Neurorehabilitation

Stroke Rehabilitation Program at PYONG Rehabilitation

The stroke rehabilitation programme at PYONG Rehabilitation

Cared for by a team of rehabilitation medicine physicians, combining advanced technology and therapy, in the heart of Bangkok

Why choose PYONG Rehabilitation?

Those who have experienced a stroke often face problems with speech, movement and control of the body. Our programme is designed by a team of rehabilitation physicians, physiotherapists and occupational therapists to plan treatment for the individual, using technology to train walking, train the muscles and train communication — everything in one place, at PYONG Rehabilitation Penthouse, Floor 11, Gaysorn Tower (BTS Chidlom).

A body-support robot for gait training after a stroke

Common symptoms after a stroke

Weakness or paralysis of an arm or leg, affecting movement
Problems of balance and stability in walking
Slurred or difficult speech (Dysarthria)
Difficulty swallowing (Dysphagia)
Changes in memory and perception
Pain from muscle spasticity or cramping

An illustration of the symptoms commonly found after a stroke

The approach to care at PYONG Rehabilitation

1. Comprehensive assessment

A team of rehabilitation physicians, physiotherapists, logopedists and occupational therapists assesses muscle function, posture, speech and swallowing, and perception, in order to identify the weaknesses that need rehabilitation.

2. Planning rehabilitation for the individual

Setting goals together with the patient and the family — for movement, speech, swallowing, and activities of daily living (ADL) — allocating the frequency and the length of treatment, and coordinating with the nutritionist, psychiatrist and other specialists as needed.

3. Therapy with technology and practical training

Gait and balance training: a robotic walking suit, a balance platform, VR balance training
Muscle stimulation: Neuromuscular Electrical Stimulation (NMES), Peripheral Magnetic Stimulation (PMS)
Hand and arm occupational therapy: robotic or VR hand training, gamification sensors
Speech and swallowing training: logopedics, electrical stimulation of the swallowing muscles (NMES)

4. Building daily living skills (ADL)

Practice in bathing, dressing, eating and activities in the home, using step-by-step techniques and an environment arranged for safety.

5. Educating and supporting the family

Updating the progress of rehabilitation, teaching how to assist and how to arrange the home, and adjusting behaviour to support the result outside the clinic.

Rehabilitation of a stroke patient — Movement and balance training

Rehabilitation training for a stroke patient together with the family — Muscle stimulation

Robotic hand training — Hand and arm occupational therapy

Educating and supporting the family of a stroke patient — Speech and swallowing training

Occupational therapy — Daily living training

The components of the rehabilitation programme

Movement and balance training

Goal: restore walking and a stable posture
Method: a robot that assists walking, a balance platform, VR, and fall-prevention training

Muscle stimulation (Stimulation)

Goal: reduce weakness, increase strength
Method: NMES, PMS, Dry Needling

Hand and arm occupational therapy

Goal: increase fine motor skills
Method: robotic or VR hand training, Gamification Motor Sensor

Speech and swallowing training

Goal: communicating clearly, and swallowing safely
Method: logopedics, NMES for swallowing training, articulation practice

Daily living training (ADL)

Goal: living independently at home and in the community
Method: practice in bathing, dressing, preparing light meals, and adapting the environment

The advanced technology in the programme

A robotic walking suit (Overground Exoskeleton)
A balance training platform (Balance Platform)
VR/AR for balance and muscle training
NMES, PMS and Dry Needling
Gamification sensors

Who is this programme suitable for?

Those with a history of stroke, both ischaemic and haemorrhagic, at any stage, from the first stage after leaving hospital through to long-term care, including carers who want effective techniques for assisting.