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rehabilitation of stroke patients
psychoscial impact of stroke essay
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Stroke and Spinal Cord Injury both have detrimental effects on the body function. Commonly, they result in some levels of muscle weakness and paralysis. The complications after a stroke or a spinal cord injury negatively impact not only the patients’ health, but their quality of life. Therefore, it is important that rehabilitation therapy starts at an early stage after the incidence to enable the patients to adapt to their new conditions and maximise their life. Physical activity and exercise program are one of the most important part of rehabilitation, which help the patients to achieve better health outcomes and lifestyle.
• Stroke
Nowadays, stroke has become one of the major causes of death and lifelong disability in adults
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Regular exercise program is known to be beneficial for people with SCI. Exercise program designed for SCI patients is somewhat similar to the program for stroke survivors. However, it should be noted that the concerns for each condition are different, so there must be focus on specific requirements for the individual. Stroke survivors’ disability depends on the area of the brain that is damaged, whereas the disability of individuals with SCI depends on the damage in their spine. Therefore, detailed assessment of the spinal lesion must be carried out before designing exercise program for a person with SCI (Jacobs & Nash, 2004). An exercise program that combines mobility activities, aerobic resistance, strength, coordination, recreation, and relaxation can improve their functionality and fitness (Durán, Lugo, Ramírez & Lic, 2001). The individual should have 3 sessions per week with the total of 120 minutes (Durán, Lugo, Ramírez & Lic, 2001). The duration of each session can be shorter at first and increased over time to avoid injury and overwhelming stress for the patients. Some very common modalities of exercise for this group include arm crank ergometry and swimming. This is because SCI often causes paralysis and weakness in the lower limbs, which makes sense to place more focus on the upper extremity exercise modes in order to achieve the desired fitness level (Nash,
Physical therapists can either specialize in specific areas, like paralysis or orthopedics, or they can treat a broad range of needs. Physical therapy is divided into three basic categories: acute care, neuro-rehab, and outpatient physical therapy. I am particularly interested in acute care, which involves treating patients in the hospital setting. Acute care involves treating patients following surgery, restoring patients' physical activity following an accident or illness, and helping patients to overcome disabilities. Teaching home exercises, preparing rehab programs, and explaining how to use assistive devices are the acute care therapist's main jobs. On the other hand, neuro-rehab physical therapists deal with patients who have long-term injuries, such as spinal cord injuries. Finally, outpatient physical therapists are usually self-employed and generally treat patients in the home. ("Information" 7) All three types of physical therapists perform the same general tasks. The goal of physical therapy is to help patien...
A stroke is a serious, life-threatening medical condition that occurs when the blood supply to part of
Treatment for Spinal Muscular Atrophy is currently unavailable to correct this condition. But a person can take other steps to try to help comfort the situation they are in but there is no stopping it. Physical therapy is important because it can help work the muscle to prevent contraction of them. Breathing machines are an important to have because a lot of trouble falls under the breathing when the weakness of these muscles occurs.
Globally the leading reason for mortality and morbidity rate is stroke. Nearly twenty million individuals can suffer from stroke annually and around five million individuals won't survive [1]. The developing countries account for a median of 85% of worldwide deaths from stroke [2]. Stroke ends up in practical impairments with a median rate of two hundredth survivors who need institutional care once an amount of three months and 15%-30% are going to be disabled for good [3].
Cerebrovascular disease or the term stroke is used to describe the effects of an interruption of the blood supply to a localised area of the brain. It is characterized by rapid focal or global impairment of cerebral function lasting more than 24 hours or leading to death (Hatano, 1976). As such it is a clinically defined syndrome and should not be regarded as a single disease. Stroke affects 174-216 people per 10,000 population in the UK per year and accounts for 11% of all deaths in England and Wales (Mant et al, 2004). The risk of recurrent stroke within 5 years is between 30-43%. One problem is that the incidence of stroke rises steeply with age and the number of elderly people in the UK is on the increase. To date people who experience a stroke occupy around 20 per cent of all acute hospital beds and 25 per cent of long term beds (Stroke Association, 2004). The British Government now identifies stroke as a major economic burden on the National Health Service (DoH, 2002).
