Stroke Rehabilitation at the Helyos Medical Center

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Stroke Rehabilitation at the Helyos Medical Center

When to Start Rehabilitation

Stroke rehabilitation should begin as early as possible, as soon as the patient’s general condition has stabilized and there are no medical contraindications.

You should seek rehabilitation:

immediately after discharge from the hospital — early recovery significantly increases the chances of regaining movement, speech, and independence;
the earlier rehabilitation begins, the greater the recovery potential.

What Rehabilitation Includes

Stroke rehabilitation is not just a set of exercises but a comprehensive recovery program aimed at restoring maximum independence.

It may include:

Assessment and supervision by a Physical and Rehabilitation Medicine (PRM) physician
evaluation of the patient’s condition, goal setting, and monitoring safety and progress;
Therapeutic exercises
restoration of movement, strength, coordination, balance, walking ability, and endurance;
Speech and cognitive rehabilitation
work on speech, swallowing, memory, and attention;
Psychological support
overcoming fear, anxiety, depression, and building motivation for recovery;
Education for the patient and family
safe mobility, proper care, prevention of complications, and recurrent disorders.

The goal of rehabilitation is not only to improve movement but also to restore body control, confidence, and quality of life.

Our Principles

Multidisciplinary approach — a team of specialists works with the patient under the supervision of a PRM physician;
Individualized programs — tailored to the patient’s condition, goals, rehabilitation potential, and emotional state;
Modern methods — evidence-based and effective rehabilitation approaches;
Flexible format — outpatient rehabilitation with the option of day care;
Psychological support — assistance in overcoming fears and adapting to life changes after a stroke.

Expected Rehabilitation Outcomes

restoration or improvement of impaired functions;
regaining self-care skills;
reduced fear and insecurity;
improved well-being and quality of life;
social adaptation and return to an active lifestyle;
increased physical endurance.

The Helyos Medical Center helps patients regain control over their lives and restore health after a stroke.

We work not only with symptoms, but with the person — their abilities, goals, and path toward maximum independence.

Author: Ivan Volodymyrovych Berezutskyi,

Head of the Rehabilitation Department, Neurologist, PRM Physician, Reflexologist.

Berezutskyi Ivan Volodymyrovych

Neurologist Vestibulologist Physician in Physical and Rehabilitation Medicine (PRM) Reflexologist

Areas of practice:

Treatment of acute and chronic disorders of the central and peripheral nervous system in both outpatient and inpatient settings.

Therapies performed:

Paravertebral block
Plasma therapy
Manual therapy
Acupuncture (dry needling)
Kinesio taping

What Is Thyroid-Stimulating Hormone (TSH) and What Does It Do?

Thyroid-stimulating hormone (TSH) is produced by the pituitary gland and regulates the function of the thyroid gland. It stimulates the production of thyroxine (T4) and triiodothyronine (T3), hormones that affect nearly every organ and system in the body.

When thyroid hormone levels decrease, the pituitary gland produces more TSH to stimulate the thyroid. Conversely, when T3 and T4 levels are too high, TSH production decreases. This is why a TSH blood test is considered one of the most important methods for evaluating endocrine system function.

Normal TSH Levels in Women, Men, and Children

Reference ranges may vary slightly depending on the laboratory and the testing method used. In most cases, the normal TSH range for adults is approximately 0.4–4.0 mIU/L.

TSH levels can be influenced by:

age;
sex;
pregnancy;
certain medications;
underlying medical conditions.

During pregnancy, normal TSH values change, especially in the first trimester. Therefore, test results should always be interpreted by a healthcare professional.

In children, TSH levels also vary with age. Newborns typically have higher TSH levels, which gradually decrease and approach adult reference values as they grow.

When Should You Get a TSH Test?

A doctor may recommend a TSH test if you experience symptoms that may indicate thyroid dysfunction.

These symptoms include:

persistent fatigue;
drowsiness;
sudden weight changes;
dry skin;
hair loss;
irregular heartbeat;
excessive sweating;
insomnia;
irritability;
difficulty conceiving.

A TSH test is also commonly recommended during pregnancy, when planning pregnancy, to monitor thyroid disease treatment, and as part of routine preventive health check-ups.

Causes of High and Low TSH Levels

An elevated TSH level most commonly indicates an underactive thyroid gland (hypothyroidism). Possible causes include autoimmune diseases, iodine deficiency, the effects of thyroid surgery, or treatment with certain medications.

A low TSH level may occur in hyperthyroidism, a condition in which the thyroid gland produces excessive amounts of thyroid hormones. Changes in TSH levels may also be associated with pituitary disorders, severe stress, or the use of certain medications.

TSH test results should always be interpreted together with T3 and T4 levels, clinical symptoms, and the findings of additional diagnostic tests.

How to Prepare for a TSH Blood Test

To obtain the most accurate results, it is recommended to:

have your blood drawn on an empty stomach;
avoid intense physical activity the day before the test;
avoid alcohol for 24 hours before the test;
inform your doctor about all medications you are taking;
whenever possible, have follow-up blood tests performed at the same time of day.

Following these recommendations helps ensure the most reliable laboratory results.

What Do Abnormal TSH Levels Mean and When Should You See an Endocrinologist?

An abnormal TSH level is not a disease itself but rather an indicator of a possible endocrine disorder. To determine the underlying cause, your doctor may recommend additional blood tests, a thyroid ultrasound, and other diagnostic procedures.

You should consult an endocrinologist if you experience symptoms of thyroid dysfunction, receive abnormal thyroid test results, or have a family history of endocrine disorders. Children with suspected thyroid problems should be evaluated by a pediatric endocrinologist.

Conclusion

Thyroid-stimulating hormone (TSH) is one of the most important indicators of thyroid function. A timely TSH blood test can detect thyroid disorders before noticeable symptoms develop, allowing treatment to begin at an early stage. Regular preventive check-ups, consultations with an endocrinologist, and modern diagnostic methods help maintain endocrine health and reduce the risk of developing serious thyroid and hormonal disorders.

Hip Replacement Surgery

Hip replacement surgery (hip arthroplasty) is one of the most effective procedures in modern orthopedic surgery. It relieves chronic pain, restores mobility, and helps patients regain an active lifestyle. Diseases and injuries affecting the hip joint can significantly limit daily activities and, in advanced cases, even make independent walking impossible. Timely surgical treatment restores joint function and greatly improves quality of life.

Causes of Female and Male

Infertility is a common condition that can affect both women and men. According to medical statistics, approximately 15–20% of couples of reproductive age experience difficulties conceiving, and the causes may be related to disorders affecting either or both partners. A timely consultation with a reproductive specialist helps identify the factors preventing pregnancy and determine the most effective treatment. The earlier the diagnosis is made, the greater the chances of achieving a successful pregnancy and giving birth to a healthy child.

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