Stroke (stroke) is a neurological disease that is quite common in society, caused by blockage or bleeding of the vessels that feed the brain. The consequences due to stroke or cerebral palsy often known as disability care and support after stroke in order to prevent medical treatment and the patient’s physical therapy rehabilitation applications in conjunction with a rehabilitation program after stroke begin as early as possible and it is necessary to determine the time of need. After stroke (stroke), loss of hand and arm use, walking disorder, feeling disorder, balance disorder, difficulty swallowing and speaking-understanding, early dementia, depression to coma can be seen in many health problems. Functional losses after stroke can be prevented by comprehensive physical therapy rehabilitation applications and neurological losses by various rehabilitation programs. Physical therapy the branch of rehabilitation science dealing with stroke is called neurorehabilitation.

Brain damage is a major health problem that causes varying degrees of physical, cognitive, and behavioral disorders. Brain damage usually occurs as a result of a head injury, such as a fall from a height, impact, traffic accident, and firearm injury. Brain edema due to widespread brain damage may develop after head trauma. Early intensive care after brain damage and, if necessary, a physical therapy and rehabilitation program should be started quickly after surgery. Brain injury rehabilitation, which requires a long process, requires a wide experienced team and time. When a brain-damaged patient is medically stabilized, the acute rehabilitation phase should be switched immediately. According to the width and location of the damage in the brain loss of use of the hand in patients, gait impairment, sensory impairment, impairment of intellectual functions, behavioral and personality changes, epileptic seizures, chronic pain, depression, bladder and bowel problems such as many health problems can be seen. After the injury, when edema in the brain tissue is resolved, functional losses begin to improve, neurons of the nervous system sprout, and new nerve connections begin to form. The healing process is accelerated by increasing these connections and regeneration with enriched environment and external stimuli provided by early and comprehensive rehabilitation programs initiated in patients.

IstHealth Hospital stroke and Brain Injury Rehabilitation Center serves with its expert physician staff, experienced team and advanced treatment units.

Serving world class
Classical physical therapy, which was started early at the IstHealth stroke and Brain Injury Rehabilitation Center, aims to improve the quality of life of patients and maximize functional skills with rehabilitation and robot-assisted applications. It offers comprehensive treatment to patients with robot-assisted physical therapy and rehabilitation applications integrated with virtual reality combined with classical.

In our center, our goal is to maximize the quality of life by minimizing the functional limitations that occur at every stage from the first period of the disease and affect the daily life activities of the patient. Our center is equipped with very comprehensive and advanced technological devices to meet all the needs of our patients. Our experienced team specializing in stroke rehabilitation provides high standards of service to our patients in the form of inpatient and outpatient treatment. The difference between such a unit and other rehabilitation units is that an experienced team provides services using a multidisciplinary approach and a comprehensive technological infrastructure. Our team under the leadership of physical therapy and rehabilitation specialists, physiotherapists and occupational therapists experienced in neurological rehabilitation and physiotherapy technicians in our business, our (ergoterapist), language, speech and swallowing therapists, psychologists, nurses, a group who specializes in the treatment of stroke care and serves.

The center has a very comprehensive structure
IstHealth Hospital stroke and Brain Injury Rehabilitation Center is configured as a comprehensive rehabilitation unit that can meet the needs of patients who have had an emergency period and who require intensive comprehensive rehabilitation, patients who have had a chronic period but still have the potential to develop functional abilities such as walking hand and arm use.

In our center, physical therapy and rehabilitation of stroke and brain damage is started without wasting time during acute medical care. At the beginning of rehabilitation, each patient is thoroughly examined and consciousness level, motor, sense, perception, balance, walking and daily life activities are evaluated and a personalized physical therapy rehabilitation program is planned. After the acute stage have subsided, our patients, our center of mobility, self-care and communication skills, bladder and bowel control, swallowing, cognitive and physical status evaluations and treatment program is reshaped according to reassessing goals are set weekly.

In our center,

– A robotic walking system that helps restore the ability to walk again in patients who have partially or completely lost the ability to walk,

– Hand-arm robot that can be used for hand and arm movement disorders from the early phase of rehabilitation,

– Gravity-free walking-treadmill, which allows you to exercise in a gravity-free environment in patients who cannot walk,

– An auxiliary balance device for correcting the balance problem and increasing novelization of muscle tone,

– A very comprehensive and advanced technological treatment is offered to our patients with a robotic bed system that provides intensive treatment for patients whose mobility is significantly reduced in the early stages of rehabilitation.

Treatment and methods applied in our center
Robotic physical therapy
Walking laboratory
El-kol laboratory
Balance laboratory and balance rehabilitation
Swallowing disorders and videofluoroscopy laboratory
Occupational therapy (ergotherapy)
Respiratory rehabilitation
Speech therapy
Cognitive therapy
Functional electrical stimulation
Spasticity treatment and Botox injections (guided by ultrasound)
Neuropathic pain treatment
Neurogenic bladder and bowel treatments
Orthotic applications
Robotic physical therapy
In patients with stroke and brain damage, arm and leg movements on the side with difficulty in movement are performed with the help of a robot in a repetitive manner in accordance with physiological patterns, while stem cells that are in reserve help the process of restoring lost function by learning movement. Motivation and participation in treatment are kept high with virtual reality applications integrated into robotic devices that allow the patient to adapt in a fun way.

In our center, patients with partial or complete loss of the ability to walk the ability to walk again from the world’s most advanced robotic system that helps to gain, unable to move, bedridden patients, providing early and intensive treatment in a robotic bed system, a zero-gravity environment, walking, and exercise that allows you to zero-gravity treadmill, available from the early period of the arm and hand movement disorders hand-arm robots integrated with virtual reality in balance and the program device.

At IstHealth stroke and Brain Injury Rehabilitation Center, integrated and personalized neurorehabilitation programs with a wide range of robotic physical therapy are planned to increase patients ‘ function and independence from daily life activities. Neurorehabilitation program, according to the condition of the patient electrotherapy and clinical examination, neurophysiological exercises, practices integrated with virtual reality robotic rehabilitation, manual therapy, psychotherapy and rehabilitation therapy includes methods such as swallowing and respiration. The neurorehabilitation program is reshaped according to the patient’s weekly assessment and needs.

Equilibrium laboratory-equilibrium rehabilitation
In stroke and Brain Injury, the ability to make movement, balance and coordination between different body parts, which allows the appearance of balanced and smooth movements, is impaired. In our center, patients are first evaluated on a balance device integrated with virtual reality in our balance laboratory and the direction, severity and risk of falling of the patient’s balance disorder are calculated. Problems after robotic physical therapy for correcting balance assessment (balance device, the anti-gravity treadmill, walking robot, Isokinetic testing and exercise system) and programs containing classical neurorehabilitation patient-specific custom protocols are improved with exercise programs that are created with balance and coordination.

Swallowing Disorders and Videofluoroscopy Laboratory
Swallowing disorders rehabilitation and videofluoroscopy

One of the most important and fatal health problems after stroke and brain injury is lung infection, i.e. pneumonia, which occurs due to food and drinks escaping to the lungs due to swallowing difficulties.

In our swallowing disorders and videofluoroscopy laboratory, patients ‘ swallowing evaluations are made and a swallowing rehabilitation program is planned appropriate to the patient at whatever stage of swallowing is problematic. Swallowing rehabilitation is a team work, and the main goal of the original rehabilitation programs for the patient is to ensure safe swallowing. In addition to swallowing therapy techniques, it is very important to position the patient appropriately and adjust his diet accordingly.IstHealth 

Stroke and Brain Injury Rehabilitation Center