STROKE OR BRAIN ATTACK - PHYSIOTHERAPY & REHABILITATION

Stroke or brain attack when the blood supply to part of the brain is interrupted or reduced, causing impaired or loss of oxygen and nutrients to brain tissue. Within a few minutes, brain cells called neuron begin to die.

 

A stroke is a medical emergency. Prompt treatment is crucial. Early action can minimize brain damage and its potential complications.

Early recognition of symptoms of stroke can prevent severe brain damage, you see any of following below symptom the person be getting a brain attack.

  • The trouble with speaking and understanding.

  • Paralysis or numbness of the face, arm or leg.

  • The trouble with seeing in one or both eyes.

  • Headache. A sudden, severe headache, which may be accompanied by vomiting, dizziness or altered consciousness

  • The trouble with walking.

          FACE DROOPING                       ARM WEAKNESS                    SPEECH DIFICULLY       TIME TO CALL AMBULANCE

Seek immediate medical attention if you notice any signs or symptoms of a stroke.
Think "FAST" and do the following:

•    Face. Ask the person to smile. Does one side of the face droop?
•    Arms. Ask the person to raise both arms. Does one arm drift downward? Or is one arm unable to rise up?
•    Speech. Ask the person to repeat a simple phrase. Is his or her speech slurred or strange?
•    Time. If you observe any of these signs, call an ambulance immediately.
 

Types of Stroke

Based on causes of stroke it could be:

  • ISCHEMIC STROKE:  (occurs when blood supply to part of the brain is impaired or completely blocked that results in less or no oxygenation to part of brain tissue lead to the death of these cells.)

  • HEMORRHAGIC STROKE : (occurs when damage is caused by bleeding inside the brain due to artery rupture, aneurysm rupture)

Effects of Stroke

Impairments caused by a stroke depends on the part of the brain is damaged. Our brain is deferent functional areas. A person who suffered a stroke may develop following dysfunctions/impairments depending on the area of the brain-damaged.

 

  • Hemiparesis (weakness of motor function)          

  • Hemiplegia (Paralysis)

  • Speech problem              

  • Swallowing problem

  • Speech problem              

  • Emotional disturbances

  • Spasticity, stiffness in muscles, painful muscle spasms    

  • Problems with balance and/or coordination

  • Problems with memory, thinking, attention or learning  

  • Problems with bowel or bladder control

Initial recovery after stroke comprises of spontaneous recovery as soon as the various factor such as the resolution of penumbra, inflammatory, metabolic activities, and later recovery occurs as a result of a process called neuroplasticity and motor learning. Our brain has natures given capacity to reorganize itself in response to the demand put upon it. This process is known as neuroplasticity. We learn new activities throughout our life such as driving a car, playing guitar/piano or learning a new language these all possible only because of neuroplasticity changes.

Recovery after stroke depends on following

 

  • The extent of brain damage How well the therapy is targeted

  • The skillful intervention of the rehabilitation team            

  • Family support.

  • Time of rehabilitation    

  • Active patient’s involvement

Stroke rehabilitation needs highly skillful intervention by a team of neuro physiotherapist, neuro occupational therapist, speech therapist, neuropsychologist and neurologist as far as pharmacological therapy is needed.

“your brain can relearn maximum functions you lost after a brain stroke,
It requires an integrated program of rehab that you can’t get at your home”

How rehabilitation helps stroke patient

Stroke rehabilitation specialist would do as detail assessment of impairment and accordingly plan goal-directed intervention. These interventions are not just simple stretching or strengthening exercises perhaps consists of various research and outcome-based therapeutic approaches.

 

The various evidence-based therapeutic approach exists to help stroke are:

 

Motor re-learning program, Proprioceptive neuromuscular facilitation, NDT/Botath Various technology-based therapy like mirror therapy, body weight support treadmill training, EMG Biofeed Back therapy, virtual reality games, task-specific training these all above therapies are based on principles of motor learning and neuroplasticity and we strongly recommend/practice them.

