Stroke Rehabilitation Program
Advancing Human Ability ® Shirley Ryan AbilityLab is the first-ever hospital in which physicians, therapists and scientific researchers collaborate in treating patients. This novel approach helps patients achieve their best outcomes, faster. Each year, Shirley Ryan AbilityLab treats more stroke survivors than almost any other rehabilitation provider in the world. We lead the field in caring for patients with a wide range of impairment — from the most catastrophic to the less severe. Our clinicians see patients throughout the continuum of recovery — from inpatient rehabilitation and DayRehab to outpatient therapy.
DAYREHAB CENTER ® Available at five locations
OUTPATIENT Available at more than 20 locations Our physicians continue to follow patients after they have been discharged to one of our outpatient clinics. Outpatient therapy is recommended if patients continue to have therapy needs, but do not need constant medical care.
INPATIENT Our team of specialists evaluates and works with patients from pre-admission to discharge, enabling them to monitor progress, adapt therapies and better anticipate the future and potential for recovery.
Our renowned DayRehab program is designed for patients who no longer require hospitalization, but still need intensive, coordinated rehabilitation care. The goal is to help patients regain the highest level of function, while living at home.
We also offer:
• Clinical research trials • Return-to-work support and counseling • Ongoing physician follow-up • Patient and family support groups • Educational newsletters and events • Functional fitness recreation and adaptive sports
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YOUR CARE TEAM
Care Manager
Physical Therapist
Respiratory Therapist
Occupational Therapist
Speech- Language Pathologist
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Shirley Ryan AbilityLab
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1 H ornby TG, Holleran CL, Leddy AL, Hennessy P, Leech KA, Connolly M, Moore JL, Straube D, Lovell L, Roth E. Feasibility of Focused Stepping Practice During Inpatient Rehabilitation Poststroke and Potential Contributions to Mobility Outcomes. Neurorehabil Neural Repair. 2015 Feb 26. pii: 1545968315572390. 2 L ange CE, Macdonald JR, Reisman DS, et al. Observation of amounts of movement practice provided during stroke rehabilitation. Arch Phys Med Rehabil. 2009;90:1692-1698. Data collected from the Rehabilitation Institute of Chicago, now the Shirley Ryan AbilityLab. On average, Shirley Ryan AbilityLab patients walked 6X farther than patients in the other rehabilitation facilities included in this study.
Following assessment, patients have the opportunity to participate in a variety of research trials, and we can determine which of our many trials is a good fit. One such trial has proven that increasing the number of steps a patient walks each day improves both level and pace of recovery.
Shirley Ryan AbilityLab is not just a new research hospital. It’s a new kind of research hospital, one that is revolutionizing the future of rehabilitation and creating a new category of medicine. It is designed explicitly for the practice of “translational medicine”—a new model for medical care in which research is applied directly, translated, during patient care.
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Advanced Stroke Rehabilitation The needs of stroke survivors are unique. From offering best-in-class inpatient care in our Brain Innovation Center to leveraging the latest scientific breakthroughs in our ability labs, our state-of-the-art facility offers the greatest chance for the best outcome. By using the most advanced clinical and robotic treatments, our customized therapies will help patients reach their unique goals.
Dr. Leora Cherney has pioneered innovative therapies to assist with recovery from aphasia. • ORLA ® : a computer-assisted therapy to enhance speaking, listening and reading • Intensive Comprehensive Aphasia Program: the only full-day outpatient program for aphasia in the Midwest All speech therapy is provided by licensed speech pathologists with extensive training in our novel technology. Additionally, we have an intensive swallowing program that helps patients become more independent.
Depending on a patient's individualized treatment plan, therapy may take place throughout the hospital, including in one of our five ability labs.
MOBILITY & TRAINING We use training tools to enable patients to walk earlier than other therapeutic approaches. The Margaret & Mark Stephan Legs + Walking Lab is connected by a stairway equipped with two custom harness systems that allow patients to safely practice stair-climbing. In this Lab, the focus is on body-weight support and limb functions influenced by spinal cord and brain circuits. We also have therapies to help patients relearn more efficient motor function.
COMMUNICATION & UNDERSTANDING
Patients in the Think + Speak Lab are immersed in cutting-edge therapeutic interventions provided by leading professionals and research scientists with expertise in neurophysiology and neurological functioning. In this Lab, combined therapeutic care and scientific application help patients recover these building blocks of ability. National expert
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FUNCTION & MOVEMENT Patients, doctors and researchers in the Harris Family Foundation Arms + Hands Lab work on advancing hand function and movement, body and upper-limb coordination, strength, reaching and hand control. One novel piece of technology we offer is the Armeo ® . Designed by our experts, this interactive device uses gaming technology to help rebuild arm strength and function.
COORDINATION & STRENGTH The Nancy W. Knowles Strength +
Our team of experts and state-of-the-art technology allow for more efficient and advanced care. Through real-time translation of clinical research, treatments are always evolving based on the patient’s individual needs and the most current data.
Endurance Lab is designed for patients and research subjects working on building stamina and resilience. Therapy is targeted to improve complex motor and endurance activities, coordination and higher-level activities of daily living (cooking, dressing, gardening, sports).
