"intensive therapy" in post-stroke rehabilitation

Post-stroke rehabilitation and “intensive therapy” 

Stroke of the brain occurs when the blood supply is altered in certain areas of the brain, causing the death of cells. This results in damage to the affected area that stops working properly, leading in most cases to spasticity and muscle paralysis.

The belief that most spontaneous recovery occurs within 3 months of stroke is widespread and current levels of rehabilitation bring into small improvements, especially at the level of impairment.

The National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Trust (UCLH), conducted a clinical study by subjecting their stroke patients to intensive rehabilitation sessions.

The medical staff subjected patients to 300 hours of physiotherapy, starting the treatment from 6 months after the event for a period of 12 weeks.

The results of the study were particularly positive, recording a clear improvement in the functionality of the compromised limb compared to patients who received a lower “dose” of therapy.

A result that belies the general skepticism about the fact that stroke patients can tolerate much higher doses of training than standard rehabilitation and that opens a new chapter in the rehabilitation field called “intensive therapy”.

For the first time, Back in Action has been used with post-stroke patients

From data collection to more effective rehabilitation 

Around this study, which validates the intensive therapy rehabilitation methodology, we built our partnership with José Lopez Sanchez, a member of the World Federation for NeuroRehabilitation (WFNR) and consultant of the European Stroke Organization (ESO).

Thanks to him and to the precious collaboration of Emilio Alvarez Barranco, both at CEN (Centro Europeo de Neurociencias) and at Fundación Pita López in Madrid, cutting-edge rehabilitation technologies and evidence-based approaches are constantly experimented to improve neuroplasticity in patients who have suffered brain damage.

Starting from the need to subject patients to “intensive training”, to accurately monitor the execution of the exercises and to objectively analyze the data collected, José and his team have chosen to equip their center with our technology.

However, the extensive database of Riablo exercises initially designed for neurological patients was not enough!

Together with José, we have therefore developed and implemented a new rehabilitation protocol for neurological rehabilitation that includes, in addition to “standard” exercises, also many more “demanding” movements, such as the monopodalic squat on an unstable platform or the frontal lunges.


Breaking the limits in neurorehabilitation

In the new context of “intensive therapy” experimented with José Lopez Sanchez, the step towards the use of Back-In-Action in neurorehabilitation was brief.

For the first time a battery of tests designed to evaluate the return to sport after ACL the reconstruction surgery has been placed at the service of post-stroke patient training.

Jumps, paths of speed and agility, stability exercises on a proprioceptive platform towards a single purpose: breaking the limits for a return to everyday life as effective as possible.


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