Hemorrhagic stroke rehabilitation

Every October 29 is World Stroke Prevention Day, which seeks to raise awareness of this pathology that annually affects some 15 million people worldwide, of whom five million die and five million are left with some type of disability.

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Loss of strength in one arm or half of the body, facial paralysis, and difficulty speaking or making oneself understood are symptoms that a person may be suffering from a cerebrovascular accident (CVA)which occurs when the blood supply to the brain is interrupted.

This is a medical medical emergency that, if not treated in time, can cause serious serious sequelae ranging from from motor paralysis to death..

The STROKE occurs when there is damage to damage to the brain tissue due to a problem in the arteries that supply it, and may be ischemic (when an artery is occluded) or hemorrhagic, when the artery ruptures.

According to data from the Ministry of Healthhemorrhagic stroke accounts for 10-25% of all strokes, with less than 40% survival rate at the first year and an incidence of 20 per 100,000 inhabitants.

The after-effects of a stroke STROKE people are largely due to the fact that a large part of the population is unable to recognize the fail to recognize its symptoms and do not and do not go to the nearest emergency service in time. Timely medical attention can prevent further damage, neurological sequelae and even death.

hemorrhagic stroke

A hemorrhagic stroke occurs when a blood vessel in the brain ruptures, causing a stroke.causing a stroke. This includes bleeding in the brain (intracerebral) and bleeding between the inner and outer layers of tissue covering the brain (subarachnoid).

This type of stroke is infrequent, occurring in only about 20% of patients. about 20% of cases. of cases.

Mayo Clinic adds that brain hemorrhages can result from many blood vessel conditions, stemming from factors such as uncontrolled high blood pressure, overtreatment with anticoagulants, or trauma (such as a car accident).

Causes of hemorrhagic stroke

The main cause of of hemorrhagic hemorrhagic stroke is hypertension.to the point that two out of every three accidents of this type are caused by it.

In addition, these can be caused by:

  • Inflammation of a blood vessel in the brain (intracranial aneurysm): it may be caused by arterial hypertension or congenital.
  • Weakening of the blood vessels in the brain: this can happen due to uncontrolled blood pressure or by accumulation of a protein called amyloid in the walls of the blood vessels (cerebral amyloidosis).
  • Abnormalities in the way blood vessels have formed in the brain (arteriovenous malformation).
  • Anything that increases the tendency to bleed. This may include treatment with an anticoagulant medication (such as aspirin) or having a disease such as leukemia or hemophilia.
  • Use of some illegal drugs, such as cocaine.
  • Having suffered a trauma to the head. May cause blood vessels to burst and bleed in and around the brain.

Main sequelae

A stroke can cause temporary or permanent temporary or permanentdepending on how long the brain lacks blood flow and which part was affected.

Complications include:

  • Paralysis or loss of muscle movement. It may occur on one side of the body or loss of control of certain muscles, such as those on one side of the face or arm.
  • Difficulty speaking or swallowing. It can affect the control of the muscles of the mouth and throat, making it difficult to express oneself clearly or to swallow.
  • Memory loss or difficulty thinking. Many people who have had a stroke have difficulty remembering. Others may be impaired in their ability to reason, make opinions and understand concepts.
  • Emotional problems. People may have more difficulty controlling their emotions or suffer from depression.
  • Pain. Pain, numbness, or other unusual sensations may occur in the affected body parts.

The Ministry of Health reports that only 25-30% of affected patients are functionally independent one year after suffering a hemorrhagic stroke. Furthermore, it states that six months after the stroke, 28% of the patients were alive but dependent and only 33% were independent in activities of daily living.

Therapy and rehabilitation

The TrainFES methodology methodology for rehabilitation includes an evaluation and indication of personalized treatments personalized case by case, in charge of a team of physiatrists, kinesiologists, occupational therapists and speech therapists who will accompany the whole process.

In addition to this, the technologywith the use of functional electrostimulation (FESwhich consists of the application of soft and painless electric currents that seek to activate the affected muscles.

A personalized training plan, the permanent accompaniment of the medical team and the use of functional electrostimulation allow the following benefits to be obtained:

  • Improved motor recovery
  • Assists reaching and grasping function
  • Improves swallowing
  • Restores or improves walking ability
  • Decreases spasticity or muscle stiffness
  • Increases functionality in independence

Functional electrostimulation

The use of functional electrostimulation as part of a integral training plan training plan enables significant advances that translate into a better quality of life, both for the patient and his or her environment.

Motor recovery

Generally, a STROKE results in loss of functional movement by affecting control of arms or legs, thus interfering with activities of daily living such as walking, going up or down stairs, showering or eating.

The objective is for the person to recover impaired movements and functional functional capacity, to improve the development of those activities that are part of their daily life.

The use of the FES as an adjunct to conventional therapy can improve improve rehabilitation outcomes and decrease recovery time, especially if upper extremity or gait is involved.

hemorrhagic stroke

Assists reaching and grasping function

The TrainFES therapy, which includes upper extremity upper extremity training, has proven to be an effective intervention in stroke rehabilitation.

A study conducted in the United States showed significant improvements in terms of object manipulation and object manipulationand traction, in addition to standing out in upper extremity indexes.

Enhancing conventional therapy to improve swallowing

The treatment with functional electrostimulation is an excellent tool for for conventional phonoaudiological therapy for swallowing disorders.

Scientific analyses have proven the good results of this method in the rehabilitation of dysphagia. rehabilitation of dysphagia. Speech therapy with training and functional electrostimulation achieves a greater response in the user and reduces rehabilitation times.

The joy of walking again

When he was 33 years old, Oscar Alday suffered a hemorrhagic stroke that kept him in a coma for nearly a month. When he awoke, he had lost the ability to move his right arm and leg, and the medical diagnosis was that he would never walk again. he would never walk again.

And although he began his process only at the beginning of this year 2023, four years after his stroke, thanks to the TrainFES methodology methodology and his perseverance in following the training, he has been able to move again.

"I was paralyzed on my entire right side. I thought I wasn't going to walk because it had been so long since the stroke, but I've noticed the stamina I have when I stand up. It gave me a new opportunity to walk and to feel that I was useful again, with independence. again, with independence. I've been making progress and now I do everything," she says.

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