Bridging the gap of unmet need in stroke rehabilitation: Innovations and initiatives

On World Stroke Day 2023, Sumita Mohapatro Pani, Lupin Vice President (Business Development and in-licensing) and Business Head, Atharv Ability-Neuro rehabilitation center stresses that to bridge this immense gap in stroke care, there is an imperative need for a holistic, patient-centered rehabilitation intervention. This solution must be innovative, culturally sensitive, and, above all, accessible

Stroke, a devastating neurological event, is personal tragedy and also a global healthcare challenge. It is the leading cause of disability and the second leading cause of death worldwide. Shockingly, studies reveal that 1 in 4 adults over the age of 25 will suffer a stroke in their lifetime, emphasising the urgent need for effective rehabilitation services. However, a staggering 50 per cent of stroke survivors do not receive the rehabilitation they require, as highlighted by the World Health Organization Rehabilitation 2030 initiative. This pressing issue becomes even more pronounced in countries like India, where limited resources, a scarcity of trained medical staff, and lack of technology amplify health disparities in stroke care.

Stroke’s impact on disability and mortality

The impact of stroke is not confined to its immediate effects. Neurological disorders, including stroke, account for a significant percentage of total Disability Adjusted Life Years (DALY). In India, the numbers are alarming, with one person suffering a stroke every 40 seconds. More concerning is that 60 per cent of stroke cases lead to disabilities, affecting motor control, language comprehension, swallowing, cognition, and memory.

India faces a colossal challenge in providing comprehensive stroke care. A severe shortage of trained medical staff, particularly neuro physiotherapists, coupled with inadequate allocation of resources and limited access to technology, underscores the need for urgent action. Stroke survivors often find themselves navigating a fragmented healthcare system, visiting multiple centers for various therapies, highlighting the necessity for a unified, accessible solution.

Addressing the discrepancy between need and availability

To bridge this immense gap in stroke care, there is an imperative need for a holistic, patient-centered rehabilitation intervention. This solution must be innovative, culturally sensitive, and, above all, accessible. It should encompass a wide array of therapies and treatments under one roof, eliminating the need for patients to shuttle between different facilities.

Innovative neuro-rehabilitation centers can transform the lives of stroke survivors. These centers need to offer a multidisciplinary approach, including neuro rehabilitation, gait and hand training, occupational therapy, speech therapy, and cognitive therapy. Additionally, integrating advanced technologies like robotics, virtual reality, and aqua therapy can significantly enhance the rehabilitation process.

Empathetic and individualised care: The heart of rehabilitation

Beyond clinical practices and state-of-the-art equipment, the key to successful rehabilitation lies in the caregivers. Empathetic, patient-centered care delivered by well-qualified neuro physiotherapists, occupational therapists, speech therapists, and cognitive therapists is crucial. Each patient’s journey is unique, demanding tailored therapies and individual attention to maximise recovery.

The need for collaborative initiatives

The establishment of innovative and futuristic neuro-rehabilitation centers is a collective responsibility. Collaboration between healthcare providers, policymakers, and communities is essential to create centers that offer cutting-edge treatments, ensuring that stroke survivors receive the care they deserve. It is equally vital to create widespread awareness about the transformative benefits of neuro rehabilitation for stroke survivors. Public education campaigns can dispel myths, reduce stigma, and empower both patients and their families to seek rehabilitation services actively. Understanding that rehabilitation is not just a post-stroke necessity but a pathway to reclaiming a fulfilling life can significantly enhance participation and outcomes. By disseminating knowledge about the efficacy of neuro-rehabilitation, we can inspire more stroke survivors to embrace the journey of recovery, fostering a society that values and supports their rehabilitation endeavors. Raising awareness about stroke symptoms and the importance of timely intervention is paramount. Educating communities can lead to quicker response times and enable more stroke survivors to access rehabilitation services promptly.

Urging governments for increased allocation of resources

Advocacy for policy changes is fundamental. Governments must increase the allocation of resources to stroke rehabilitation, focusing on training more medical staff, providing necessary equipment, and establishing affordable rehabilitation centers across the country. In addition, neuro rehabilitation should also be covered by insurance and Mediclaim policies to support stroke victims.

The unmet need in stroke rehabilitation is a global crisis, demanding immediate and collective action. By embracing innovation, fostering empathetic care, and advocating for policy changes, we can bridge this gap. Stroke survivors deserve more than just survival; they deserve a life of dignity, independence, and fulfillment. Let us unite in our efforts to provide comprehensive, accessible, and innovative stroke rehabilitation services, empowering survivors to reclaim their lives and reintegrate into society. Together, we can turn the tide against stroke, ensuring a healthier, more resilient future for all.