Participants With Acute Stroke And Unilateral Hemiparesis

Article Summary: In the article “Early Identification, Rapid Response, and Effective Treatment of Acute Stroke: Utilizing Teleneurology to Ensure Optimal Clinical Outcomes” by Patricia Bowens, exhibits the concerns of acute stroke as a universal health issue. Not to mention, the article also introduces teleneurology being implemented in order to establish a conclusive attempt to minimize the condition. For instance, in the article Bowen’s had conducted an experimental analysis which statistically establish a significant disparity among sex, race, and economical conditions. As a result of her study, it appears that seven million Americans are diagnosed with acute stroke over the age of 20. Moreover, gender plays a pivotal role of acquiring this

(2013). The efficacy of SMART Arm training early after stroke for stroke survivors with severe upper limb disability: a protocol for a randomized controlled trial. BMC Neurol 2; 13:71.

Given the high risk of severe, debilitating health outcomes imaging a patient with suspected stroke in a timely fashion is paramount. When the timing of the stroke onset is determinable this allows for the appropriate form of treatment to be administrated such as thrombolytic therapies and neurointerventional techniques (González, 2012).

During my reading this an article, I found some information in this an article pertains to Right Hemisphere Stroke: A Victim Reflects on Rehabilitative Medicine book. For example, Johnson could recognize, even understand isolated words but when they come together in a sentence, Johnson would have difficulty dealing. On the other hand, the article presented that the respondents only presented higher difficulties in sentence formulation. This supports the premise that this tool is highly sensitive to language production. It also reflects the hypothesis that the right brain performs a complementary role to the left brain, with the execution of more complex tasks, such as formulating words with two or more target words, readily influenced by reduced

The rehabilitation management of a stroke patient with multiple impairments as illustrated in this case report warrants early rehabilitation referral and requires an effective interdisciplinary teamwork to ensure prevention of further complications as well as to improve the patient’s function and independence. This patient who had undergone left transtibial amputation and had a chronic right forefoot diabetic foot ulcer unfortunately suffered a stroke resulting in left hemiparesis, leaving the managing team in a difficult situation to balance between patient’s independence in function with safety.

Hemiparesis is weakness on one side of the body, such as one arm and one leg. Hemiparesis often happens after a stroke. The weakness is usually on the side of the body that is opposite from the part of the brain affected by the stroke. Hemiparesis can make it hard for you to do normal daily tasks, so you may need extra help or therapy.

The first clinicians to study hemiplegic shoulder positioning were Dean et al.’s (2000) who recruited 23 chronic stroke patients and allocated them to an intervention group of 10 patients and a control group of 13 patients. Both groups’ arm received training on active tasks but the intervention group additionally received prolonged positioning of the hemiplegic arm thrice per day for 20 minutes, during 6 weeks (Dean et al. 2000). Three different positions were implemented: first, the patient laid supine with shoulder in maximum painless abduction, external rotation and flexion of the elbow; second, the patient laid supine with shoulder in 90ο abduction, maximum painless external rotation along with elbow flexion, and; third, the seated patient

The subjects of the study were ten people who had recently had a stroke, two were women and eight were men. Additionally, these people had only one leg affected and were able to safely use all the testing equipment. Each person was first subject to four tests for a clinical assessment to better understand the subjects. These tests were the Modified Ashworth Scale, Timed Up and Go Test, manual muscle testing, and a test to determine the person’s range of motion.

Most exercise is designed for neurorehabilitation, not cardiovascular health, so there is a very different definition for stroke patient exercise, as well as a very different goal set. Because strokes affect each person differently, treatment is also specific to the individual. The literature included in this review focuses on three different methods of exercise, each with very specific goals in mind. Cabanas-Valdés and collegues study was on Core and Trunk stability, Minyoung describes use of Virtual Reality enhanced exercise for treatment, and Tutak introduces the concepts behind Rehabilitation

Strokes are known as the leading cause of acquired disability in adults where between 20-30% are left unable to walk, and leaving those who are able to walk, with a moderate to severe walking disability (Maguire et al., 2012). This disability results in a huge socioeconomic impact on the patients and their families lives. In order to improve their quality of life, an improvement in balance is the important first step in which is crucial to enable more independent movement, for example walking.

Stroke can be defined as an unexpected and evolving start of neurological symptoms due to a quick and steady blocking of blood stream to the brain. A stroke is a common brain injury that ranks amongst the leading causes of death around the world (Murray and Lopez et al 1997). The symptoms and the harshness of the injury is determined by the area, and the degree of damage it causes to the brain. A common result of a stroke is Hemiparesis, which effects only half of the body. This condition then adversely effects the different systems of the body causing weakness of the muscles and loss of agility. Following a stroke, many patients begin to experience a continuous sensorimotor shortage. This shortage in sensorimotor not only hinders their capacity

The location in the brain where your stroke occurred will determine where in the body you experience weakness.

Stroke is a severe medical condition and is the number five cause of death and leading cause of serious, long-term disability in America. There are three main kinds of stroke, ischemic which is caused by blood blots, hemorrhagic which is caused by ruptured blood vessels that cause brain bleeding, and transient ischemic attack (TIA) which is a “mini-stroke” caused by a temporary blood clot. It is well-known that brain cells die after a few minutes when they are no longer able to receive nutrients and/or oxygen from the blood or even when there is sudden bleeding in and around the brain. After the brain cells die, the part of the body that they control will no longer be able to function. The signs and symptoms depends on the

Purposeful movement of an upper limb can be difficult for many individuals with post-stroke functional limitations such as hemiparesis. Due to the level of disability caused by stroke, researchers have investigated rehabilitation protocols such as unilateral and bilateral training, and the benefits of each in expediting progress towards recovery. Neurophysiological mechanisms were studied, analyzing the effects of unilateral training, bilateral training, and a combination of the two and their effect on the brain. Participants of the studies varied widely. However,

IntroductionRobotics-assisted therapy is the new advent for medical advancements, helping patientsrehabilitate, recover, and have an overallbetter quality of life. Those who have suffered from astroke, spinal cord injury, or neurological disorder are now able to benefit from thesetechnological advances in ways no other physical modality can provide.Types of Robotic ProsthesesUpper ExtremityThe need for a specific device is often based on the pathology involved. Since strokes arethe most common case among disease and injuries for upper limb movement disorders, ourfindings will start there.Rehabilitation hospitals likeBurkeMedical Research Institute (BMRI)are currently implementing robotic rehab in all of their physical therapy programs