Is Physiotherapy Effective In Stroke Patients?

physiotherapy and stroke -Sriramakrishnahospital

A stroke is a familiar medical condition, so obviously, you have heard it once in your life. Have you ever wondered how stroke affects an individual and how they can get rid of this condition? This is when the game-changer, “Physiotherapy,” comes into play. Further, this blog will drive you through stroke rehabilitation and how physiotherapy assists stroke patients regain their independence and quality of life. 

What is a stroke? 

Stroke occurs when the oxygen and nutrients supply to the brain are disturbed. Usually, after this, brain cells recover gradually from the injury or damage, and the resulting loss of ability often will not be recovered completely. The two main stroke types include: 

  • Ischemic stroke: This condition develops when the blood is cut off to an area of brain tissue. This occurs due to blockage of blood vessels and results in deep blockage inside the brain. Simply, a clot, an air bubble, or even fats can be responsible for blockage. 
  • Hemorrhagic stroke: This condition occurs when your blood vessels burst inside or on its surface, which results in bleeding. Eventually, the pressure inside your head will be increased and lead to loss of blood supply to an area of nerves. 

There is no age limit for stroke, so it can strike anyone at any time, but mostly it will occur in later periods of life, that too in individuals who have the habit of smoking, have hypertension, or are obese. 

The signs of a stroke will greatly vary due to blockage or bleeding in major areas of the brain, all those areas will be responsible for different functions. Getting immediate medical help can greatly help the patient in reducing the damage. 

Stroke may affect you in different ways like: 

Face: One side of your face will be completely affected like the eye or mouth might drop and an individual cannot smile like before. 

Arms: Lifting your arms will become impossible 

Speech: At times, stroke will impair your ability to speak. 

Just act immediately after the stroke attacks you, because immediate medical treatment can save you from adverse effects. 

 What are the common symptoms and effects of stroke? 

By being aware of the symptoms of stroke, you can take immediate action when a stroke strikes you or the people around you. The common signs of stroke in men and women include: 

  • Sudden numbness in face, arms, and legs 
  • Trouble speaking 
  • Feeling difficult to speak
  • Sudden confusion 
  • Trouble seeing in one or both eyes 
  • Issues with walking 
  • Loss of balance 
  • Dizziness 
  • Severe headache 

Stroke strikes like lightning, and leaves several symptoms. The effects of stroke always disturb you physically like paralysis, disturbs your memory, cognitive, language, and thinking skills. 

What are the early treatments for stroke? 

Primarily, the best physiotherapist in Coimbatore will diagnose whether the stroke occurred due to a clot or bleeding. 

  • Ischemic strokes can be treated using medications. Those medications will be given to dissolve the clot and revise the blood supply. This clot-dissolving process is known as thrombolysis. This method will help within 4.5 hours of stroke.
  • Other treatments include thinning of blood clots using medications to limit their ability to clot.
  • Using medications hypertension and high cholesterol will also be treated.
  • Blood pressure-reducing medicines will be given to treat hemorrhagic strokes.

The role of physiotherapy in stroke rehabilitation: 

Physiotherapy is a treatment used to restore, maintain, and make patients function, mobility, and well-being. Physiotherapy helps to recover by yourself. Time is the magical key when it comes to stroke recovery. The earlier the therapy begins, there is more chance of regaining lost functions. Timely medical help assists in preventing issues such as muscle stiffness and joint pain, which can arise from prolonged immobility. 

A post-stroke individual’s ability to speak, walk, or move certain body parts will be disturbed. Later in the initial treatment, patients should undergo rehabilitation to completely recover from the condition. The main motto of physiotherapy is to encourage the brain’s ability to organize its nerve pathways to revise the damage due to stroke. Physiotherapy is a crucial part of a rehabilitation strategy for patients, which assists them in learning skills and alternate ways of doing things to cope with the abilities that are lost due to damage to the brain. 

How does physiotherapy help in recovery? 

Physiotherapy is not just an exercise, it’s about retraining the brain. The brain will lose its ability to control a few functions or muscles post-stroke. Physiotherapy primarily assists individuals by using targeted exercises and techniques to promote the brain’s ability to reorganize itself by forming new neural connections. This process greatly assists in recovery and allows other parts of the brain to take over functions from the damaged areas. 

When to start physiotherapy treatment? 

Usually, physiotherapy will be started very soon after the stroke, that is within 24 hours. Even, studies indicate that starting physiotherapy treatment earlier can potentially increase the chance of patients regaining their functional abilities faster. 

Further, earlier interventions are crucial to prevent forthcoming issues like muscle stiffness and joint pain due to immobility. Simply, starting physiotherapy earlier assists in maximizing recovery by promoting neuroplasticity, where the brain begins to recognize itself and form new connections. 

