What is an ischemic stroke? Sequelae and rehabilitation options

Every October 29 is World Stroke Prevention Day, a date set to raise awareness of the importance of knowing about this medical emergency which, if not treated in time, can cause sequelae ranging from motor paralysis to death.

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A cerebrovascular accident (CVA) occurs when there is damage to brain tissue because of a problem in the arteries that supply it. This may occur because an artery is occluded resulting in a cerebral infarction (ischemic stroke), or because an artery ruptures causing a hemorrhage or stroke (hemorrhagic stroke).

The Ministry of Health explains that ischemic stroke is one of the main causes of disability in Chile. leading causes of disability in Chilewith a prevalence of approximately 130 cases per 100,000 inhabitants. Furthermore, the probability of becoming disabled after an ischemic stroke is 18% after six months.

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

Ischemic stroke

An ischemic stroke is the death of an area of brain tissue caused by a blockage of an artery resulting in insufficient blood and oxygen supply to the brain.

Why is it generated?

According to the Centers for Disease Control and Prevention (CDC) of the United States, most strokes are ischemic (80%), and the blockage of blood vessels can be caused by clots or other particles, although it can also be caused by fatty deposits.

Symptoms occur suddenly and consist of muscle weakness, paralysis, loss of sensation or abnormal sensation on one side of the body, slurred speech, confusion, vision problems, dizziness, and loss of balance and coordination.

ischemic stroke

Main sequelae of ischemic stroke

Mayo Clinic explains that a STROKE can cause temporary or permanent disabilitiesdepending on how long the brain lacks blood flow and what part of the brain was affected.

Complications include:

  • Paralysis or loss of muscle movement. This may be on one side of the body or loss of control of certain muscles, such as loss of strength in the left arm, left leg and/or left side of the face.
  • 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 are left with memory impairment. 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.

Therapy and rehabilitation options

About one third of those affected recover all or most of their normal function after an ischemic stroke. The rest suffer sequelae that affect their quality of life and require a rehabilitation process.

TrainFES focuses on this objective, with a methodology that includes the evaluation and indication of personalized treatments by a team of physiatrists, kinesiologists, occupational therapists and speech therapists who will accompany the whole process.

This therapy includes the use of functional electrostimulation (FESThis technology consists of the application of mild electrical currents that activate paralyzed muscles, and can be used in people's homes thanks to TrainFES devices and its application for smartphones. smartphones.

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

  • Improve motor recovery
  • Assisting reaching and grasping function
  • Improving and enhancing swallowing
  • Restore or improve walking ability
  • Decrease spasticity or muscle stiffness
  • Increasing functionality in independence

The contribution of functional electrostimulation

The use of functional electrostimulation in therapy and the user's commitment to daily training are fundamental and allow significant advances that translate into a better quality of life for the patient.

Motor recovery

As explained above, a STROKE can result in the 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 feeding.

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

The scientific evidence related to stroke promotes the use of FES for complement conventional therapy, as it can improve rehabilitation outcomes and decrease recovery time, especially if upper extremity or gait is involved.

This is demonstrated by a study published by the National Library of Medicine which reported significant improvements in upper extremity motor recovery, thanks to the effects of mirror therapy in combination with FES and biofeedback.

Assists reaching and grasping function

Therapy with FES which includes upper extremity training has proven to be an effective intervention.

A study carried out in the United States took 21 patients and divided them into two groups. One group applied only conventional therapy and the other added treatment with FES. The latter showed better results in terms of object manipulation, palmar grasp and 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 conventional phonoaudiological therapy for swallowing disorders.

Scientific analyses have proven scientific analyses have proven the good results of this of this method in the rehabilitation of dysphagia. On the one hand, the therapy achieves a greater response and, on the other hand, it reduces rehabilitation times.

Example of recovery from ischemic stroke

The methodology of TrainFES stands out for its personalized training training plans, with the permanent accompaniment of a multidisciplinary of a multidisciplinary team of 40 experts in kinesiology, physiatry, occupational therapy, speech therapy and psychology.

This standard, which requires the commitment commitment and perseverance of users, hashas improved the lives improved the lives of thousands of people.

Among them are Camilo Valdebenito (59 years old), who suffered an ischemic stroke in 2017, which caused him hemiparesis on his left side.

Thanks to the training of professionals and the use of the intuitive mobile application, he trained daily and maintained therapeutic continuity.

"I dress myself, I bathe myself, I eat myself, I do everything myself.. I can go out of my house to the center, I can go shopping, to the bank, I can go anywhere now," he says.

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