A Narrative Review on Neurorehabilitation in India: Current Scenario, Unmet Needs, and the Road to the Future

Neurorehabilitation is crucial for improving function and participation after neurological disorders. In India, rising survival has increased rehabilitation needs, but services remain fragmented and unevenly distributed. The objective of this study was to summarize the current status of neurorehabilitation in India, including service delivery, access, workforce, technology use, and system-level challenges. Hence, a narrative review of the literature (2010-2025) from major databases and policy sources was synthesized thematically across predefined domains. It was found that there is a substantial unmet need for neurorehabilitation in India, with poor post-discharge continuity, underutilization (especially in rural areas), and workforce shortages. While structured inpatient rehabilitation improves outcomes, its reach is limited. Tele-neurorehabilitation and mHealth show promise but remain unevenly implemented. Key barriers include affordability, accessibility, and lack of standardized outcome measures. Thereafter, it was concluded that neurorehabilitation in India faces high demand but fragmented delivery and inequitable access. Strengthening care pathways, expanding and training the workforce, leveraging hybrid telerehabilitation models, and standardizing outcome measures are essential priorities.