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dr. Nyoman Artha Megayasa

Services

Stroke & Post-Stroke Recovery

Motor, speech, and cognitive recovery after ischaemic or haemorrhagic stroke through evidence-based neurorestoration.

Neurorestorative Approach

How We Approach This Condition

Stroke occurs when blood flow to part of the brain is interrupted — either by a blocked blood vessel (ischaemic stroke) or a ruptured one (haemorrhagic stroke). Brain tissue deprived of oxygen is damaged within minutes, making rapid acute intervention critical. However, the true journey of recovery begins after the acute phase ends, and this is where the neurorestoration approach makes its most meaningful contribution.

Stroke symptoms vary widely depending on the location and extent of affected brain tissue. Weakness or paralysis on one side of the body, speech and language comprehension difficulties, memory and concentration impairment, and balance or coordination changes are common manifestations. Each patient carries a unique deficit profile, so care must be individually designed — not based on generic protocols.

Neurorestorative Approach to Stroke

Neurorestoration leverages neuroplasticity — the brain’s ability to reorganise its neural connections — to drive recovery of lost function. Assessment begins with quantitative brain-activity recording (QEEG), providing an objective map of which cortical areas show slowed activity, disconnection, or inter-hemispheric imbalance. This data guides the construction of precisely targeted stimulation protocols.

Transcranial electrical stimulation (TES) is applied to increase neuronal excitability in areas requiring reactivation, while regions showing compensatory hyperactivity can be modulated downward. Neurofeedback provides patients with real-time feedback on their own brain-activity patterns, enabling more directed neural learning. Photobiomodulation supports energy metabolism in neural tissue undergoing recovery.

Throughout the programme, periodic QEEG evaluations measure objective changes in brain-activity patterns rather than relying solely on subjective reports. This data-driven approach enables protocol adjustments that are responsive to each patient’s actual progress.

Post-stroke recovery is a long-term process requiring consistency and inter-disciplinary coordination. Integrating neurorestoration with physiotherapy, speech therapy, and psychological support creates a comprehensive approach to maximising patient and family quality of life.

Modalities Used

Modality selection is tailored to each patient's individual clinical profile.

Treatment Pathway

Steps in Your Care

  1. Consultation & History

    In-depth clinical interview to understand the patient's history, chief complaint, and recovery goals.

  2. Data-Driven Assessment

    QEEG examination and objective neurological evaluation to map current nerve-function status.

  3. Individual Treatment Plan

    A neurorestoration protocol designed specifically from assessment results and the patient's clinical profile.

  4. Monitoring & Adjustment

    Regular progress evaluation with protocol refinement to achieve optimal recovery outcomes.

Common Questions

Frequently Asked Questions

When should post-stroke rehabilitation begin?
Neurological rehabilitation should start as soon as the acute medical condition is stable — ideally within the first days after stroke — because the brain's neuroplasticity is most active during this window.
Can patients with older strokes still benefit from neurorestoration?
Yes. While the peak plasticity window is in the acute phase, research shows the brain retains the ability to form new connections even years after a stroke, particularly with structured and targeted stimulation.
Which modalities are used for post-stroke recovery?
Protocols are individually designed and may include QEEG for brain-activity mapping, transcranial electrical stimulation (TES) for cortical modulation, neurofeedback for executive-function training, and photobiomodulation to support neural tissue metabolism.
How long does a post-stroke recovery programme last?
Duration varies considerably based on stroke type, extent of affected area, and when rehabilitation began. Most programmes run between 3 and 12 months with regular evaluations.
Does neurorestoration replace conventional physiotherapy?
No. The neurorestoration approach is complementary and works most effectively when integrated with existing physiotherapy, speech therapy, and occupational rehabilitation.

Discuss Your Condition

Contact us to schedule a consultation and initial assessment.