Strokes

Strokes

We can help the following:

  • One sided weakness (remember it is the brain that needs retraining – initially anyway)
  • Normal movement re-education & strengthening
  • Spasms, i.e. high tone in muscles – techniques to help release the tight patterns
  • Contractures – soft tissue softening as a result of lack of movement
  • Tremor / Clonus – this can to some extent be controlled
  • Neglect – lack of awareness of the affected side. Re-training is necessary
  • Hemianopeoia – this is loss of visual field on the affected side and leads to neglect and injury due to lack of safety awareness. This can be re-trained
  • Pusher syndrome – this is where you push on your good side and there is a lack of muscle power on the affected side to counter-act that power. For best results, this needs to be corrected as early as possible
  • Sensory stimulation – this is often missed, but can be improved with work
  • Flexor withdrawal – the affected limb needs to be prepared for weight bearing
  • Balance – great improvements can be gained with the correct balance training
  • Involuntary Associated Reactions – these can be minimised, and knowledge provided of how to help manage them

 

Case Study – Stroke – sensory disturbance / June 2014

HJ, 70 years young near Kidderminster

Stroke 1 year ago, with unpleasant sensations that feel like sharp pins and needles. “ It feels like hot pokers all the way down my arm.”

He has good isolated active movements, but has got into the habit of hobbling and neglecting the L side

Assessment shows some weakness on the L side.

Treatment:-

  • Desensitisation of arm
  • Strengthening
  • Control of movements
  • Balancing
  • Increasing reflexive reactions
  • Gait re-education
  • Functional activities
  • Instil confidence and remind normal movement

Progress

  • L arm feels much improved – medics often say that sensation cannot be altered. This is stark proof that it can be improved and even 12 months after onset…
  • He is walking about in a much better pattern of movement
  • His balance is so much better
  • He can do more repetitions now ie fitness has improved
  • Throwing and catching a ball is not only fun, but also has increased his reactions and made him feel more functional
  • He feels motivated to continue

We shall continue for another month on a weekly basis and then I would like to reduce sessions. Next week we are going to his gym to help him with aerobic exercises and strengthening through his range.