One of the most important factors determining post-stroke rehabilitation effectiveness is appropriate nutrition, adjusted to patientРІР‚в„ўs medical history and increased demands during the complex biochemical processes of brain recovery and high physical and cognitive activity. In Poland, the minimum duration of the whole program including physiotherapy, cognition and speech therapy is 150 min daily with a one-day break on Sunday. In different countries, there are different recommendations for the duration of the rehabilitation program. Most patients are able to tolerate an increased duration of rehabilitation programs, especially in specialized post-stroke rehabilitation services or units. However, during the first 2РІР‚вЂњ3 months, when neuroplasticity is very active, the level of patientsРІР‚в„ў activity is gradually accelerated and focused on functional, cognitive and emotional improvement. The intensity of rehabilitation is tailored to patientsРІР‚в„ў individual needs. In most cases, post-stroke rehabilitation begins the day after stroke, but it is a very short program due to the diagnostic and therapeutic process. Generally, effective rehabilitation requires a holistic approach. The main lifestyle modifiable factors are smoking, diet, obesity, alcohol and physical activity. Prevention of stroke recurrence is mainly based on changes in behavioral strategies and lifestyle factors. Therefore, long-term management of risk factors, including proper nutrition, plays a major role in medical care, especially during the rehabilitation process. Moreover, patients after stroke have about a 43% higher risk of stroke reoccurrence over 10 years with an increased annual rate of 4%. Currently, despite introducing thrombolysis and thrombectomy treatment, there is still high demand to prevent neuronal death and neurological dysfunction in post-stroke patients. Stroke is one of the most common causes of disability in adults. Moreover, a new approach to post-stroke neuroplasticity including the use of agents from marine sources such as fucoxanthin and tramiprosate as compounds that might be used as potential neuroprotectants with antioxidative and anti-inflammatory properties is introduced. This article focuses on potential nutritional supplements and neuroprotective diets that may have an impact on functional recovery during and after rehabilitation. We highlight the importance of neuroprotective diets, the problem of dysphagia and the role of nutrition in rehabilitation. Therefore, this review focuses on preventive strategies that can improve dietary intake and change dietary patterns. Accumulated data suggest that nutritional supplements and neuroprotective diets can be associated with better effectiveness of post-stroke rehabilitation as well as brain recovery. Moreover, reduced motor activity, cognitive impairment and depression might be aggravated by poor malnutrition status. Chronic stroke survivors have higher risk of developing nutrition-related chronic diseases, such as sarcopenia, anemia, type 2 diabetes mellitus and osteoporosis. Since stroke is the leading cause of long-term disability, there is a need to promote special, individually tailored nutrition strategies targeting older patients with low motor ability.

Nutrition and rehabilitation are crucial in post-stroke recovery, especially in the elderly.

Best anti stroke supplements