Stroke Recovery Program Chiang Mai Thailand

ChivaCare in Chiang Mai, Northern Thailand, provides an ideal combination of medical care in an environment suited for stroke recovery and for rest. We care for residents of Thailand as well as visitors and medical tourists. Our doctors and therapists are experts in the treatment of stroke.

Recovery after a stroke or paralysis requires patients to return to normal living as much as possible. The right techniques and tools encourage the brain to heal through a neuroplasticity regeneration process. ChivaCare’s programs blend specialized medicine, physiotherapy and other treatments to help patients recover through restored brain function.

It is possible to achieve significant recovery and improvement within the first two to three months and, with carefully designed and integrated therapies and activities, improvement is possible even years after a stroke event. The brain has the capacity to heal. Coordinated physical and brain activities along with treatment can stimulate this process.

Stroke recovery program Chiang Mai Thailand

Stroke is a common brain disorder with a high impact on a person’s life. Stroke is also referred to as cerebrovascular accident; cerebrovascular disease, or cerebral infarct. After a stroke, what is most important is the recovery in the damaged areas of the brain. Optimal recovery uses a multimodal approach to rehabilitation as a method to encourage brain cell regeneration, and bring a healthy life back again.

Can the brain heal after a stroke?

After a stroke, only the area of the brain that suffers complete loss of the blood supply for a certain period of time, named infarct core, dies. The cells surrounding the infarct area still survive and could help to generate new connections and brain cells. This is why rehabilitation to boost the survival of cells is critical. The brain’s neuroplasticity can be enhanced through many ways.

How long does stroke rehabilitation take?

The timeline and duration of stroke rehabilitation are dependent on the type of stroke (hemorrhagic or infarct), the severity of the stroke, and the location of brain damage. For stroke rehabilitation, it’s strongly recommended to start the process as early as possible in order.

The period for intensive stroke rehabilitation is during the first one to three months. This should be followed by a maintenance phase of several months in order to enable continuous improvement.

The first 6-8 weeks are important and the period during which intensive rehabilitation is called for. During this time patients need to go through a stroke rehabilitation program at a rehabilitation center with well-trained specialists. Intense physical and occupational therapy ordinarily takes place three to five per week.  In the first three months, the patient will see the greatest degree in the progression of improved function, as the neuron cells begin to adapt and form new connections.

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What does stroke rehabilitation involve?

The detail of rehabilitation for stroke is individualized and dependent on the location of the brain damage and the degree of disability. Programs at their best should be designed and personalized by an integrated rehabilitation team which includes the primary physician, physical therapist, occupational therapy, and additional activities.

The treatment progress is determined by the severity of the stroke event and the extent of assessed disability. Over the course of the person’s recovery, the program planning should take into account daily and weekly assessments of progress. The assessments need to be continuously communicated with the recovery team.

One important aspect of treatment that may be combined with the rehabilitation program is the introduction of neuro-regenerative medications that enhance brain cell growth in order to maximize recovery. In subacute and chronic stroke conditions, neurostimulation may also be used.

The primary physician, physical therapist, and occupation therapist and the patient all need to work and set goals together.

What is stroke rehabilitation treatment?

The rehabilitation treatment detail includes:

Motor skill training

  • Motor strength and mobility training: these include active and passive exercise to improve the patient’s muscle weakness and coordination. Walking and adjusting to using a walking-aid usually need to be part of the training.
  • Fine motor skill training: fine motor skills such as using the hands to write, and eating require specialized occupational therapy.

Sensation training

  • Desensitization: the sensation loss can occur in stroke patients when the brain location for perceiving sensation is damaged. The desensitization process is the method of training the sensory area when the numbness or abnormal sensation occurs after a stroke. 

Speech training

  • The disorder of speaking called aphasia or dysarthria is common after stroke. There are several types of aphasia that require training in communication. Many techniques can be applied such as constraint-induced language therapy or melodic intonation therapy. 

