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Peer-reviewedCC BY-NCAnnals of neurosciences

The Golden Neuroplastic Period: A Framework for Standardised Patient-centred Stroke Rehabilitation.

4 affiliations
  1. 1Cognitive Neuroscience and Medical Device Laboratory, Department of Biomedical Engineering, National Institute of Technology Raipur, Chhattisgarh, India.
  2. 2Authors having equal weightage.
  3. 3Department of Biomedical Engineering, North-Eastern Hill University, Shillong, Meghalaya, India.
  4. 4Department of Biomedical Engineering, National Institute of Technology, Raipur, Chhattisgarh, India.

Abstract

Background

The issue of stroke continues to pose a serious problem for the world community with forecasts of a 50% increase in stroke-associated mortality rate by 2050. Around 90% of patients who suffered from stroke have cognitive deficits. Post-stroke recovery is the fastest within three months, and an interdisciplinary approach including cognitive, nutrition and motor rehabilitation can significantly improve patients' quality of life.Summary

The current review highlights the latest advances in interdisciplinary stroke rehabilitation and reveals the key components which are required for precision rehabilitation and durable recovery. An electronic database search was done using the following databases (PubMed, Scopus, Web of Science, Google Scholar) until March 2026 according to the PRISMA guidelines. Based on screening of 235 studies, there were included 17 articles into the narrative review. For 43,000 stroke patients, interdisciplinary approach to treatment planning was associated with higher survival rate and functional independence compared with conventional care. Timely start of intervention and treatment within 14 days were connected with better motor results, and participation of neuropsychologists in the stroke team increased the cost-benefit ratio three times due to decrease in social care expenses.Key message

To move towards evidence-based treatment and precision rehabilitation, it is imperative to identify the 'active ingredients' of therapy: specific doses of exercise, dual-task complexity and specific timing for nutritional supplementation. Standardised and cost-effective models should be widely implemented to decrease the burden of caregivers and support long-term brain health.

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BibTeX
@article{paul2026golden,
  title = {{The Golden Neuroplastic Period: A Framework for Standardised Patient-centred Stroke Rehabilitation.}},
  author = {Sudip Paul and Hrishita Das and Vijay Kumar and Dinesh Bhatia},
  journal = {Annals of neurosciences},
  year = {2026},
  month = oct,
  doi = {10.1177/09727531261494775},
  url = {https://europepmc.org/article/MED/42968902},
  note = {CC BY-NC},
}
RIS
TY  - JOUR
TI  - The Golden Neuroplastic Period: A Framework for Standardised Patient-centred Stroke Rehabilitation.
AU  - Sudip Paul
AU  - Hrishita Das
AU  - Vijay Kumar
AU  - Dinesh Bhatia
PY  - 2026
DA  - 2026/10/29
JO  - Annals of neurosciences
DO  - 10.1177/09727531261494775
UR  - https://europepmc.org/article/MED/42968902
AB  - Background  The issue of stroke continues to pose a serious problem for the world community with forecasts of a 50% increase in stroke-associated mortality rate by 2050. Around 90% of patients who suffered from stroke have cognitive deficits. Post-stroke recovery is the fastest within three months, and an interdisciplinary approach including cognitive, nutrition and motor rehabilitation can significantly improve patients' quality of life.Summary  The current review highlights the latest advances in interdisciplinary stroke rehabilitation and reveals the key components which are required for precision rehabilitation and durable recovery. An electronic database search was done using the following databases (PubMed, Scopus, Web of Science, Google Scholar) until March 2026 according to the PRISMA guidelines. Based on screening of 235 studies, there were included 17 articles into the narrative review. For 43,000 stroke patients, interdisciplinary approach to treatment planning was associated with higher survival rate and functional independence compared with conventional care. Timely start of intervention and treatment within 14 days were connected with better motor results, and participation of neuropsychologists in the stroke team increased the cost-benefit ratio three times due to decrease in social care expenses.Key message  To move towards evidence-based treatment and precision rehabilitation, it is imperative to identify the 'active ingredients' of therapy: specific doses of exercise, dual-task complexity and specific timing for nutritional supplementation. Standardised and cost-effective models should be widely implemented to decrease the burden of caregivers and support long-term brain health.
SN  - 0972-7531
SN  - 0976-3260
ER  -