What you need to know
Sara Cuccurullo, M.D., vice president and medical director of JFK Johnson, and Talya Fleming, M.D., medical director of the JFK Johnson Stroke Recovery and Aftercare Program, were keynote speakers at the John Hopkins Medicine conference, “Recovery after Stroke: State of the Science and Future Innovations.” The physicians described how a modified cardiac rehabilitation program can significantly reduce deaths and improve outcomes for survivors of a serious stroke. They addressed the physicians, nurses, therapists, and other health care specialists in the fields of neurology, physical medicine and rehabilitation, and primary care.
Dr. Cuccurullo and Dr. Fleming told the audience that Medicare currently requires patients recovering from stroke to use Medicare funding within the Medicare therapy cap for outpatient therapies. In contrast, patients with cardiac disease can receive cardiac rehabilitation outside the therapy cap.
The JFK Johnson Stroke Recovery Program (SRP) provides 36 sessions of medically monitored interval cardiovascular training — as well as follow-up visits with a Physical Medicine and Rehabilitation physician along with psychological, nutritional, and educational support and risk factor (such as smoking, diet, and exercise) management. The cardiac rehabilitation is modified for patients with stroke.
The research is being expanded to include rehabilitation centers across the country.
Research Findings
- The on-going JFK Johnson Stroke-HEARTTM Trials showed how a Stroke Recovery Program that includes medically supervised exercise, prescribed therapy, and physician follow up can reduce the chances that survivors of serious stroke will die within the year by 76 percent.
- Participants in the Stroke Recovery Program saw a 78 percent increase in their cardiovascular capacity, and steady improvement in scores related to mobility, self-care, and communication/cognition.
- The Stroke Recovery Program reduced hospital readmissions by 22 percent, potentially saving Medicare $1.2 billion if a stroke recovery program is widely offered to stroke survivors.