of people with voice, communication and swallowing problems following stroke. They will assess the patient’s ability to communicate and help them recover or adapt. Speech therapists may be able to provide exercises and therapy for patients who have facial weakness following stroke to help regain strength and improve speech. They will also a patient’s swallow function and advise on the correct texture of food and drink. This may involve working with different consistencies such as puree diet and thickened fluids alongside therapy to aim for recovery of swallow.
Work alongside the occupational therapists, physiotherapists and speech and language therapists. They carry out tasks and practice exercises which have been set by the therapists.
As a teaching hospital, the stroke rehabilitation team welcomes Physiotherapist and Occupational Therapist students on work placement. Students will work closely with the qualified therapists to provide high quality rehabilitation whilst working to complete their relevant degrees.
Which therapists will work with the patient will be determined by the patient’s needs. The therapy team will aim to have regularly contact with each stroke patient during therapy working hours of 8.30am-4.30pm whilst their progress continues and they are able to tolerate treatment.
Stroke rehabilitation Team: 01257 245118
Our therapy team is on the ward 8.30am-4.30pm Monday to Friday
Find out more on Stroke and the stroke pathway at Lancashire Teaching Hospitals NHS Trust here.