Dementia and Memory training

  • Some stroke sufferers have memory loss, and this may lead to dementia. Cognitive training is a key program consisting of regular activities indicated in order to maintain or improve one or more cognitive abilities. This training may prevent stroke-related dementia that may occur after a stroke. 

When should stroke rehabilitation begin?

A stroke rehabilitation program should begin as early as feasible once a stroke patient is stable. In most cases, if mild to moderate impairment has occurred, the rehabilitation can begin three to five days after a stroke event. If the stroke is severe, the rehabilitation program should start the first week after a stroke.

What are the benefits of an outpatient stroke recovery program?

Benefits of stroke outpatient rehab have been determined to improve the patient’s functional status, improve survival, lower their cardiovascular risk profile, improve quality of life and reduce risks for recurrent strokes. Psychological or stress disorders are reduced as they return to normal life and a better environment. A number of studies demonstrate outpatient stroke rehabilitation helps the patient stay motivated during the process.

Who is a good candidate for stroke rehabilitation?

Every stroke patient who has a deficit of brain function to control any part of the body could gain significant benefits after a stroke event. From minor strokes to severe cases, all stroke survival can achieve substantial improvements after training.

Who is on a stroke rehabilitation team?

The stroke rehabilitation team for a stroke rehabilitation program includes a multidisciplinary team of physicians, case managers, physical therapists, and occupational therapists. This team needs to continuously coordinate their understanding of the patient’s progress, outcomes while adjusting the weekly plan to meet the patient’s changing condition.


Stroke Rehabilitation Experts Answer Your Questions

Stroke Recovery Program Details

ChivaCare applies integrated medical therapies and evidence-based treatments in a person-centered and holistic way to address the patient’s specific medical condition. We can also assist with improved physical fitness and changes in lifestyle that can have a big impact on the patient’s health.

Step 1 : Pre-Arrival

Prior to arrival we send you a questionnaire and arrange a phone call. We ask for medical records, referrals, insurance requirements, accompanying travelers if any, special requirement, etc.

Transport and accommodation can be arranged by ChivaCare. Activities and medical treatment such as dental care are available.

** The program on day one depends on patient’s medical condition, distance traveled, time of arrival etc. Treatment may begin on Day 2. We also offer basic (economy) and gold program options.

Step 2 : Arrival, Check-in & Assessment 

The program on Day 1 depends on medical condition, distance traveled, and time of arrival. At ChivaCare, the first step is to meet with our team of doctors, therapists and health specialists who adjust and recommend your program.

Step 3 : Programs and Timing

Agree on programs, optional components, and optional activities on-site and off-site. Physical therapy, regenerative medicine, NIBS (non-invasive brain-stimulation treatments), Occupational therapy treatment, medical and therapeutic massage, and other physical, cognitive or mindfulness exercises.

Step 4 : Treatment Program

Each day, customers spend at least half the day at ChivaCare. They are provided with lunch, drinks and snacks. Additional treatments are possible during the rest of the day. Our doctors and therapists continually review and discuss progress and meet with you. Programs may change from day-to-day updated to your needs and increasing motivation.

Step 5 : Check-Out & After-Service 

On completion of the program, there is a formal check-out with our medical team. We provide a report and recommendation for further treatment and/or exercises at home. On return to your home country, we continue to support your recovery via our tele-rehabilitation service.

Accommodation & Transportation

We work with a range of partners to provide optional accommodation options. They include 5-star resorts, 4-star hotels, boutique hotels, long stay facilities, and nursing homes.

Additional Activities (Optional Component)

Chiang Mai is an excellent area for cultural, educational, and creative activities. We can suggest and arrange a full program before or after arrival.

Rejuvenation and Fitness – (Optional Component)

The combination has a higher focus on mental and physical fitness and involves many exercises. It can be adjusted to current health condition, fitness, age, and preferences.

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