Stroke Physiotherapy & Rehabilitation

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Stroke Physiotherapy Treatment for Paralysis

Dr. Dharam Pandey clinic for physiotherapy assess and proceeds with the treatment for paralytic patients. Paralysis happens when blocked blood vessels or injury to the brain causes symptoms of stroke. The person will experience difficulty in speaking, understanding, swallowing food or saliva and movements of any body part. Paralysis of different body parts entirely depends on where the spinal cord was injured. That in turn, leads to weak muscles and loss of coordination. And it gradually progresses towards paralysis.

Our team delivers excellent physiotherapy services with quality care assured. Treating the underlying cause of the problem is what we strive for. Our focus is to help patients’ with reduced swelling and strengthening their weak nerves and muscles. The form of treatment and physiotherapy we provide to our patients can help them regain movement and sensation in their paralyzed limb to a great extent. The treatment also tones all the muscles and enhances the general well-being of the patients.

Stroke occur when blood supply to our brain is disturbed or compromised it may be due to blockage in artery or bleeding from ruptured artery, stroke is also called brain stroke or cerebrovascular accident. Available data from most research and surveys suggest that about 10 % stroke patients recovers almost completely, 25 % recovers with mild impairments. With advances in medical sciences the survival rate of stroke patients but it also resulted in increased number of stroke patients who need rehabilitation for optimal recovery.

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Types of Stroke
Based on causes of stroke it could be:
Ischemic stroke (occurs when blood supply to part of brain is impaired of completely blocked that results in less or no oxygenation to part of brain tissue leads to death of these cells.)
Hemorrhagic Stroke (occurs when damage is caused by bleeding inside the brain due to artery rupture, aneurysm rupture)

Effects of Stroke

Impairments caused by stroke depends on the part of brain is damaged. Our brain is deferent functional areas. A person who suffered a stroke may develop following dysfunctions/impairments depending on area of brain damaged.

Hemiparesis (weakness of motor function) Hemiplegia (Paralysis)
Speech problem Swallowing problem
Sensory problem Emotional disturbances
Spasticity, stiffness in muscles, painful muscle spasms Problems with balance and/or coordination
Problems with memory, thinking, attention or learning Problems with bowel or bladder control

Initial recovery after stroke comprises of spontaneous recovery as soon as the various factor such as resolution of penumbra, inflammatory, metabolic activities, and later recovery occur as result of process called neuroplasticity and motor learning. Our brain has natures given capacity to reorganize itself in response to demand put upon it. This process is known as neuroplasticity. We learn new activities throughout our life such as driving a car, playing guitar/piano or learning a new language these all possible only because of neuroplasticity changes.

Recovery after stroke depends on following

 
Extent of brain damage How well the therapy is targeted
Skillful intervention of rehabilitation team Family support.
Time of rehabilitation Active patients involvement

Stroke rehabilitation need highly skillful intervention by team of neurophysiotherapist, neurooccupational therapist, speech therapist, neuropsychologist and neurologist as far as pharmacological therapy is needed.

Various evidence based therapeutic approach exist to help stroke are:

Motor re-learning program, Proprioceptive neuromuscular facilitation, NDT/Botath Various technology based therapy like mirror therapy, body weight support treadmill training, EMG Biofeed Back therapy, virtual reality games, task specific training these all above therapies are based on principles of motor learning and neuroplasticity and we strongly recommend/practice them.

We are dedicated team of neurophysiotherapist, occupational therapist, orthotics & prosthetics, speech therapist and neuropsychologist specially trained in various neurorehabilitation techniques. Such as:

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Proprioceptive neuromuscular facilitation Neurodynamics
Motor re-learning program Bobath Approach
Neurodevelopmental therapy Partial bodyweight support gait training
EMG Biofeed Back Therapy Mirror Therapy
Neuromuscular stimulation EMG triggered electrical stimulation
Suspension therapy Functional physiotherapy

Stroke is not disease itself, it is destructive process caused by some under lying condition and results in group of impairment/disability depending upon the area of brain damaged.

Rehabilitation need of stroke patients are widely vary and must be based on individual requirement. For example patient some stroke causes true motor weakness whereas in some stroke we get mixed impairment, speech impairment, and balance impairment depending on the type of stroke. Our goal of therapy is always to make patient independent functionally as much as possible.

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