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SPASTICITY

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...

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SHOULD BOTULINUM TOXIN BE USED TO TREAT SPASTICITY?

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...

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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...

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LEFT HEMIPLEGIA

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,...

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CEREBRAL ISCHEMIA

Cerebral ischemia is one of the leading causes of stroke, and is caused by a lack of blood flow to the brain (ischemia).  The blood circulation is interrupted due to the obstruction of an artery, which is responsible for nourishing the brain tissue.  Cerebral ischemia is always a complex challenge for rehabilitation. Ischemic Stroke - Causes Embolism and Thrombosis are the causes of Cerebral Ischemia. An Embolism is a blood clot that circulates in the bloodstream and, based on its size, may or may not cause an obstruction of the blood vessel in which it is travelling, thus resulting in ischemia.  In fact, the arteries gradually become smaller as they approach the brain. Thromboses tend to form in blood vessels weakened by arteriosclerosis, through the accumulation of fat on the interior walls, thus decreasing the volume of circulation and resulting in ischemia. Most strokes (approximately 80-85% of cases) are the result of cerebral ischemia, while the remainder are attributable to cerebral haemorrhages. However, a haemorrhage can even occur following a cerebral ischemia due to secondary damage suffered by certain blood vessels. This is referred to as a haemorrhagic infarct. Cerebral Ischemia - Symptoms In order to save the patent's life and limit the potential for brain damage, it is essential to be able to recognize the signs and symptoms of cerebral ischemia. In fact, whenever the symptoms of cerebral...

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