Spinal cord injuries can range from minor, meaning the injured will recover, to very severe injuries that can cause significant damage to someone’s body and self-esteem. Approximately 12,000 people per year experience spinal cord injuries in the United States. 50% of all spinal cord injuries occur between the ages of 16 and 30 and 80% of all spinal cord injuries happen to males. The most common accidents that cause spinal cord injuries are motor vehicle accidents followed by falls, violence and then sports. There are two major types of spinal cord injuries, complete spinal cord injury and incomplete spinal cord injury. Spinal cord injuries can also cause other complications including respiratory, bladder control, skin sensation, circulation problems, muscle tone, sexual health, pain, depression, scoliosis, UTI and spasticity. Complete spinal cord injuries occur when one loses complete feeling and sensation typically resulting in paralysis below the injury. Incomplete spinal cord injuries mean there is still some feeling and movement below the injury site. One can experience different types of incomplete spinal cord injuries including anterior cord syndrome, central cord syndrome, brown-sequard syndrome, nerve cell injuries and spinal contusions. Currently there is no cure for spinal cord injuries. Causes of SCI:
An older person who has had a stroke may simply want rehabilitation to be able to dress or bathe without help. Sometimes physical therapy is required for management of chronic conditions that otherwise would be very expensive to treat using prescription medication.Advantage of physio therapies it has long-term health benefits.One of the smartest reasons to use physical therapy is that it provides a
The spinal cord is a major channel in the body where motor and sensory information travels from the brain to the body. It has white matter that surrounds a central gray matter. The gray matter is where most of the neuronal cells are located. Injury to the spinal cord will affect the conduction of information across any part of the spinal cord where the damage is located (Maynard et al., 1997). This will often result in permanent disability of a certain muscle or region of the body (Meletis et al., 2008) and a loss of tissue where the damage is located (Peng et al., 2009). As of now, there is no treatment for spinal cord injury expect for steroids. All steroids can do is provide protect of the spinal cord from secondary injury for specific patients (Peng et al., 2009).
Taylor, F.C. and K. Suresh Kumar, Stroke in India Factsheet. South Asia Network for Chronic Disease, IIPH Hyderabad, Public Health Foundation of India.
According to the American Heart Association / American Stroke Association’s About Stroke (2014) “stroke is the number four cause of death and the leading cause of adult disability in the United States” (para.1). On average, a stroke happens every 40 seconds in the United States (Impact of Stroke, para. 1) About 4% to 17% of all patients with stroke experience symptom onset while hospitalized (Cumbler, et al., 2014). This amounts to about 35,000-75,000 in-hospital strokes in the United States annually.
Stroke is a serious medical condition that affects people of all ages specifically older adults. People suffer from a stroke when there is decreased blood flow to the brain. Blood supply decreases due to a blockage or a rupture of a blood vessel which then leads to brain tissues dying. The two types of stroke are ischemic stroke and hemorrhagic stroke. An ischemic stroke is caused by a blood clot blocking the artery that brings oxygenated blood to the brain. On the other hand, a hemorrhagic stroke is when an artery in the brain leaks or ruptures (“About Stroke,” 2013). According to the Centers for Disease Control and Prevention (CDC), “Stroke is the fourth leading cause of death in the United States and is a major cause of adult disability” (“About Stroke,” 2013). Stroke causes a number of disabilities and also leads to decreased mobility in over half of the victims that are 65 and older. The CDC lists several risk factors of stroke such as heredity, age, gender and ethnicity as well as medical conditions such as high blood pressure, high cholesterol, diabetes and excessive weight gain that in...
An important factor in physical therapy is that a person must meet his or her own unique needs. Everybody respond differently to therapy. People have different types of bodies, different patterns of movement, different alignments, and different habits. Physical therapist can monitor each individual and develop a program to correct improper habits, alignment, and movement pattern. Physical therapists provide many services, depending on what the patient needs. The process includes many test to determine what kind of treatment will be done. These certain tests will measure movement in the areas of strength, balance, posture, coordination, and endurance. Treatment also depends on how critical the injury is. If the patient only had a minor injury, then the treatment will not take as long and the patient will not have to do as much excercises. If the injury is serious, then the treatment and recovery t...
Multiple Sclerosis (MS) is a debilitating autoimmune disease. The Central Nervous System (CNS) is attacked by the immune system; creating lesions that interrupt the correct signaling of nerves, spinal cord, and brain (Frankel, & James, 2011). Inhibiting development of this disease is crucial for maintaining quality of life and fatigue for individuals with MS. There has been vast amount of research on the effect of various exercise training programs, and their benefits for MS (Motl, & Gosney, 2008, Krupp, 2003, Chen, Fan, Hu, Yang, & Li, 2013). Balance, aerobic, and strength training have been the main focus of most researchers; causing an interest in what training mode is most effective for improving quality of life and lower fatigue. It is critical to examine and contrast the effectiveness of a variety of exercise programs, because if training is completed effectively it can drastically improve quality of life and fatigue for individuals with MS.
Stroke has been classified as the most disabling chronic disease, with deleterious consequences for individuals, families, and society1. Stroke impacts on all domains in the ICF. The body dimension (body functions and structures), the individual dimension (activity), and the social dimension (participation). All domains influence each other2.
Stroke is a commonly known disease that is often fatal. This cellular disease occurs when blood flow to the brain is interrupted by either a blood clot halting the progress of blood cells in an artery, called an Ischemic stroke, or a blood vessel in the brain bursting or leaking causing internal bleeding in the brain, called a hemorrhagic stroke. When this happens, brain cells are deprived of oxygen and nutrients because the blood cells carrying these essential things are stopped, causing them to die. When the cells in the brain die, sensation or movement in a limb might be cut off and may limit an organism’s abilities. A person with stroke is affected depending on where in the brain the stroke occurs. In other words, symptoms of a stroke