We are a dedicated team of neuro physiotherapist, occupational therapist, orthotics & prosthetics, speech therapist and neuropsychologist specially trained in various neurorehabilitation techniques. Such as:

  • Proprioceptive neuromuscular facilitation            

  • Neurodynamics

  • Motor re-learning program         

  • Bobath Approach

  • Neurodevelopmental therapy   

  • Partial body weight support gait training

  • EMG Bio feed Back Therapy        

  • Mirror Therapy

  • Neuromuscular stimulation        

  • EMG triggered electrical stimulation

  • Suspension therapy 

  • Functional physiotherapy

SUCCESS STRORIES

DINESH K JINDAL

“In 2018, I had a stroke. Since then my right arm and right leg become weak and contracted. My arm has been contracted up towards my chest,” says Dinesh K Jindal a stroke survivor. I had speech impediment. He was in outpatient therapy for 4 months doing physiotherapy, speech. He says, he had the most wonderful therapists; their experience and never-ending support was so important during his journey to recovery. While there I was introduced to Able X. It helped me start and continue to use my body balance doing all the ADL’s. Indian Stroke and Paralysis Care Centre gave me a new life.

DINESH K JINDAL

“In 2018, I had a stroke. Since then my right arm and right leg become weak and contracted. My arm has been contracted up towards my chest,” says Dinesh K Jindal a stroke survivor. I had speech impediment. He was in outpatient therapy for 4 months doing physiotherapy, speech. He says, he had the most wonderful therapists; their experience and never-ending support was so important during his journey to recovery. While there I was introduced to Able X. It helped me start and continue to use my body balance doing all the ADL’s. Indian Stroke and Paralysis Care Centre gave me a new life.

ASHOK CHAUDHARY

I was a normal active person in my routine living with my partner and children until I had my stroke. This left me unable to walk or use my left arm. I was discharged from hospital on wheelchair. I was very determined to walk again. There is light at the end of the tunnel. Take one day at a time and every day try to reach a goal, however small. I joined Indian Stroke and Paralysis Care Centre. It was really great feeling. These exercise sessions made me feel there was a life after stroke and gave me hope. I tried everything that was offered. I advise others to keep your chin up.

RAMESH KUMARI

My fall made me paralyzed not only through body but through mind as well. My recovery at Indian Stroke and Paralysis Care centre gave me a new hope, new reason to live. I was hopeless at keeping my self-active. In my deepest, darkest moments what really got me through was rehab in all possible ways. I had that glimmer of hope about my recovery at ISPC. It’s been one month since my admission and I have achieved the monthly sale goal. I am on the road to recovery.

NITI SACHDEVA

Just living is not enough but living with enthusiasm is worth living. Her secret to overcome her challenges is her vivacious nature. In search of a better health she came across Indian Stroke and Paralysis Care Centre at MSS Hospital. Now she could do everything she couldn’t while she was disabled. She says, ISPC manifested positivity, high spirits in her life. Slowly and steadily she won the race to overcome hurdles caused after stroke. She can’t Thank enough for valued assistance infact prays Indian Stroke and Paralysis Care Centre name to be multiplied to help reach out to more people in need of help for better quality of life. She encourages everyone recovering from stroke. She appreciates attention given to her by ISPC staff.

PARAMJEET SINGH

Having a stroke July 2018 changed my life completely. Stroke affected my complete right side, speech impediment. My family sensed jitteriness in my behaviour. I grew more anxious with every passing day. Lost regalement in things normally enjoys, lack energy. Stroke changed my feel about myself and did agonize over the future. It was like a feeling of worry about something with an uncertain outcome. Initially it was difficult for him to work on rehabilitation. Kindle good spirits, the words of others who have faced down the life’s challenges helped to find the will to keep fighting. He further added that Indian Stroke and Paralysis Care Centre at MSS Hospital starts treatment by doing what’s necessary, then progressing to do what’s possible and suddenly you are doing the impossible. An expression of gratitude from his wife for giving his husband a better quality of life after his stroke they could have ever imagined, motivates the team. Mr Paramjeet is working on his own. Although Paramjeet Thank us, he’s the one who deserves the credit. His consistency and enthusiasm will ensure that he keeps seeing amazing results.

