Contact us

Select Page



The ability to promptly recognize cerebral ischemia and its symptoms can save a person’s life, and can greatly decrease the effects of the ischemia itself. Throughout my time as a rehabilitation professional, I have collected dozens of stories from patients who have told me that they showed certain signs and symptoms characteristic of cerebral ischemia just a few days prior to suffering their major attacks, which in turn resulted in numerous post-ischemia difficulties. Even if unusual, these symptoms of cerebral ischemia were perceived as minor, and were therefore ignored with the expectation that they would resolve themselves on their own. When the symptoms of ischemia (which we will see later) appear and disappear within the span of a day, this is known as a Transient Ischemic Attack (T.I.A.). This is a mild and momentary ischemic event that in most cases is nevertheless a true precursor to ischemia. If you ever encounter the symptoms of ischemia described below, whether together or individually, don’t waste time and call for help immediately. Movement problems as a symptom of ischemia People with ongoing ischemia will likely manifest symptoms associated with the movement of a limb or one half of the body (due to the crossover controls of the two cerebral hemispheres). These might including difficulties holding up a cup or a glass, or bending the leg to walk. This symptom of ischemia is...

Read More


Spasticity is one of the main consequences of stroke, and is a distinctive characteristic of hemiplegia. Spasticity is a phenomenon that is often encountered with “muscular hypertonicity”. Most experts agree that Spasticity, and therefore hypertonicity, is one of the greatest problems associated with Hemiplegia and cerebral stroke. In fact, it consists of a muscular reflex condition that is difficult for physiotherapists to treat and is just as difficult for the hemiplegic patient to manage, whether suffering from right or left hemiplegia. This has been the consensus ever since the phenomenon of spasticity was correctly interpreted and understood. In fact, the results of the studies conducted by Professor C. Perfetti and his team have long since allowed for a therapeutic approach to be promoted that allows the hemiplegic patient to learn different methods of managing hypertonicity and spasticity by activating the cognitive processes, like the proper use of attention, for example. We’re talking about the “Perfetti Method”, which is also known as Cognitive Therapeutic Exercise, or Neurocognitive Rehabilitation. What is Spasticity? Let’s talk about what Spasticity is, and how it can be treated. Advancements in the neurocognitive sciences have allowed for the identification of a series of phenomena and pathological elements within the complex phenomenon of spasticity itself that can be more easily treated using cognitive therapeutic exercise. The phenomenon of spasticity is essentially a combination of the following components...

Read More


When it comes to stroke and post-stroke rehabilitation, the topic of "Botulinum toxin" is of fundamental importance. In recent years, we have become used to hearing about botulinum toxinin relation to aesthetic medicine, and have even learned to recognize which celebrities use it, who tend to share a common facial rigidity, and often have difficulty generating certain expressions. This is due to the fact that certain muscle groups are paralysed using the botulinum toxin in order to smooth out the wrinkles. Why do we resort to the use of Botulinum toxin with stroke patients? It is important to understand...

Read More

To what extent can a patient recover following a stroke?

The extent to which a patient can recover following a stroke is one of the first questions that requires an answer, and unfortunately it's one of the questions that the even experts in the field have trouble answering. Nevertheless, I will try to give you an answer, even if it won't be easy. In fact, this is one of the articles that I had the most difficulty writing. Furthermore, in this article I will also try to respond to the 2 questions linked to the concept of "the extent to which it is possible to recover". These are the following: - How long after a stroke is it still possible to recover? - Does it make any sense to think about rehabilitation after “X” years? These are the most frequent questions that I received in my emails everyday. To what extent is it possible to recover following a stroke? As you know, during the hours following a stroke, it is sometimes unclear whether or not the patient will even be able to survive. For this reason the professionals tend to prepare the family for even the most dramatic outcome. Therefore, the initial response to this question can be quite negative. In the coming days following the stroke, if the situation becomes more favourable and the clinical situation stabilizes, family members will ask this question again. The professionals will tend to rebuff...

Read More


Left hemiplegia is the paralysis of the left part of the body after a lesion of the right hemisphere of the brain (non-dominant hemisphere) caused by a stroke or lack of oxygen. The right side of the brain controls the movements of the left side of the body, in this way people with stroke who suffered an injury in the right hemisphere show a hemiparesis condition on the opposite side of the body.   What causes hemiplegia?   Left hemiparesis usually occurs after a:  Cerebral stroke  Cerebral palsy  Congenital malformations  Congenital hemiplegia  Head injury.  Brain tumor As well as brain infections such as meningitis. All conditions that determine an alteration of the functionality of an affected hemisphere may be responsible for hemiparesis.   What are the symptoms of hemiplegia on the left side?   The symptoms that help diagnose hemiplegia are:   Headache Face down Weakness of the body half Muscular stiffness Spasm Neglect (lack of attention to visual and body information that comes from the left) Spastic hemiplegia of that side of the body Engine deterioration Sensory problems   The symptoms of left hemiparesis are key issues to understand the problems of patients with stroke who have suffered a lesion on the right side of the brain due to stroke in the internal capsule or other abnormalities, to understand the behavior of patients with stroke With left paralysis,...

Read More
Call Now