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Stroke rehabilitation — SCE Neurology MCQ

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HardExercise PrescriptionStroke rehabilitationSCE Neurology

A medically stable patient begins inpatient rehabilitation after a disabling stroke. He can tolerate intensive therapy but currently receives 45 minutes of mixed therapy on weekdays. Which service plan best matches current NICE guidance?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: CNeeds-based rehabilitation for three hours on five days each week

The best answer is “Needs-based rehabilitation for three hours on five days each week”. For a person able to participate, current NICE stroke-rehabilitation guidance recommends combined multidisciplinary therapy based on need for at least three hours daily on at least five days weekly, with goals and fatigue monitored. “Restrict therapy to 45 minutes weekly to avoid neuroplastic change” is less appropriate because very low therapy exposure is inadequate for this able participant “Use passive movement alone after considering his active goals” is less appropriate because rehabilitation should be active, repetitive and goal-specific where possible “Delay rehabilitation until six months after discharge” is less appropriate because early coordinated rehabilitation should not be withheld for months “Replace therapist-led practice with annual imaging surveillance” is less appropriate because imaging does not substitute for skilled functional practice

Reference: NICE NG236: Stroke rehabilitation in adults. https://www.nice.org.uk/guidance/ng236/chapter/Recommendations