Motor Development Skills in Stroke Patients

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When assessing the relative literature as well as the plight of stroke patients, one finds that there are many causes or reasons why people fall victim to strokes. Accidents, diet, and old age-related factors are most often identified. Similarly, there exists some consensus as to appropriate treatment or therapy, which of course is dependent upon the individual and actual condition. The risk of stroke in all Americans increases after the age of 45. More often that not, clinicians are predisposed to prevention over treatment. Arteriosclerosis has been identified as a frequent cause of strokes, and certain factors have similarly been identified as exacerbating individual's medication conditions. Diet as well a related factors including smoking tobacco and drinking alcohol are considered culprits in this assessment. Hypertension is a manifestation of systemic disease, and is largely treatable. Stroke risk increases directly with elevation in systolic and diastolic blood pressure in women and men regardless of age. Control of hypertension has convincingly been shown to reduce stroke incidence and mortality, and the effect of blood pressure reduction is at least as great in elderly patients as in younger ones. Recently, a prospective study involving more than 400,000 patients in many countries confirmed that the lower the diastolic blood pressure, the lower the stroke and CAD, even in the normotensive range of 70-80 mm Hg. The hypertension connection is most pronounced in black Americans and in those of Chinese and Japanese origin, but it applied universally. At some point it is wise to evaluate high-risk patients for target organ damage, including hypertensive renal changes and LVH. When implementing risk modification strategy with th...

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... May Hurt in Stroke," Medical World News, March 30, 1990, Vol. 31, p. 11.______________. New England Journal of Medicine, "The Effect of Low-Dose Warfarin on the Risk of Stroke in Patients with Non-Rheumatic Atrial Fibrillation." Nov. 29, 1990, Vol. 323, p. 1505.Powell and Dysinger. American Journal of Preventive Medicine, "Childhood Participation in Organized School Sports and Physical Education and Precursors of Adult Physical Activity," (1992) 3, No. 5.Weiller, Cornelius, M.D., Francois Chollet, M.D., Karl J. Friston, MRC, Psych., Richard J.S. Wise, M.D., and Richard J.F. Frackowyak, M.D. Annals of Neurology, "Functional Reorganization of the Brain in Recovery from Striatocapsular Infarction in Man," 31, No. 5, May 1992, p. 466.Wolfgang, Fries, Adrian Danek, Klaus Scheidtmann, and Christoph Hamburger. American Journal of Physical Medicine, 1992, 48, p. 369.

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