The Importance Of Rehabilitation

Monday, May 23, 2022 12:52:06 PM

The Importance Of Rehabilitation



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Step 3: The importance of cardiac rehabilitation

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Problems with thinking and memory Stroke can damage the parts of the brain responsible for memory, learning, and awareness. A stroke survivor may have a dramatically shortened attention span or may experience deficits in short-term memory. Some people also may lose the ability to make plans, comprehend meaning, learn new tasks, or engage in other complex mental activities. Common deficits resulting from stroke are:. Emotional disturbances After a stroke someone might feel fear, anxiety, frustration, anger, sadness, and a sense of grief over physical and mental losses.

Some emotional disturbances and personality changes are caused by the physical effects of brain damage. Clinical depression—a sense of hopelessness that disrupts the ability to function—is commonly experienced by stroke survivors. Post-stroke depression can be treated with antidepressant medications and psychological counseling. The rehabilitation plan will change during the recovery process, depending on which part s of the body or abilities were affected and the type and severity of damage.

A stroke rehabilitation team includes a variety of specialists:. Rehabilitative therapy typically begins in the acute-care hospital once the condition has stabilized, often within 48 hours after the stroke. The first steps often involve promoting independent movement to overcome any paralysis or weakness. A therapist will help with assisted or self-performed range of motion exercises to strengthen and increase mobility in stroke-impaired limbs. A stroke victim may need to learn how to sit up and move between the bed and a chair to standing and walking, with or without assistance.

Beginning to reacquire the ability to carry out basic activities of daily living, such as bathing, dressing, and using a toilet, represents the first stage in the return to independence. Before discharged from the hospital, a stroke victim and family members will coordinate with hospital social workers to locate a suitable living arrangement. Many stroke survivors return home, but some move into a medical facility or other rehabilitation program. Evidence about technologies for stroke rehabilitation is the fastest growing area of therapeutic research. As technology advances, innovative methods and devices will be used to guide new therapeutic approaches and augment existing ones. With the surge in technological advances over the past 10 years, the number of stroke rehabilitation randomized control trials has increased.

The National Institutes of Health NIH has been at the forefront of increasing research on technology in rehabilitation scenarios. Below are examples of how technology is being studied to play a role in the rehabilitation process:. About , strokes per year in the United States occur in people who have previously experienced one or more strokes. Stroke prevention is vital to stroke rehabilitation. Recent research has shown improvements in preventing another stroke through behavior modification combined with pharmaceutical interventions.

Stroke survivors speak with their healthcare professionals about what types of supervised behavior modifications that can be made in order to decrease the effect these risk factors may have on overall health. Some of the most important treatable risk factors for stroke are:. Several other NIH Institutes also support rehabilitation efforts. For example, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, through its National Center for Medical Rehabilitation Research, funds work on mechanisms of restoration and repair after stroke, as well as development of new approaches to rehabilitation and evaluation of outcomes. The National Eye Institute funds work directed at restoration of vision and rehabilitation for individuals with impaired or low vision that may be due to vascular disease or stroke.

More than research projects have been funded by NIH since involving stroke rehabilitation. Research studies involving individuals with stroke and healthy individuals help researchers find better ways to safely detect, treat, and ultimately prevent stroke. Trials take place at medical centers across the United States and elsewhere. NINDS supports research on ways to enhance repair and regeneration of the central nervous system. NINDS-funded scientists are studying how the brain responds to experience or adapts to injury to one section of the brain by having another part or parts take over and reorganize its functions neuroplasticity — using noninvasive imaging technologies to map patterns of biological activity inside the brain.

Other NINDS-sponsored scientists are looking at brain reorganization after stroke and determining whether specific rehabilitative techniques, such as constraint-induced movement therapy and transcranial magnetic stimulation, can stimulate brain plasticity, thereby improving motor function and decreasing disability. Other scientists are experimenting with implantation of neural stem cells, to see if these cells may be able to replace the cells that died as a result of a stroke. Results: The 63 participants who returned the questionnaires had a mean age of 72 years, 33 were male and 30 were female. Eighty percent had suffered a mild stroke. Involvement in decisions on care and treatment was found to be associated with having health services needs met in six problem areas: falls, fatigue, emotion, memory, speaking, and reading.

Conclusions: The results highlight the importance of involving patients in making decisions on stroke rehabilitation, as it appears to be associated with meeting their health services needs. Grant support.