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Early Recovery (2-6 wks)-Usually the acute Stage
- Minimize the effects of tonal abnormalities and maintain normal ROM to preven deformity
- Improve respiratory and oral motor function
- Mobilize the pt. in early functional activities involving bed mobility, sitting, standing, and transfers and prevent deconditioning
- Promote awareness, active movement, and use of the hemiplegic side
- Improve turn control and sitting balance
- Initiate self-care activities
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Middle Recover (6-12 wks)-Usually Inpatient Rehab
- Minimize the effects of spasticity and promote a blaance of antagonists
- Maintain normal ROM and prevent deformity
- Promote functional use and reintegration of the ehmiplegic side and selective movement control out of synergy
- Improve postural control and independent balance
- Improve cardio-respiratory endurance
- Develop independence in bed mobilityi and transfers
- Develop wheelchair independence and/or ambulation w/ assistive devices as necessary
- Develop independence in self-car and ADL w/ assistive devices as necessary
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Late Recovery (12 wks to One year)-Usually Outpatient
- Promote skill levels of motor control:
- --Normal timing and coordination of movement patterns
- --Normal gait including elevation and community activities
- --Normal manipulation and dexterity, including independence in self-care
- Promote normal cardio-respiratory endurance
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