3 treatments for a person who has suffered a stroke

How should you approach stroke rehabilitation? Here are some alternatives that you can evaluate for your recovery.

As we saw in the blog about ischemic and hemorrhagic strokes ischemic and hemorrhagic strokes, their differences also imply different immediate treatments for each.their differences also imply different immediate treatments for each. In the first case, a thrombolytic drug (tissue plasminogen activator) is given. This drug travels through the blood to the brain and thus dissolves the clot.

But if it is a hemorrhagic stroke, an anticoagulant may worsen the situation. In this sense, the bleeding must be controlled and the pressure reduced, either with medication or surgery. Treatment will also depend on the cause of the hemorrhage and whether it was generated inside or outside the brain tissue.

Once the emergency is covered, a rehabilitation process follows. What are these options?

 

3 treatments for a person who has suffered a stroke

 

Remember that as we saw earlier, the sequelae of a stroke can range from speech to mobility. mobility. The type of treatment applied to each person will depend on this. The important thing is that rehabilitation begins as soon as possible, since if a person is immobilized for a long time, he/she may lose strength in his/her muscles, which will slow down recovery.

But in general terms we can distinguish some of the most used ones:

 

Physical treatment

It is mainly kinesiological/occupational treatment in which the following are performed:

  • Motor skills exercises: to improve muscle strength and coordination. 
  • Training in the use of technical aids: teaching the use of items such as a wheelchair or walker, to make it easier to move around, while you recover functional movement.
  • Constraint-induced therapy (forced use): consists of suppressing the use of an unaffected limb so that you practice movement with the affected limb to improve its function.
  • Range-of-motion therapy: some treatments or exercises aid in range-of-motion recovery.
  • Management of spasticity: with mobility exercises, pharmacological treatment or the use of FES.

 

Taking this last point, there are also alternatives that incorporate technology. This is the case of functional electrostimulation. The use of FES is recommended as a complement to conventional occupational therapy, as it can optimize rehabilitation results and reduce recovery time (as in the case of upper extremities or gait).

As we saw in a previous blog, studies conducted in South Korea showed that the use of FES in mirror therapy in stroke patients had a significant improvement in wrist extension. use of FES in the mirror therapy of stroke victims had a significant improvement in wrist extension and precision exercises. and precision exercises.

In addition can be used in cases of dysphagia, as it can potentiate the muscles involved in the swallowing process. In this treatment, an electric current is applied to the facial, suprahyoid and floor of the mouth muscles (as needed). The idea is to generate a contraction that facilitates muscle movement in the swallowing stage that was altered (from lip seal to laryngeal ascent).

Cognitive activities

Occupational therapy and speech therapy can help with those cognitive abilities that were lost after the stroke. For example memory, processing, problem solving, social skills, judgment and safety awareness.

Likewise, for communication disorders, speech therapy can restore lost communication skills including listening, writing and comprehension.

Psychological therapy

To cope with everything that comes after suffering a stroke, it is essential that you are in good emotional condition. In fact, the U.S. National Institute of Mental Health states that many people who have suffered this trauma need therapy to cope with depression, anxiety, frustration and anger. therapy to cope with depression, anxiety, frustration and anger.

Those who have survived a stroke and have depression are often less likely to follow treatment plans, and may be irritable or have personality changes. 

Basically it is learning to live your life in a completely different way than what you were used to, so it is normal that you need tools that can help you to manage your rehabilitation in the best possible way. 

Conclusion

These treatments for a person who suffered a stroke cover different aspects, from functional movements to emotionality. It is advisable that you ask for an expert diagnosis so that you can elucidate what therapy you need. The idea is that you can evaluate different alternatives.

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