NEURO PHYSIOTHERAPY
When there is a rupture or any obstruction in the blood vessels, then the blood flow to the brain get blocked. This blockage to the flow causes lack of oxygen for the brain cells, and it leads to damage and death of the tissues within minutes. This condition is known as stroke. The symptoms of stroke appears on the body parts which are controlled by the part of brain affected. Women having more lifetime risk when compared to men. Symptoms varies from numbness to death.
Symptoms of Stroke
• Sudden and severe headache with no known cause
Trouble breathing
• Fainting and loss of consciousness
• Increased agitation
• Difficulty in speech and altering words
• Blurring of vision
• Numbness in arms, face or legs, specially on one
• side, which is the opposite side of the affected brain part Loss of balance
Paralysis
• Imbalanced walking
• Drooping on one side of the face and an uneven smile
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These are some of main symptoms of stroke. The condition needs immediate attention.
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Causes of stroke
The causes of stroke can be explained only by knowing the type of stroke. Three main types of strokes are,
- Transient Ischemic Attack (TIA) Ischemic Stroke TIA is caused by a temporary blockage to the blood flow, mainly due to any clots inside the vessels. The condition let’s for few minutes. The flow is restored when the clot is moved from the block.
- Ischemic StrokeIschemic Stroke is also caused by the block by blood clots or due to Atherosclerosis. Fat substances are deposited inside the artery, and when a fatty part get into the flow and obstructed the way, stroke occurred.
- Hemorrhagic Stroke In Hemorrhagic, there is burst or leakage of the blood vessels. Blood seeps into the surrounding brain tissues, causes pressure into the cells. Then there is lack of oxygen due to loss of blood which leads to stroke.
Unhealthy food habits, alcohol consumption, tobacco use, high blood pressure are some of the considering reasons for stroke.
Treatment of Stroke
- Use of anticoagulants
- Clot breaking drugs
- Mechanical Thrombectomy (Removal of clots)
- Use of stents (It infalates the artery and supports the weak artery walls to withstand the pressure)
- Surgery (for removal of clots)
Complications
Stroke is a leading cause for long term disability. So it is much important to take measures of rehabilitation as soon as possible.
- Speech therapy
- Cognitive therapy
- Relearning sensory skills
- Physiotherapy, are some of the measures that can take immediately after the primary treatment sessions for stroke.
Parkinson's disease is a progressive neurological disorder which affects the whole body movements. Dopamine is a chemical substance which is produced by substantia propria (a part of brain). This chemical is responsible for all coordinated muscle movements. In Parkinson’s disease, the cells of substantia propria start to degenerate and it results in reduced production od dopamine. There is no actual cure for the disease
Symptoms of Parkinson’s disease
• Anosmia (decreased ability to smell)
• Stooped posture
• Shivering hands
• Cramped handwriting
• Constipation
• Stiffness of arms, legs and trunk
• Slow movements
• Problems with balance
• Tendency to fall
• Blank facial expressions
• Decreased blinking of eyelids
• Problems in swallowing
• Sleep disturbances
• Psychosis
• Problems with memory and attention
There is stagewise improvement for the symptoms of the condition. In later stages, the condition leads to death.
Management of Parkinson’s disease
- Occupational therapy It helps people to return into their daily activities. It is to help the people to work asindependently possible. The patient is practised with some specific skills to accomplish the works.
- Rehabilitation It aims at improving the strength, coordination, balance, endurance and the ability to perform daily activities. Staying active is the essential part of Parkinson’s.
- Speech therapy It is to improve the communication, help in remembering and altering words, and controlling the facial expressions
- Community ReintegrationThis helps the patient to relearn the skills that enable them to participate in home and in all works.
The damage of spinal cord is an extremely serious condition, which is likely to have a lasting impact on every aspect of life. The spinal cord is a bundle of nerves which is protected by the vertebral column. The spinal cord is responsible for all voluntary and involuntary actions of the body. Brain sends messages through the nerves to different part of the body. If there is any injury to the spinal nerves, then the impulses cannot be pass through. It will totally affect all the sensations and mobility of the part of body which comes under that specific nerve. Injury to the nerve near the neck can cause paralysis, that affect a larger part of the body.
Causes of spinal cord injury
•Fall from A significant height
• Trauma during motor vehicle accident
• Violent attack like stabbing or gun shot
• Electrical accident
• Deep diving.
Management
SCI rehabilitation is a long process which needs patience and time of both the patient and the surrounding people.