Case Study On Stroke

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1.1. Stroke:

Stroke is a common, serious and global health care problem; it’s the third most common cause of health and first cause of adult disability (12). The rehabilitation is the major part of his care (13).
Stroke is a neurological deficit caused by an acute focal injury f the central nervous system (CNS) by a vascular cause: a cerebral infraction appears with overt symptoms or intracerebral hemorrhage with no symptoms (10%) and subarachnoid hemorrhage (5%) (14).
The most impairment that can be regarded as a loss or limitation of function in movement or limitation in mobility and muscle contraction, is the most common and widely recognized impairment caused by stroke. The movement of face, arm, and leg of one side of the body are the structures affected by the motor impairment after stroke and affected 80% of patients. Motor impairment can be caused by ischemic or hemorrhagic injury to the motor cortex, premotor cortex, motor tracts, or associated pathways in the cerebrum or cerebellum (15).
One of the common undesirable
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Due to motor training, the kinesthetic, extero-ceptive, visual and attention information can be modulated; it’s useful for arm function rehabilitation when it increases. The healthy hemisphere does not play a univocal role after a stroke. The spontaneous upper extremity neurological recovery after a stroke can occur through contralesional motor cortex recruitment. This bi-hemispheric reorganization allows the healthy hemisphere to efficiently contribute to a uni-manual motor task by the paretic arm. The motor facilitation observed in the bilateral mode could be explained by the fact that the healthy hemisphere removes its inhibition upon the lesion hemisphere. Furthermore, the corticospinal fibers stemming from the healthy hemisphere, no decussated and aimed for proximal motricity, could be recruited

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