Approach to Care
The Stroke Team of the Spaulding Network works to make sure patients and their loved ones are fully informed every step of the way. We provide counseling to help them adjust to change and plan for the future, as well as training for family members who will participate in patients’ care after discharge. Most importantly, we help each patient find the physical, emotional and spiritual strength to live beyond stroke and become a stroke survivor. We also help our patients become engaged in their own recovery – to be active members in their treatment team. Our patients learn to become advocates for themselves, asking questions and learning to cope with their new situation.
The Stroke Rehabilitation Program promotes family involvement in rehabilitation. In the early phases of care, the rehabilitation team develops a treatment plan with the patient and his/her family. Staff members then teach the family how to assist with specific therapeutic activities. In this ongoing process, family members develop skills to help during hospital treatment and after discharge. The hospital also offers services to help the patient and his/her family members as they adjust to change and plan for the future. Our programs aim to provide the highest quality stroke rehabilitation care possible, to educate stroke survivors and the community about stroke rehabilitation, and to advocate for stroke survivors and their families.
The Stroke Rehabilitation Programs of the Spaulding Network provide an unsurpassed level of expertise in Stroke care. Based on the specific level of care, our teams may include attending physicians, (many board-certified in Physical Medicine and Rehabilitation), rehabilitation nurses, physical and occupational therapists, speech-language pathologists, case managers, nurpse practitioners, nutritionists, respiratory therapists, psychiatrists, psychologists, social workers, neuropsychologists, therapeutic reaction specialists, and program managers, collaborating on each patient’s case to ensure maximum recovery.
Program components include comprehensive evaluations, goal-setting with input from patients’ and family members, and customized treatment programs in each specialty area. Clinicians also offer education and support groups for stroke survivors and their families. The Spaulding Network has the clinical expertise to care for the most medically complex patients.
All Spaulding Network facilities are accredited by the Joint Commission. Spaulding Rehabilitation Hospital Boston's Stroke Rehabilitation program is accredited by CARF as a Stroke Specialty Program for both Adults and Child and Adolescent rehabilitation.
At Spaulding Rehabilitation Hospital Boston, the Medical Director of the Stroke Rehabilitation Program is Dr. Randie Black-Schaffer, Associate Medical Director and Assistant Professor of Department of Physical Medicine and Rehabilitation at Harvard Medical School.
Research & Innovation
Spaulding Rehabilitation Network is dedicated to researching new treatments in the field of stroke rehabilitation. Spaulding researchers, including physicians and other clinicians, oversee ongoing research studies and clinical trials. Research programs at Spaulding Rehabilitation Hospital Boston include:
Direct Current Magnetic Stimulation
The Motion Analysis and Neuromodulation Labs are combining their efforts to investigate the effects of using transcranial direct current stimulation (tDCS) combined with functional upper limb training on the ARMEO for survivors of traumatic brain injury. Previous studies have suggested tDCS stimulation combined with repetitive task training can facilitate motor recovery in patients after stroke with longer lasting results than therapy alone.
Self-Described Recovery from Stroke by Person’s with Aphasia
A year-long ethnographic study revealing the perceptions of recovery experienced by stroke survivors with aphasia in their own words.
The following special services are available to patients of the Stroke Rehabilitation Program at selected facilities, depending on the patient’s level of care needed.
Assistive Technology Center (ATEC)
Body-Weight Supported Ambulation Training
Functional Living Apartment
Outpatient Constraint Induced Movement Program
Monthly Community Stroke Club
Outpatient Neuro STAR Program at Spaulding Boston