After a stroke:
step by step, back toward yourself
“Maintain what you have achieved” is a sentence about the end of rehabilitation. It is not a sentence about your brain: neuroplasticity does not end with the discharge letter. We work with your rehab team so that training keeps landing, in the arm, in speech and in mood.
- Free
- No obligation
- Reply within 2 business days
- Outpatient · Bad Aibling
- Non-invasive
Free & non-binding · usually a reply within 2 business days · confidential
Prefer to talk? Call us: +49 (0)8061 398-0
Perhaps you are reading this for your husband. Five months after the stroke, the right arm, the words that get lost halfway, and a man who grew quieter once rehabilitation ended. You see every inch of progress, and you see what it costs. That work deserves methods that support the brain’s relearning, and a team that does not treat mood as a side issue.
Stroke is one of the leading causes of acquired adult disability; in Germany around 270,000 people suffer a stroke each year.
Are you a family member or carer? You are in the right place too — call or write to us; we support you alongside.
Symptoms have a map
A stroke damages brain tissue and interrupts the communication between networks. Depending on location, the sensorimotor network (movement, coordination), language and attention networks and, very often underestimated, the limbic network (post-stroke mood) are affected. Rehabilitation rests on neuroplasticity, the brain relearning, and two systems help decide how well that works. Sleep: movements practised during the day are consolidated at night in deep sleep; whoever sleeps badly after a stroke loses part of every therapy hour. The psyche: depression after stroke is common and takes away the drive with which training happens at all. So we treat sleep and mood in the same plan as the arm.
For an overview of the six brain networks and a first orientation, see the Brain Network Analysis.
Alongside your neurological care: what can be done for everyday life.
Every patient starts with a structured assessment: the reports from the acute hospital and rehabilitation, the medication plan, questionnaires on mood, sleep and daily life, a clinical examination of strength, gait and speech, lab work and current imaging where needed. qEEG brain mapping is added when mood, attention or language is the main question and we want to see how the two hemispheres are working together. From this we build a complementary program that adds to your neurological care and your rehabilitation and is coordinated with the rehab team: rTMS or tDCS immediately before training so relearning comes easier, taVNS paired with arm exercises, physiotherapy that turns it into movement, plus sleep and mood. Blood thinners, blood pressure medication and everything else stay as they are unless the treating neurologist decides otherwise. Bring the rehabilitation discharge letter to the first consultation.
Our aim stays the same: to restore functional balance, with as little medication as possible and a life with high quality of life as the measure.
You don’t have to decide anything today. A 15 to 20 minute conversation is enough to know whether an assessment is worth it for you.
Free & non-binding · usually a reply within 2 business days · confidential
Who it is for, and who it is not for
A good fit if …
- Medication or therapy has not been enough so far
- You are looking for a measurement-based, non-invasive path
- You are open to outpatient treatment in Bad Aibling
Less suitable if …
- You expect a purely remote or online treatment without on-site diagnostics
- You expect a guarantee — serious medicine cannot give one
In an acute crisis or having suicidal thoughts? Please seek immediate medical or emergency help — in Germany call 112, or the free 24/7 helpline Telefonseelsorge 0800 111 0 111.
The first consultation is free. We discuss the scope, duration and cost of any program openly afterwards, outpatient, here in Bad Aibling.
What the research shows
Peer-reviewed work on Stroke Rehabilitation and the relevant procedures, graded by evidence level. No study proves an individual outcome.
In short: for some procedures the evidence is solid, for others still early. Where your case stands is settled in the assessment, and the program follows from it.
Repetitive transcranial magnetic stimulation for motor recovery after stroke: a systematic review and meta-analysis of randomized controlled trials with low risk of bias
Non-invasive brain stimulation techniques for the improvement of upper limb motor function and performance in activities of daily living after stroke: a systematic review and network meta-analysis
Vagus nerve stimulation paired with rehabilitation for upper limb motor function after ischaemic stroke (VNS-REHAB): a randomised, blinded, pivotal, device trial
Transcutaneous vagus nerve stimulation (tVNS) in stroke: the evidence, challenges and future directions
Transcranial direct current stimulation for post-stroke dysphagia: a meta-analysis
Effect of repetitive transcranial magnetic stimulation on post-stroke comorbid cognitive impairment and depression: a randomized controlled trial
More studies across all conditions: Science & Studies.
For rTMS and tDCS added to motor training after stroke there are meta-analyses of randomised trials, for vagus nerve stimulation paired with rehabilitation a pivotal trial in the Lancet; recovery paths still vary widely. What your husband’s arm takes from it shows in the function test after the first block, and that decides the next one.
A real doctor. A real clinic.
Dr. med. univ. Julian Douwes · Medical Director
Part of Clinicum St. Georg, under the medical direction of Dr. med. univ. Julian Douwes. Outpatient, evidence-graded, without medication as the first step — tailored to your profile. More on our program.
- 30+ Years of clinical heritage
- 90+ Countries patients travel from
- 30,000+ Treatment sessions delivered
In three calm steps
Stroke Rehabilitation: let’s talk about your path.
In a free consultation we clarify whether and how our measured program could fit you — no obligation, fully confidential.
Free & non-binding · usually a reply within 2 business days · confidential