The Concept
Stroke occurs when the blood supply to part of your brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients. Early action can reduce brain damage and other complications. Often patients gets with sequelaes, like dysarthria, central facial palsy and loss of power or sensibility in the affected hemibody. Consequently, patients could get with less autonomy in daily living activities. Researchers have found that people who participate in a focused stroke rehabilitation program perform better than most people who don’t have stroke rehabilitation. The goal will be to help the patient relearn skills that he lost when a stroke affected part of his brain. To achieve it, it is important to make an adjusted rehabilitation program to the patient composed of pharmacological treatment, physiotherapy, speech therapy, occupational therapy, prescription of orthosis and support products, minimally invasive procedures, like botulinum toxin injection, and others.
Rehabilitation
Effective stroke rehabilitation is characterized by an interdisciplinary team working cohesively and closely to provide a comprehensive program for each patient. Evidence shows that neurological and functional recovery occurs in both the acute and chronic phases post stroke.
Clinical and Secondary Prevention of Stroke
The secondary prevention of stroke includes strategies used to reduce the risk of stroke recurrence. Review the management of hypertension, diabetes, hyperlipidemia, the role of infection and lifestyle modification are topic areas to prevent.
Feeding Autonomy
Dysphagia is a complication of stroke, and its presence is likely to result in pulmonary complications, dehydration and poor nutrition. SLT evaluation for detection, assessment and intervention of dysphagia is important to prevent complications and recover feeding capacity.
Speech Autonomy
Aphasia and dysarthria are the most common consequences of stroke and associated with decreased response to rehabilitation intervention. General speech and language therapy improves the global speech, writing, reading and social communication.
Cognitive Autonomy
Vascular cognitive impairment reflects the range of cognitive deficits due to the impact of cerebrovascular disease. Treatment interventions includes cognitive rehabilitation strategies for deficits in attention and perceptual disorders, apraxia, memory, executive function, problem solving and pharmacotherapy.
Post-Stroke Depression and Mood Disorders
Psychological disorders may develop following stroke, namely depression, mood disorder, post-stroke emotionalism. It’s presence can impact the outcomes and overall stroke recovery. Pharmacological and non-pharmacological treatment can be provided to restore this function.
Postural and Motor control Autonomy
Rehabilitation techniques of sensorimotor complications post stroke involves the restorative and compensatory approach for upper and lower limb to recover motor and postural function and improves the mobility and upper limb function.
Hemiplegic Shoulder Pain and Complex Regional Pain Syndrome
Shoulder pain resulting from hemiplegia is a common clinical consequence of stroke and can negatively affect rehabilitation and functional outcomes. Management techniques including active physical therapies, shoulder positioning and intramuscular injections are addressed.
Post Stroke Spasticity
Spasticity is usually seen days to weeks post stroke and can impact the outcomes and overall stroke recovery. The treatment includes non-pharmacological, pharmacological strategies and minimally invasive techniques such as botulinum toxin in the spastic upper and lower extremity.
Medical Complications Post Stroke
Short- and long-term medical complications that require monitoring by medical staff includes bladder and bowel dysfunction, venous thromboembolism, seizures, osteoporosis, central pain states, fatigue and insomnia and is critically for the stroke care and management.
Community Reintegration
The majority of stroke survivors return to live in the community, the ability to return to an acceptable lifestyle, participating in both social and domestic activities is important for perceived quality of life. Home and community programs may be beneficial for community reintegration and social support.
Testimonials
”Before I start with my trip through the Pain Center I would like to say thank you to Dr. Costa and his wonderful team. I feel much better than before.
Karola KoenigGermany
”After the treatment I am only happy to say how I really feel. With some stretch exercises and physiotherapy, I feel great and get on with my life. Thanking you.
Carole LeeThe Netherlands