Role of Yoga and Spirituality in Stroke Rehabilitation

In spite of the best treatment, 30–50% of stroke survivors are left with significant physical and/or psychological disabilities and consequent decline in quality of life (QOL). The silver lining is that up to 80% of stroke survivors can become independent in activities of daily living with adequate rehabilitation. Rehabilitation with physiotherapy, occupational therapy, and speech therapy offers a good opportunity to regain functional abilities. However, there is a shortage of neurorehabilitation (NR) programs across the globe, more so in resource-poor countries. The secular practice of yoga and spirituality is associated with a host of physical, physiological, cognitive, and psychological benefits that can be effectively included in stroke rehabilitation (SR). It has been shown to increase creativity and reduce stress as well as improve muscle power, dexterity, visual perception, and reaction time. These practices promote the positive effects on carotid atherosclerosis, hypertension, diabetes, and coronary artery disease, which are all identified risk factors associated with stroke occurrence or reoccurrence. Yoga and relevant practices are low cost and have good acceptance amongst patients and caregivers. In spite of yoga and meditation as useful tool, it has not been addressed adequately in stroke rehabilitation