CHAPTER 1: LITERATURE REVIEW
1.1. Stroke:
Stroke is a common, serious and global health care problem; it’s the third most common cause of death and first cause of adult disability (12). The rehabilitation is the major part of his care (13).
Stroke is a neurological deficit caused by an acute focal injury of the central nervous system (CNS) by a vascular cause: a cerebral infarction appears with overt symptoms or intracerebral hemorrhage with no symptoms (10%) and subarachnoid hemorrhage (5%) (14).
The motor impairment that can be regarded as a loss or limitation of function in movement or limitation in mobility and muscle contraction, is the most common and widely recognized impairment caused by stroke. The movement of face, arm, and leg of one side of the body are the structures affected by the motor impairment after stroke and affected 80% of patients. Motor
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Mirror visual feedback
1.2.1. Definition of mirror visual feedback
Sensory-motor integration is the capacity of the central nervous system to transform different sources of sensory input such as visual feedback to motor actions, it help in for the control of motor performance, skill acquisition, and the detection of motor errors (23).
Mirror visual feedback (MVF) was first introduced in 1992 by Ramachandran et al., it’s a simple non-invasive technique for the treatment of two disorders that have long been regarded as permanent and largely incurable; chronic pain of central origin (such as phantom pain) and hemiparesis following a stroke. (6). Altschuler and colleagues reported in their pilot study the effects of this treatment on "the ability of movement of patients in terms of range of motion, speed and precision," especially for patients with severe hemiparesis (24, 25).
This therapy has been used to treat phantom limb pain in amputee patients, and in stroke patients with complex regional pain syndrome type I, peripheral nerve injury, brachial plexus avulsion, and the paretic hand
Most exercise is designed for neurorehabilitation, not cardiovascular health, so there is a very different definition for stroke patient exercise, as well as a very different goal set. Because strokes affect each person differently, treatment is also specific to the individual. The literature included in this review focuses on three different methods of exercise, each with very specific goals in mind. Cabanas-Valdés and collegues study was on Core and Trunk stability, Minyoung describes use of Virtual Reality enhanced exercise for treatment, and Tutak introduces the concepts behind Rehabilitation
* Cerebrovascular Disease: More commonly known as stroke cerebrovascular disease can be cause by either a colt or blockage that cuts off blood flow to a part of the brain or by haemorrhage. In both cases there is damage or death of the brain tissue that can cause paralysis, speech disorder, swallowing problems and immobility. People with diabetes and high blood pressure are at higher risk of stroke.
In many cases, strokes can be diagnosed, prevented and treatable. Symptoms of a stroke can occur quickly and may cause: sudden numbness, tingling, or weakness, or paralysis in your face, arm, or leg, especially on one side of your body. Sudden: vision changes, trouble speaking (slurred speech), confusion or trouble understanding simple statements, problems with walking or balance, severe headache. It's recommended to call a doctor or 911 even if these symptoms last for a short amount of time because a transient ischemic attack, or mini stroke may have occurred. The transient ischemic attack may be a precursor to a stroke occurring soon. Catching these symptoms can dramatically increase chances of prevention additional damage to the body (2).
There are several different types of stroke and it does not affect everyone the same. According to Mayo
Describe the means by which individuals who survive a stroke regain at least part of their lost abilities.
The lack of technology in the past has left multiple stroke patients struggling with physical and mental impairments. However, due to the constant change and improvements made to technology, patients are now getting more help with their physical and mental needs. Nowadays, the odds of a patient gaining full function and ability back after a traumatic brain injury are much more favorable than not. Advanced technology such as robotic gloves, interactive video games, and electrical stimulators are effective tools in the treatment of strokes because they stimulate the brain to help regain ability and motor functions.
Stroke is the fourth leading cause of death in the United States. Each year more than 795,000 Americans suffer from a stroke, which means that every forty seconds someone has stroke (Liebman, 2012). Although a stroke can occur at any age, strokes are frequently seen in the older adult demographics. An increase with age doubles the risk for a stroke each decade after 55 (Grysiewicz, 2008). The percentage of stroke survivors to almost fully recover from a stroke is only 10 percent; in contrast, 40 percent of stroke survivors will face moderate to severe impairment which will entail distinctive care (Perlmutter and Colman, 2005). When all strokes are analyzed according to demography of class system, approximately 60% of strokes occur in low or middle income countries (Silverman and Rymer, 2009).
