Approaches Of Treatment For The Post Stroke Patients

Topics:
Words:
593
Page:
1
This essay sample was donated by a student to help the academic community. Papers provided by EduBirdie writers usually outdo students' samples.

Cite this essay cite-image

Introduction

The epidemiology of stroke is changing rapidly. Stroke mortality rates have declined worldwide over the past two decades, the total number of stroke survivors, referred to as people living with stroke consequences, is increasing. However, research has demonstrated that the optimal treatments available for post-stroke patients are multimodal interventions and neuropsychological interventions.

Rehabilitative Therapies

Post-stroke patients are associated with a large number of rehabilitative therapies to support stroke-survivors to relearn skills that are lost when part of the brain is damaged. Approximately 20 percent of patients decease within the first month after a stroke, and more than half of survivors will need specialist rehabilitation (Warlow, 2001). A randomized controlled trial study for long-term improvements with the assistance of multimodal, rhythm-and-music therapy and horse-riding therapy, in late phase after stroke demonstrates that when applied to patients with moderate levels of disability in the late post-stroke stage, multimodal rehabilitation can lead to meaningful and sustained improvement(1). Therapy was given twice a week for 12 weeks with the objective to change a patient’s perception of stroke recovery as assessed with the intention-to-treat analysis of the Stroke Impact Scale(1). Post-intervention, rhythm and music therapy (5.2 [95% confidence interval, 0.79-9.61]) and horse-riding participants (9.8 [95% confidence interval, 6.00-12.66]) were higher perceptions of stroke recovery compared to controls (-0.5 [-3.20 to 2.28]); P = 0.001 (1-away ANOVA). The improvements were maintained 6 months later in both intervention groups and corresponding gains for the secondary outcomes were observed(1).

Save your time!
We can take care of your essay
  • Proper editing and formatting
  • Free revision, title page, and bibliography
  • Flexible prices and money-back guarantee
Place an order
document

Neurophysiological Outcomes

There are many recognised preventative measures to improve functional recovery for post-stroke patients. Task-specific training improves functional outcomes after stroke. However, gains may be accompanied by increases in movements compensating for motor impairments(2). The restriction of compensatory trunk movements could encourage recovery of premorbid patterns of movement leading to better functional outcomes. In 30 patients with chronic hemiparesis by arm impairment level (Fugl-Meyer), a double-blind randomized control trial of a therapist-supervised home program (3 times a week, 5 weeks) was conducted(2). The intervention group (TR group) received progressive reach-to-grasp training related to objects with the prevention of trunk movements(2). Group of control (C) performed tasks without TR. The main outcome measures were upper limb impairment (Fugl-Meyer Arm Section) and function (TEMPA) to motion kinematics (trunk displacement, elbow extension) of reach-to-grasp movement. Evaluations were repeated by blind evaluators before, immediately after and 1 month after(2). It was observed that TR training led to greater improvements in impairment and function compared with C (2).

Focus of Optimal Measures

The beneficial effects of multimodal interventions and neuropsychological interventions are led to increased perceived recovery and functional improvement in a mixed population of post-stroke patients. Multimodal interventions have demonstrated the changes in balance, grip, strength, and cognition were the secondary objective measures. At baseline, post-intervention and 3-6-month follow-up, blinded assessments were conducted(1). These results support long-term engagement with individuals with persistent disabilities after stroke in multimodal rehabilitation programs. Task-specific neurophysiological interventions have shown the aim was to determine whether task-specific trunk-restraint (TR) training in patients with stroke-induced hemiparesis leads to greater improvements in arm impairment and function than training without TR(2). Improvements were accompanied by increased active joint range and increased in more severe patients initially. TR decreased trunk movement and increased elbow extension in these patients, while C had opposite effects (increased compensatory movement)(2).

Conclusion

Multimodal and Neurophysiological interventions are two optimal treatments available for post-stroke patients. However, rehabilitation interventions require future research that should further evaluate the effectiveness of post-stroke multimodal therapies, including dose and intervention timing(1). And task-specific treatment should be tailored to the severity of arm impairment with special focus on controlling excessive trunk movements if the goal is to improve the quality and function of arm movement(2).

Make sure you submit a unique essay

Our writers will provide you with an essay sample written from scratch: any topic, any deadline, any instructions.

Cite this paper

Approaches Of Treatment For The Post Stroke Patients. (2021, September 28). Edubirdie. Retrieved November 4, 2024, from https://edubirdie.com/examples/approaches-of-treatment-for-the-post-stroke-patients/
“Approaches Of Treatment For The Post Stroke Patients.” Edubirdie, 28 Sept. 2021, edubirdie.com/examples/approaches-of-treatment-for-the-post-stroke-patients/
Approaches Of Treatment For The Post Stroke Patients. [online]. Available at: <https://edubirdie.com/examples/approaches-of-treatment-for-the-post-stroke-patients/> [Accessed 4 Nov. 2024].
Approaches Of Treatment For The Post Stroke Patients [Internet]. Edubirdie. 2021 Sept 28 [cited 2024 Nov 4]. Available from: https://edubirdie.com/examples/approaches-of-treatment-for-the-post-stroke-patients/
copy

Join our 150k of happy users

  • Get original paper written according to your instructions
  • Save time for what matters most
Place an order

Fair Use Policy

EduBirdie considers academic integrity to be the essential part of the learning process and does not support any violation of the academic standards. Should you have any questions regarding our Fair Use Policy or become aware of any violations, please do not hesitate to contact us via support@edubirdie.com.

Check it out!
close
search Stuck on your essay?

We are here 24/7 to write your paper in as fast as 3 hours.