SANJAY ANAND

“I think, little by little I’ll be able to solve my problems and survive”, this what Mr. Sanjay Anand thought on hospital bed when he was told stroke by the doctor’s team. He recalled saying June 2018, started out like any other day at the office with one very large exception. While seated at the desk he tilted on his left side, falling on ground. His co-workers noticed that he didn’t seem to be acting normally and asked him. He was life –flighted at the hospital where he spent 14 days, 11 of them in Neuro Intensive Care Unit. He was 58. He often feels depressed when he felt shame and sadness seeing other patients in the stroke unit walking better than him. On some days he wouldn’t even get out of the bed. He misses his daily routine from getting 5 in the morning till 11 at night. He was always on his toes. Sanjay Anand has a long road back. He is still working on his recovery but has made such remarkable progress. He could resume working and has returned to his functional activities. His family is so grateful to the wonderful therapists, doctors, and nurses of Indian Stroke and Paralysis Care Centre who have contributed to his recovery. 

SAROJ JAIN

Together we can, together we will. Her optimism and MSS therapist’s skills helped her to recover from stroke. She shares her experience with everyone in stroke unit to give them the confidence and belief. Looking back the memory lane, she says it to be a long journey from her hospital stay to wheelchair dependent to her rehabilitation. It’s like a dream come true with lots of efforts done efficiently. Team of physiotherapists at MSS prompt me and within couple of months I was able to handle myself. Not only been able to sit –stand from bed but started taking steps gradually progressing with stairs. Saroj Jain says, I have the power to do something and liberated. I was wheelchair dependent. She stands proud of her achievement when she looks at mirror. She further adds, Indian Stroke and Paralysis Care Centre at MSS Hospital treatment brought lost smile back. Her helplessness replaced with ability and now she commutes all alone from Rohini to Pitampura. Going out places is no more a challenge for her. She thanks ISPC team from the Bottom of her Heart for care and support she got. She knows that her life is now worth living and exciting.

SHASHI BALA

Shashi Bala a woman past her prime with ectomorph build marched ahead of Indian Stroke and Paralysis Care Centre at MSS Hospital on 17th Sept 2018 from Kasganj, U.P. after 7 months of CVA. She arrived by ambulance accompanied by her husband, paralysed on the right side of body and speech was garbled. She could barely hold up her head and had no balance. This sudden stroke impaired her cognitive, emotional and physical capabilities to that of a new born baby.  According to her husband, his wife condition was a major setback for him and for his family. For Shashi it was a daily struggle that greet her each morning to relearn basic functional life skills. Staff at the hospital urged Shashi to focus on what she could do not what she couldn’t do. Several weeks of rehab got her to the point where she was able to sit, stand and walk out of the place with the help of a walker. According to her husband he attributes his wife’s overall improvement to ISPC. While hospitalised, Shashi tried working out her mental muscles by repeating things she wanted to retain such as date of anniversary, date of birth, number of children etc. as task given to her in her free time. Shashi speech has just started. With her slurred speech pattern she showed her desire to get back her normal life, looking after her grandchildren, playing with them. She soon wants to re-join her Mahila Seva Samiti get together.

SUCHITA SINGH

I am a wife, a mother and a housewife. The trauma of the stroke has shaped my life in ways I was not prepared for. After a stroke the life you once had is changed forever. Through Indian Stroke and Paralysis Care Centre the journey to create a new way of living has influenced every aspect of life. They have strengthened and propelled my journey of fitness and affirmative life style. It’s been a long hard journey. ISPC gave me the power to face challenges around me. What I love to do that I thought I would never be able to do again is cooking! My life has definitely changed, but I’ve learned to embrace my new routine. With God’s grace, support from family and physiotherapists -All Things Are POSSIBLE!

Stroke is not the disease itself; it is a destructive process caused by some underlying condition and results in a group of impairment/disability depending upon the area of the brain-damaged.

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