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Comprehensive stroke centers should be the leading choice for treating stroke victims. Concomitant neurorehabilitation program should be an integral part of any CSC (39). A coordinated multidisciplinary rehabilitation within stroke units has been one of the components credited for long-term reductions in death, dependency, and need for institutional care (40). Integrating neurorehabilitation services and initiating rehabilitation care pathways with acute, sub-acute, home, and chronic components offers a CSC the opportunity to significantly improve patient outcomes. Via this structure, emerging treatment options such as constraint therapy for motor and language recovery, synergy of motor-language rehabilitation, and virtual feedback approaches, and non-invasive magnetic and electrical brain stimulation (41) can better customize therapy so that maximum recovery may take place. This allows for appropriate early rehabilitation, counseling of patients and families on sub-acute options, and takes action against preventable morbidity in the hospital and at the time of home transition. Health outcomes research in stroke needs to extend to studying rehabilitation interventions in order to evaluate optimal regimens for early intervention that are feasible in many settings, cost-effective, and well-accepted by patients and families.

A Comprehensive Neurorehabilitation Program Should be an Integral Part of a Comprehensive Stroke Center