From the Research
Approximately 30% of patients with minor stroke require physical therapy follow-up in the chronic phase of stroke, as identified by recent studies such as 1 and 2, which highlight the importance of addressing persistent impairments and promoting functional independence. This need persists despite the initial mild presentation of symptoms, as subtle deficits in balance, coordination, and fine motor skills often become more apparent as patients attempt to return to their pre-stroke activities. Physical therapy in the chronic phase (typically beyond 3-6 months post-stroke) focuses on addressing these persistent impairments, improving functional independence, and preventing secondary complications. The therapy regimen typically includes 1-2 sessions per week for 8-12 weeks, with home exercise programs tailored to individual needs. Some key factors associated with the level of physical activity after minor stroke include pre-stroke sick leave, post-stroke balance, and neuropsychiatric symptoms, as noted in 2. Patients should be assessed for therapy needs at follow-up appointments, even if they were initially discharged without rehabilitation services, as deficits may become more noticeable over time. This continued need for therapy reflects the fact that neural recovery extends well beyond the acute phase, and compensatory strategies may be required to optimize function and quality of life even after seemingly minor strokes, as discussed in 3 and 4. Key aspects of physical therapy interventions for stroke rehabilitation, including those for sensory function impairments, motor learning programs, and gait training, are outlined in 3. Overall, the goal of physical therapy in the chronic phase of minor stroke is to promote long-term physical activity, prevent secondary complications, and optimize functional independence and quality of life, as emphasized in 1 and 5.