Introduction: Stroke is an acute compromise of the cerebral blood flow or vasculature or cerebrovascular accident (CVA).  In other words, stroke is when blood flow to a part of your brain is stopped either by a blockage or the rupture of a blood vessel.

 

Signs and Symptoms

·       FAST -Face drooping, Arm Weakness, Speech difficulties, Time to call an Ambulance

·       Weakness of the face, arm and leg on one side of the body with decreased sensation, changes in vision, decreased cognitive function

·       Decreased coordination, double vision, dizziness, deafness

·       Sudden severe headache, loss of consciousness, nausea, vomiting

Causes

·       High blood pressure

·       high cholesterol

·       smoking

·       physical inactivity

·       arrhythmia

Goal of Physiotherapy

After a stroke, there are several layers of intervention. Upon primary presentation, time is of the essence. After surgical, medical, and acute care modalities, care transitions functional daily living support and rehabilitation. Goals of physiotherapy involve,

·       Acute care

o   prevention of recurrent events, mobilization, and screening

·       Rehab care

o   Setting rehab goals

o   Manage motor deficits

o   Prevent and treat complications

·       Community reintegration

o   Coordinate continuity of care

Treatment for Stroke

·       Improve motor control

o   Use several different techniques for sensory stimulation to facilitate movement.

·       Learning theory approach

o   Conductive education and motor relearning theory

·       Functional electrical stimulation

o   Help restore motor control, spasticity, and hemiplegia

·       Biofeedback

·       Limb physiotherapy

o   Use of passive and assistive care devices.

·       Other treatments include

o   Tone management, Sensory re-education, Balance retraining, Fall prevention, Gait re-education, Functional mobility training