Gait Training After Stroke: How Therapists Rebuild Walking
How gait training after stroke works: assessment, braces and walking aids, overground, treadmill and robotic practice, and what progress looks like.
Read MoreParkinson's disease rehabilitation involves guided exercise, practice of everyday activities and strategies that make movement and daily life easier. Depending on your needs, it may include a PM&R doctor, physiotherapy, occupational therapy, speech and swallowing therapy and psychotherapy. The aim is to help you maintain or improve independence, safety and participation in the activities that matter to you.

Rehabilitation works alongside your medical treatment. It is not one fixed set of exercises for everyone: the activities and level of support should reflect your symptoms, abilities and everyday challenges.
After your first consultation, our PM&R (Physical Medicine and Rehabilitation) doctor develops an initial rehabilitation protocol based on your individual needs, clinical condition and functional limitations.
The physiotherapist and occupational therapist then discuss the plan with the PM&R doctor so the approach is coordinated and goal-oriented. Speech therapists and psychologists contribute whenever needed, based on your specific needs.
Medical management, including medication-related decisions and adjustments, is overseen by our PM&R doctors, working alongside your treating neurologist where needed.
At Rehabana, we believe in continuous assessment, collaborative decision-making and individualised rehabilitation, so that every patient's progress is regularly monitored and guided.

To monitor progress, we carry out functional assessments such as the following. They are repeated periodically to measure improvement, identify remaining limitations and adjust goals and treatment.
Assessment | What it measures |
|---|---|
Berg Balance Scale (BBS) | Balance and fall risk |
Timed Up and Go (TUG) test | Functional mobility and walking ability |
Manual Muscle Testing (MMT) | Muscle strength |
Five Times Sit-to-Stand (5xSTS) | Lower-limb strength and functional mobility |
Nine-Hole Peg Test (9HPT) | Hand dexterity and coordination |
Speech and language assessment | Speech clarity, understanding, communication and swallowing |
Cognitive and psychological assessment | Memory, attention, problem-solving, mood, anxiety, depression and behaviour |
To help the team understand your situation, prepare:
A family member who knows your routine can also help explain the challenges you face.
After the assessment, your PM&R doctor explains which difficulties treatment will address and guides you to suitable activities. You may practise a movement, try a different way of doing an everyday task, or learn an exercise to continue between appointments.
For example, if standing up from a chair is difficult, treatment may involve practising that specific task rather than exercising the legs alone. This is called task-specific practice: working directly on an activity you need in daily life.
Before you leave, make sure you understand:
Your activities should relate to the problems you want to address. They may include:
The purpose is not simply to complete a list of exercises. It is to help you use your abilities in meaningful situations — moving around your home, joining a conversation or continuing a hobby. Ask your therapist to explain how each activity connects to daily life if it is unclear.
Tell your PM&R doctor when you take your medicines and whether your movement changes before or after a dose.
Some people have "on" periods, when medication controls symptoms better, and "off" periods, when symptoms return or become more troublesome. Understanding this pattern helps the team interpret your difficulties and plan sessions around your needs. If you notice a regular pattern, keep a simple note of:
Yes. Treatment should take account of how you are functioning that day. Tell the therapist if movement feels harder than usual, you are unusually tired, or your symptoms or medicines have changed.
At Rehabana, the therapist first informs your primary PM&R doctor about any difficulties during the session. Based on feedback from the therapist and rehab nurse, the PM&R doctor and therapists decide together whether you are fit to continue and what intensity is appropriate.
Your therapist considers how you perform the activity, how much support you need and whether it still matches your abilities and goals. An activity may be changed by adjusting the amount of help, the task itself or the demands placed on you. The aim is an appropriate challenge — not to make every session harder for its own sake. Tell your therapist if an activity feels too difficult, too easy or unrelated to your goals.
Before a period of supervised treatment finishes, you should understand your ongoing plan: exercises, daily activities to practise, strategies for difficult movements and ways to stay active. Ask for clear instructions on:
Rehabana provides a rehabilitation progress report with scored assessment results to track improvement. We also recommend home-based exercises to help maintain function and slow disease-related limitations, and we carry out a follow-up review 1–2 months after the rehabilitation sessions end. Families can find more support in our Parkinson's caregiver guide.
Rehabilitation cannot stop Parkinson's disease, but regular, guided exercise and practice of daily activities can help maintain function and slow the loss of independence.
No. Starting early — soon after diagnosis or when walking, balance, speech or daily tasks begin to change — helps keep abilities for longer. Rehabilitation is adjusted at every stage.
Typically a PM&R doctor, physiotherapist, occupational therapist, speech and language therapist and psychologist, working with the patient's family and treating doctors.
Rehabana offers doctor-led Parkinson's treatment and rehabilitation in Kolkata, starting with a PM&R assessment. See also our overview of Parkinson's rehabilitation.
What is becoming difficult in your everyday life? Start with that question when you contact us. You might want help getting around the home, managing a daily task or understanding what rehabilitation could involve for you. Ask about an assessment to discuss your concerns, identify priorities and agree on next steps.
Book a Parkinson's rehabilitation assessment with our PM&R doctor to identify your priorities and plan coordinated therapy.
Knowledge That Guides Recovery
Get expert neuro rehabilitation tips from the doctors at Rehabana, Kolkata — simple guidance on stroke recovery, spinal cord injury rehab, Parkinson’s care, and enhancing quality of life after neurological conditions.
How gait training after stroke works: assessment, braces and walking aids, overground, treadmill and robotic practice, and what progress looks like.
Read MoreCan physiotherapy help Parkinson's disease? Yes. How it improves walking, balance, posture and freezing, what exercises involve and when to start.
Read MoreHow long stroke rehab takes depends on severity, timing and therapy dose. What recovery looks like if rehab starts early, at 3 months or after a year.
Read More