Stroke rehabilitation is phase-wise, focusing on prevention of complications and functional recovery.

Acute Phase Management (0–7 days)

Goals

Prevent complications

Maintain joint integrity

Early mobilization

Physiotherapy Management

Proper positioning in bed (anti-spastic posture)

Prevention of pressure sores

Passive range of motion exercises

Chest physiotherapy

Early sitting balance training

Sensory stimulation

Education of caregivers

Subacute Phase Management (1 week – 3 months)

Goals

Improve motor control

Reduce spasticity

Promote functional independence

Physiotherapy Management

Active-assisted and active exercises

Weight-bearing activities

Balance and postural control training

Gait training (parallel bars, walkers)

Task-oriented functional training

Stretching of spastic muscles

Strengthening of weak muscles

Constraint-induced movement therapy (if suitable)

Chronic Phase Management (>3 months)

Goals

Maximize functional ability

Prevent secondary complications

Community reintegration

Physiotherapy Management

Advanced balance and coordination exercises

Endurance training

Functional task practice

Gait correction and orthotic use

Home exercise program

Vocational and recreational training

Spasticity management (stretching, splinting)