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Many do not return."},"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any medical complication during inpatient rehabilitation (falls, shoulder pain, infection, mood); serious events far less common."},"contraindications":["Medical instability: delay intensive therapy until stable","Severe impaired consciousness precluding active participation","Uncontrolled severe pain, infection or fever until treated"],"days_in_clinic":{"min":14,"max":42,"unit":"nights","qualifier":"Medically stable adults in subacute inpatient multidisciplinary rehabilitation after acute care; stay varies with severity and health system."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":12,"unit":"weeks","qualifier":"Unsupervised or recreational exercise after discharge, once cleared; supervised exercise is part of therapy from the first days."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Most functional recovery occurs in the first 3-6 months; smaller gains may continue, varying with severity."},"fly_home_after_days":{"min":14,"max":42,"unit":"days","qualifier":"Typically after inpatient course ends; depends on medical stability, mobility, and need for assisted or medical escort travel."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"After discharge from inpatient rehabilitation: first community, outpatient or primary care review, or start of outpatient/home therapy."}},{"purpose":"rehabilitation","requirement":"conditional","after":{"min":28,"max":56,"unit":"days","qualifier":"After discharge: outpatient or home therapy review of goals, if ongoing therapy is needed."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"After stroke onset: planned community review of function, mood, cognition and return-to-activity goals."}}],"indications":["Motor deficits after ischemic or hemorrhagic stroke","Impaired walking or mobility","Speech, language or swallowing difficulties","Cognitive or perceptual deficits","Difficulty with activities of daily living","Preventing contractures and deconditioning"],"main_risks":["Fatigue and temporary muscle soreness","Falls during mobility and balance training","Shoulder pain or joint strain in paretic limb","Blood pressure or cardiac stress with exertion","Low mood or frustration affecting participation","Limited or incomplete recovery despite therapy"],"pain":"Therapy is generally not painful, but muscle fatigue, soreness or joint discomfort (especially in the affected shoulder or spastic limbs) can occur.","preparation":["Medical stabilization and clearance by treating team","Multidisciplinary assessment of deficits, function, swallowing and cognition","Goal setting with patient and family","Review of cardiovascular risk and comorbidities","Comfortable clothing and supportive footwear"],"recovery_timeline":[{"phase":"Acute phase (first days to weeks)","description":"Early mobilization and basic therapy begin once medically stable, often in hospital or stroke unit.","restrictions":["Activity guided by medical stability","Fall precautions"]},{"phase":"Subacute phase (first weeks to about 3 months)","description":"Most intensive rehabilitation, inpatient, outpatient or home-based; fastest functional gains usually occur here.","restrictions":["Fall precautions","Activity adapted to fatigue and deficits"]},{"phase":"Later recovery (about 3-6 months)","description":"Continued therapy with gradual gains and growing independence in daily activities.","restrictions":["Driving and work depend on individual clearance"]},{"phase":"Chronic phase (beyond 6 months)","description":"Maintenance and targeted therapy; smaller improvements may continue.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Primary inpatient course, matching 14-42 nights. Later outpatient or home therapy is separate; gains continue beyond 3-6 months."},"result_longevity":"Functional gains are generally lasting if patients keep up regular physical activity and home exercises, but they can decline without ongoing practice, and residual deficits may persist long term.","revision_rate_pct":null,"scars":"Rehabilitation is a non-invasive course of therapy and leaves no scars.","sessions_or_stages":{"sessions":{"min":30,"max":100,"unit":"visits","qualifier":"Total discipline sessions over 14-42 nights, at 1-3 daily on 5-6 days weekly."},"stages":[{"code":"admission_assessment","label":"Admission multidisciplinary assessment and goal setting with patient and family","after":{"min":0,"max":3,"unit":"days","qualifier":"After inpatient rehabilitation admission."}},{"code":"active_inpatient_therapy","label":"Active task-oriented therapy: mobility, gait, balance, upper limb, daily living, plus speech, swallowing or cognitive therapy","after":{"min":2,"max":3,"unit":"days","qualifier":"After admission; continues until discharge planning."}},{"code":"goal_reassessment","label":"Team goal reassessment; therapy continues, changes or stops if goals are met or progress plateaus","after":{"min":7,"max":14,"unit":"days","qualifier":"After admission; repeated about every 1-2 weeks."}},{"code":"discharge_planning","label":"Discharge planning: home assessment, caregiver training, referral to outpatient, home or community rehabilitation","after":{"min":10,"max":38,"unit":"days","qualifier":"After admission; begins before expected discharge."}}],"qualifier":"One primary protocol: stable adult inpatient multidisciplinary rehabilitation, 14-42 nights; later outpatient phases not counted."},"success":{"metric":"Discharged home after inpatient rehabilitation","value":75,"unit":"percent","horizon":"At end of inpatient course","population":"Medically stable adults in subacute inpatient multidisciplinary stroke rehabilitation.","evidence_status":"limited"},"techniques":[{"name":"Physiotherapy (task-oriented training, gait and balance training)","suits_whom":"Patients with motor weakness, balance or walking impairments.","recovery":"Gradual, progressive gains over weeks to months."},{"name":"Occupational therapy","suits_whom":"Patients with difficulty in daily activities, upper limb function or cognitive-perceptual deficits.","recovery":"Gradual improvement in independence over weeks to months."},{"name":"Speech and language therapy (including swallowing therapy)","suits_whom":"Patients with aphasia, dysarthria or dysphagia.","recovery":"Variable; gains may continue over months."},{"name":"Constraint-induced movement therapy (selected adjunct)","suits_whom":"Selected patients with some residual hand and arm movement.","recovery":"Gradual improvement in paretic arm and hand use over weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"One physiotherapy, occupational or speech therapy session; several sessions may be given per day."},"initial_assessment_documents":["Acute hospital discharge summary","Brain CT or MRI report","Recent physiotherapy or rehabilitation progress notes","Current mobility and daily-living function status","Swallowing and speech assessment (if available)","List of blood thinners and cardiac conditions"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single inpatient stay of 14-42 nights; later outpatient or home therapy is usually done in the home country."},"clinic_checks":null,"red_flags":null,"warning_signs":null,"take_home":null,"alternatives":null,"technique_details":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=marbela/procedure=reabilitacia-posle-insulta/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":23},"manualSeo":[],"updatedAt":"2026-11-12T11:40:10.752Z","activeCountries":["TR","AT","ES","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}