دانلود کتاب توانبخشی سکته مغزی در محیط‌های کم‌منابع

Stroke is one of the leading causes of long-term disability worldwide, and its burden is increasingly concentrated in low- and middle-income countries (LMICs), where health systems often face significant constraints in infrastructure, workforce, financing, and continuity of care. In such settings, stroke rehabilitation is not merely a clinical service; it is a public health necessity, a social support imperative, and, very often, a test of how equitably a health system functions. This book was conceived in response to that reality. Stroke rehabilitation is a right for all stroke survivors and should not be dependent of where the survivor lives or what therapy he or she can afford. The motivation for this volume lies not only in epidemiology or policy, but in everyday clinical experience across LMICs. Many stroke survivors in these settings survive the acute event but face a second crisis soon after discharge: limited access to rehabilitation, inadequate follow-up, financial hardship, shortages of trained professionals, and caregiving demands that fall heavily on families. The result is that disability after stroke is often amplified not only by the neurological injury itself, but by the context in which recovery must unfold. Several chapters in this book reflect this reality directly, highlighting the challenges of service access, discharge transitions, community reintegration, and the need for practical models of care suited to low resource environments. A familiar story from many LMICs helps explain why this book became necessary. A middle-aged stroke survivor from a semi-urban or rural community may receive life-saving acute treatment, yet return home with persistent weakness, communication difficulty, swallowing problems, fatigue, cognitive changes, and reduced independence in daily activities. The nearest rehabilitation centre may be distant, transport costs high, specialist services scarce, and structured homebased follow-up unavailable. Recovery then depends not only on formal rehabilitation, but on family-led care, improvised adaptations, community support, and the ability of clinicians to translate evidence based principles into feasible local practice. That gap between what is ideal and what is achievable is where this book is situated. This volume does not assume that rehabilitation models developed in high-resource settings can simply be transplanted into LMICs without adaptation. Instead, it recognizes that contextualisation is central to effective stroke rehabilitation. Across its chapters, the book addresses the acute phase of rehabilitation, upper limb and gait recovery, cognitive and perceptual rehabilitation, speech-language and swallowing rehabilitation, activities of daily living, often neglected poststroke complications, technology-enabled but affordable interventions, discharge planning, community and low-cost service models, and practical standard operating procedures for hospital and community settings. The unifying principle across these contributions is clear: meaningful rehabilitation in LMICs must be evidence-informed, function-focused, culturally responsive, and feasible within local constraints.