What does stroke mean?
According to the World Health Organization (WHO), stroke; It is defined as a diffuse or partial picture of vascular origin, lasting longer than 24 hours, which can lead to death, rapidly developing as a result of deterioration of brain functions. Brain damage occurs as a result of occlusion (clot formation or gradual narrowing of the vessel diameter over time) or bleeding in the brain vessels.
What Are the Risk Factors for Stroke?
Unmodifiable risk factors for stroke; Age (double every 10 years from age 55), Race, Gender (33% more in men), Genetics (family history), previous stroke or occlusion episode
Modifiable Risk Factors are as follows;
* Atherosclerotic heart diseases,
* Atrial fibrillation (heart rhythm disorder) and heart valve diseases,
* Complainant carotid narrowing
* Diabetes Mellitus
* High blood fats (Hyperlipidemia)
*Excessive alcohol use
* Inactive lifestyle
* Wrong eating habits
The underlying cause of 90% of stroke patients is modifiable risk factors.
What is the Clinical Picture Caused by Stroke?
As a result of stroke, depending on the location of the lesion in the brain, symptoms ranging from loss of movement on one side of the body, disturbance of sensation, speech and swallowing disorders, balance-coordination disorder, urinary and stool incontinence, consciousness disorders and coma may occur.
How Is Stroke Treatment Done?
Stroke treatment should begin immediately. If treatment is started within hours, permanent damage to the brain tissue can be prevented. Rehabilitation is also a part of this treatment and it is important to start it early.
What is the Purpose of Stroke Rehabilitation?
The aim of rehabilitation of stroke patients is to enable patients to live as independently as possible with maximum quality of life. One of the goals of rehabilitation is to treat and prevent complications that may arise during the stroke-related process.
What Are the Most Important Problems Requiring Rehabilitation in Stroke Patients?
The most important problems in patients with stroke are walking and movement difficulties and inability to use their hands and arms. While the inability to stand up and walk leads to addiction, the inability to use hands and arms causes limitations in daily living activities.
Is There Any Recovery After Stroke? Who Needs Rehabilitation Program?
About 10 percent of stroke patients can return to work and activities of daily living without any problems. Despite everything, 10 percent of patients need continuous care in inpatient care centers. The remaining 80 percent of patients need an active rehabilitation program.
Does the Brain Renew Itself?
Studies have shown that the post-stroke brain has a great potential for adaptation. With the mechanism called neuroplasticity, there is a restructuring in the brain and the brain renews itself. Rehabilitation techniques are the ones that activate this mechanism best. Thus, it was understood that rehabilitation plays a key role.
What are the Post-Stroke Problems?
As a result of stroke, a clinical picture that can range from motor loss (weakness), sensory disorder, balance coordination disorder, speech and swallowing disorders, urinary and stool incontinence, and cognitive function losses to coma may occur in one half of the body. In addition to these, joint contractures, limitation of movement, spasticity (contraction), shoulder dislocation and shoulder pain, bladder dysfunction, bowel dysfunction, deep vein thrombosis, speech problems, swallowing problems, pressure sores, depression, sleep problems, infections, bone Complications such as melting, falling and fractures, shoulder-hand syndrome, brachial plexus lesion may occur.
What is Done in the Stroke Rehabilitation Program?
In the stroke rehabilitation program, together with conventional treatment approaches such as joint range of motion exercises, stretching exercises, muscle strengthening exercises, balance and walking training, neurofacilitation techniques, pool treatments, mirror treatments, compulsory use treatments, virtual reality treatments, biofeedback, functional neuromuscular electrical Newer and more advanced rehabilitation approaches such as stimulation, transcranial magnetic stimulation techniques can also be included in the treatment plan.