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Research Shirley Ryan AbilityLab is the only federally designated Rehabilitation Research and Training Center for Stroke recognized by the National Institute on Disability and Rehabilitation Research (NIDRR). We receive more federal funding from the National Institutes of Health (NIH) than any rehabilitation hospital, anywhere.
NON-INVASIVE BRAIN STIMULATION
Patient care is infused with the most current, best practices in medicine. Many of these best practices have been pioneered and proven by our best research minds and put into therapy, real-time. This means patients receive the most state-of-the-art treatments available — anywhere. We have more than 200 clinical trials underway, many of which tie directly to our stroke rehabilitation program.
WALKING TRIALS Our research has proven that increasing the distance a patient walks each day and elevating his or her heart rate leads to better outcomes. Following an assessment, we can determine a trial that is most appropriate. CENTER FOR BIONIC MEDICINE We use robotic assistive devices to facilitate finger extension, grasp and hand recovery. Used with clinical therapists in a virtual reality environment, researchers are advancing new treatments for stroke patients affected by hand weakness and paralysis.
Another of our innovations is a stimulator equipped with an MRI to test whether brain stimulation can reduce inappropriate nerve impulses to the brain after a stroke. Paired with occupational therapy, this may ultimately improve hand and arm movements and strength. APHASIA STUDIES Our aphasia experts are investigating novel ways to treat aphasia through technological innovation, clinical research studies and unique therapeutic treatments. One study seeks to understand more fully how different cues, task difficulty and practice conditions affect script learning in chronic aphasia.
Ryan’s Story: Surviving a Stroke at 20
every day. I know I wouldn’t have gotten this far—this quickly—without my team at Shirley Ryan AbilityLab.” All the while also giving back. Ryan eagerly agreed to participate in a clinical trial to measure movement and contractions in spastic muscles following stroke. Ryan has moved onto outpatient therapy in Northbrook where he continues to build strength and endurance. Today Ryan is completely independent at home and has returned to college part time.
Shirley Ryan AbilityLab. It came up online, from his doctors, family members in medicine, from Dennis’ colleagues in the Air Force. We had our answer. Two weeks after the stroke, they moved Ryan to the Shirley Ryan AbilityLab. When he arrived, he couldn’t sit up without extreme dizziness. He had trouble finishing sentences and couldn’t move his right arm. “We wanted to give our son the best chance for reclaiming his active, happy life.” — Lisa, Ryan’s mother “Day one, they had him standing, walking, climbing a few steps,” said Lisa. “When I saw that, I felt for the first time, ‘Yes, he’s going to get better.’” Get better he did. In the Legs + Walking Lab, Ryan worked with physical and occupational therapists and steadily reclaimed his lost abilities—walking, climbing stairs, using his right arm, speaking. “I have an A average,” beams Ryan. “I’ve gone to the movies and out to dinner with friends. It’s hard, but I’m getting better
It was just another day at the beach for 20-year-old Ryan and his family. After a day of horsing around with his brother in the Florida sun, Ryan went to take a shower. Suddenly he experienced numbness in his right arm, then his right leg. He called to his mother, Lisa. Dialing 911, Lisa told Ryan to sit down. She suspected a stroke. When she asked Ryan to raise his arms above his head, only one arm went up. When she asked him to smile, only one side of his face moved. “I was in disbelief,” said his dad Dennis. “A stroke? Ryan was 20, a high school standout athlete. He was doing well in college … but there it was. My beautiful young son was having a stroke.” In fact, a stroke can occur at any age. At Shirley Ryan AbilityLab, incidence of stroke in young people is outpacing all other patient conditions, including spinal cord and traumatic brain injuries. While in the hospital, Lisa and Dennis began researching next steps. Where should Ryan go for rehabilitation? “We wanted to give our son the best chance for reclaiming his active, happy life,” recalls Lisa. “The same name kept coming up—
Watch Ryan’s video! Visit sralab.org/Ryan
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# 1 rehabilitation hospital in America since 1991
Shirley Ryan AbilityLab 355 East Erie Street Chicago, IL 60611 844.355.ABLE (2253) sralab.org
MEET OUR PHYSICIAN LEADER Richard L. Harvey, MD
Dr. Richard L. Harvey is Clinical Chair of Shirley Ryan AbilityLab’s Brain Innovation Center, and the Suzanne S. and Wesley M. Dixon, Jr., Stroke Chair. He is a Professor at Northwestern University Feinberg School of Medicine. He received his doctorate from the University of Michigan before completing his residency at the University of Toledo, Ohio, and a fellowship in stroke rehabilitation and research at the Shirley Ryan AbilityLab (formerly RIC) and Northwestern University. With more than 20 years’ experience in stroke rehabilitation, Dr. Harvey is as committed to patient care as he is to seeking bigger, better answers to stroke recovery. He is one of just a few physicians in the nation to complete three fellowships in stroke rehabilitation. “Our goal is to get every patient to lead the most independent and fulfilling life possible. We are proud to discharge more patients to their homes (vs. to another care facility) than anywhere else in the region.”
JOIN OUR PATIENT PORTAL We’ve developed our secure online Patient Portal with you in mind. sralab.org/patientportal
• C ommunicate with your physician or therapist with quick response times • Get your prescriptions refilled efficiently • Reference your medical information
• W atch “how to” videos • Download helpful guides • Learn about new features
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