Prevention | Causes of Brain Injury | About ABI | Traumatic Brain Injury (TBI)

brainA stroke, or cerebral vascular accident (CVA), occurs when blood supply in the brain is disrupted.  Nearly a million people every year experience a stroke. That’s one person every 40 seconds.

Why do over 450 patients a year choose Pate for their stroke and TBI rehabilitation?

We offer 6 hours of therapy a day. Most post-acute programs allow just 3-4 hours. That’s an extra 10 hours a week. That time matters.

carf-optPate is the first and only post-acute stroke specialty program in North Texas to be accredited by the Commission on Accreditation of Rehabilitation Facilities.



Pate’s Highly Trained Team

• Certified Stroke Rehabilitation Specialist
• Physiatrist
• Physical Therapist
• Occupational Therapist
• Certified Brain Injury Specialist
• Neuropsychologist
• Speech and Language Pathologist
• Certified Low Vision Therapist
• Certified Vital Stim Therapist
• Certified Rehabilitation Counselors
• Certified Vocational Evaluation Specialist
• Driving Rehabilitation Specialist
• Neurology Certified Therapist
• Certified Aquatics Therapist


How to Choose a Stroke Rehab Facility?

We’ve always said, never choose a rehab program because it’s on the nearest corner, or has the fanciest building. It’s about quality. Pate offers:

• Treatment team longevity in exclusively providing services to stroke and brain injured patients
• CARF Stroke Specialty Program accreditation
• Therapists with the skills and certifications to be on the leading edge of treatment
• Creative determination from our transdisciplinary team to see the patient’s potential from every angle
• Decades of stroke and TBI experience


Treatment Equipment

  • Physical
  • Armeo Spring Robotics
  • Reo-Go Robotics
  • NeuroMove
  • Sanet Vision Integrator
  • Vital Stim
  • Estim Unit
  • Rifton Gait Trainer
  • Biodex Gait Trainer
  • Bioness Upper/Lower Extremity Unit
  • APT Attention Processing Therapy
  • Aquatics
  • LiteGait
  • Constraint induced therapy
  • Biofeedback
  • fNIRS Spectroscopy

Treatment Continuum

What path do clinical experts believe is most successful during stroke recovery?

Acute Hospitalization
Emergency, neurosurgical and medical stabilization

Acute Hospital Rehabilitation
Medically stable Stroke and TBI patients begin an intensive rehabilitation program. Physicians, nurses and therapists prepare them for post-acute or home.

Post Acute Rehabilitation
A stroke and TBI specialized, comprehensive rehabilitation facility. Provides focused, intensive therapy. Goal is regaining the most functional independence possible. Focuses on learning compensatory strategies for abilities that have permanently changed since the stroke or TBI.


What if you just go home after the hospital?

We all feel if we can just get home, everything will be better. But going home can be complicated, with ambulation issues, safety risks, fatigue, cognition processing, over stimulation, or medication management.

This can create a significant setback and potentially reduce the level of overall recovery. Establishing new routines, and knowing new abilities and limits, takes time. Post-acute rehab is essential for those striving to regain all that they can. The skills learned in rehab will be the daily skills you use the rest of your life.

How Pate Can Help You

• More hours of therapy per day
• A full time team of neuropsychologists and psychologists
• Individualized treatment plans
• Transportation to therapy for all patients
• The only CARF accredited post acute stroke specialty program in North Texas
• Comprehensive therapies
• Speech-Language therapy
• Aquatic therapy
• Behavioral therapy
• Physical therapy
• Occupational therapy
• Cognitive therapy
• Counseling
• Biofeedback
• Vocational therapy
• Driver rehabilitation program
• Pet therapy
• Equine assisted therapy
• Day programs | Inpatient programs
• Community activities


About Strokes

Some people may also refer to a stroke as a “brain attack.” There are primary types of stroke: Ischemic and Hemorrhagic.


Ischemic Strokes

These strokes occur when there is inadequate blood flow to the brain due to some type of blockage inside a blood vessel.  Another term for the subtypes of ischemic stroke is “infarct.”  When the blood flow is reduced or stopped due to a blockage, the brain cells surrounding the vessel are not provided enough oxygen to work right.

A transient ischemic attack (TIA) is also known as a “mini stroke.” During TIAs, the blockage in the vessel is only temporary, and symptoms may subside within a few hours. However, a “mini stroke” or TIA indicates a serious underlying issue that may be treated to prevent future risk of a full stroke. If a person arrives at the emergency room within three hours of the first symptoms of an ischemic stroke, treatment with a thrombolytic medication can occur that may reduce long-term effects of the stroke.


Hemorrhagic Strokes

These types of strokes occur when a blood vessel in the brain bursts and floods the surrounding brain tissue with blood.This can happen during trauma or as a result of an aneurysm. An aneurysm is a malformation of the blood vessel, which is prone to bursting.

Many people with aneurysm have symptoms prior to the vessel bursting. Some aneurysms can be repaired with surgery prior to bursting. Once a blood vessel bursts in the brain, there are rarely any medications that can be used, and brain surgery may be required to stop further damage.



  • Every 40 seconds someone in the U.S. has a stroke – 795,000 people per year
  • Direct and indirect cost of stroke in 2010 was $53.9 billion.
  • 15% die shortly after stroke.
  • 10% recover almost completely.
  • 25% recover with mild impairment.
  • 40% have moderate to severe impairment requiring special care.
  • 10% require a long-term care facility.


Risk Factors:

  • Family history
  • High blood pressure (hypertension)
  • High cholesterol
  • Heart disease
  • Diabetes
  • Overweight
  • Tobacco use
  • Race/ethnicity
  • Previous stroke or TIA
  • Sickle cell disease
  • Age (over age 65 males are at higher risk than females)


Stroke Rehab Key Points

  • Medical stabilization comes first.
  • Depending on medical status, therapies could possible begin within 24 hours.
  • Early rehabilitation has been shown to enhance recovery and minimize functional disability.
  • Length of rehabilitation depends on severity of stroke, motivation, skill of the treatment professionals, support network, timing and more.