Stroke also known as cerebrovascular accident (CVA), cerebrovascular insult (CVI), or a brain attack. A brain attack is the loss of brain function by the cause of disturbance in the blood supply to the brain. This disturbance occurs due to either one of two causes which are ischemia (lack of blood flow) or a hemorrhage (high increase of blood flow directly into brain; parenchyma or into the subarachnoid space which surrounds the brain with tissue). Ischemia is a formation by a blood clot that is inside of a blood vessel located in the circulatory system called thrombosis or arterial embolism; which is a rapid interruption in the supply of blood flow to an organ or body part due to a clogged artery blocking the blood flow. Thrombosis is a
Adults and children are both affected by strokes. Strokes are one of the top ten causes of childhood death (Buzzard, 2013, pg. 9). Between 50 and 85 percent of children who have strokes will be affected with long-term health issues (Buzzard, 2013, pg. 9). These health issues may include learning difficulties, seizures and possible recurring strokes (Buzzard, 2013, pg. 9). Up to 20 percent of all strokes occur in people over the age of 55 years old (Buzzard, 2013, pg 7).(DeTallo, 2013)
Ischemic strokes are the most common form of stroke, with around 85% of strokes being of this type. They are caused by the arteries that connect to the brain becoming blocked or narrowed, resulting in ischemia - severely reduced blood flow.
When trying to detect the onset of a stroke, remembering the acronym F.A.S.T. is important (Face drooping, Arm weakness, Speech difficulty, Time to call 911). If stroke symptoms are detected within an individual, they have just a couple hours before it is too late for any preventative treatment options. Unfortunately, the type of stroke cannot be identified except through several tests (physical test, blood test, CT, MRI), which are important because treatments are different for the different types of strokes. It would be hazardous to administer the wrong stroke treatment to an individual having a different kind of stroke. (McIntosh) Seeing the precursors to a stroke and preventing it is not always possible; therefore, the stroke victim may have some damaging effects on their body. Strokes can affect a body in different ways depending on which side the blood clot occurs. If the blood clot occurs in the right side of the brain, the left side of the body and the face will be affected. In addition to paralysis of the body and face, vision problems, memory loss, and quick, inquisitive behavior could result from a blood clot on the right half of the brain. If the clot were to occur in the left side, the right side of the body would suffer speech and language problems, slow behavior, or memory loss. (About Stroke.) Aside from the physical effects of a stroke, a victim might also be affected emotionally undergoing depression, or being unable to control their feelings. (McIntosh) Oftentimes, the outcome of a stroke is irreversible and saddening for everyone
Stroke previously known as Cerebrovascular accident is well-defined as ‘an abrupt cessation of cerebral circulation in one or more of the blood vessels distributing the brain. Due to the interruption or diminish of oxygen supply causes serious damage or necrosis in the brain tissues (Jauch, Kissella & Stettler, 2005). There is a presence of one or more symptoms such as weakness or numbness or paralysis of the face, arm or leg, difficulty speaking or swallowing, dizziness, loss of balance, loss of vision, sudden blurring or decreased vision in one or both eyes and headache. Stoke is categorised into two types, Ischaemic and haemorrhagic
The effects a stroke all depend on where it occurred in the person’s brain and how severely the brain is damaged. Perhaps, if a person has a minor stroke they could possibly have small problems such as weakening of an arm or leg. On the other hand, those who experience larger strokes may become permanently paralyzed on one side of their body and lose the ability to speak. Although, some people can completely recover from their stroke, more than 2/3 of them suffer from a disability caused by it.
A cerebrovascular accident more commonly known as a stroke or brain attack is the term used to describe the sudden death of brain cells in a localized area due to inadequate blood flow. In order to woke the brain needs a constant supply of oxygen and nutrients. This supply is carried to the brain
What is a stroke and how is it related to the aging brain? A stroke happens when the blood supply to your brain is interrupted or it is reduced, depriving the brain tissues of oxygen and food (Bendheim, P.E. (2009). Within minutes of a stroke brain cells begin to die. Early action can minimize brain damage and potential complications. A stroke can cause temporary or permanent disabilities, depending on how long the brain suffers the lack of blood flow (Perlmutter, David. (2004). Some complications after a stroke are; paralyzation (loss of muscle movement), memory loss, and trouble talking. Paralyzation is due to the lack of blood flow to the brain, a patient can lose movement in one side of the body. Stroke can damage too many parts of the brain, and it can start an early brain aging. A stroke can cause a patient to loss control over the way muscles in the mouth move, have difficult talking and eating (Bendheim, P.E. (2009). But one can try to prevent a stroke by taking care of their high blood pressure, high cholesterol, and smoking.