An early approach greatly improves the chances of regaining mobility and independence. Also, the appropriate time to begin the treatment should be determined by the medical team, depending on the patient’s unique needs and stability. 

The next thing you need to concentrate on is, how often you should schedule your physiotherapy sessions. During the stroke, different parts of the brain can be affected, also not all individuals are the same, so the frequency and duration of physiotherapy should be crafted as per the individual needs. 

What are the physiotherapy techniques used in treating stroke patients? 

  • Physical exercise and strength training: 

Strength training exercises are crafted to develop muscle strength, notably in the areas disturbed by stroke. These  exercises include weight lifting, using resistance bands, and other exercises like squats and leg raises. 

  • Range of motion exercises: 

Stroke will leave your muscles and joints painful and stiff. Motion exercises assist in maintaining joints’ flexible and reduce stiffness, which is vital for maintaining mobility. In these exercises, you should gently move the arms, legs, and torso. 

  • Gait training and balance exercises: 

The toughest thing in stroke recovery is relearning how to walk. Gait training assists individuals in regaining their walking ability through exercises that concentrate on balance, coordination, and strength. Balancing exercises include standing on one foot, walking in a line, or using equipment such as balance boards. 

  • Occupational therapy: 

While physiotherapy completely focuses on regaining mobility and strength, but occupational therapy helps stroke patients relearn daily activities such as dressing, eating, and writing. This will help them to live an independent life. 

  • Speech therapy integration: 

For individuals who have experienced speech-related issues along with physiotherapy speech therapy is required. This holistic approach ensures that all aspects of recovery are noticed, right from mobility to communication skills. 

What are the benefits of physiotherapy for stroke patients? 

There are numerous benefits of undergoing physiotherapy for stroke patients, some of them include: 

  • Improves mobility and function: 

One of the obvious benefits of physiotherapy is improving mobility. Patients who are in wheelchairs or bedridden can regain the ability to walk, lift their arms, and perform daily activities. This is not just about function restoration but it helps to change the patient’s life, allowing individuals to get back to their homes and resume a normal lifestyle. 

  • Enhanced quality of life: 

Simply, the improved mobility will enhance the quality of your life. Moreover, stroke patients who undergo physiotherapy often experience a boost in self-confidence and independence, further, patients manage themselves without additional support and care. 

  • Prevention of secondary complications: 

Physiotherapy offers several benefits like preventing secondary complications such as pressure sores, muscle atrophy, and joint pain which can be developed due to chronic immobility. By engaging in regular physical activity, these problems can be reduced or even eliminated. 

  • Psychological benefits: 

Physio for stroke recovery is not just a physical journey but also a psychological one too. The process will be really frustrating, but physiotherapy provides you a progress from your condition. This will enhance the patient’s mood, reduce anxiety, and fight depression.

What are the earlier and later treatments for stroke? 

Early treatments:

As all we know, during this phase, patients will be medically unstable, so the early treatments for them include: 

  • Positioning the patient in a chair or bed reduces the chances of injuries in joints and to limit muscle spasms. 
  • Checking the respiratory status due to issues with the chest muscles and consuming food or fluids. 
  • Exercise to prevent joint stiffness, muscle tightness, and spasm. 

These are the early treatments given to the individuals affected by the stroke. 

Later treatments: 

When a patient’s condition improves and they can undergo further physiotherapy treatments like: 

  • Postural work for the betterment of sitting balance, also to regain the ability to do work in a sitting position, standing posture, and balance. 
  • Walking practices using walking aids. 
  • Task-specific training like walking, treadmill, or training the affected arms like grasping or reaching out to the object. 
  • In constrained-induced movement therapy, patients are asked to do activities with their affected limbs only. 
  • Also, stroke physiotherapy involves learning how to use certain equipment required to get in and out of bed, or to move, or a walking frame. 

What is the best treatment for stroke? 

There is no one-line answer for this because physiotherapists will use several therapies based on what was going on in the brain post-injury. Even certain studies indicate that physiotherapy employs a group of techniques from different approaches is better than usual treatment from a doctor or no treatment. Also, there is no single approach that is less or more effective than others. 

Typically, the physiotherapy session lasts for 30 to 60 minutes daily for the betterment of the patients. Also, there can be more advantages of physical therapy with more frequent treatments. Due to the stroke complexity, the physiotherapist should cater the treatments from their expert clinical reasoning allied to their knowledge of evidence-based treatment interventions. 

What helps stroke patients recover faster? 

Firstly early medical treatment and intensive rehabilitation help stroke patients, further physiotherapy, occupational therapy, and speech therapy also play crucial roles in recovery. Simply, the multiple approach that concentrates on both physical and cognitive challenges is key. 

Support from the caregivers and family members, along with a positive environment, will encourage the treatment. Simply, consistent exercise crafted to patients’ individual needs, along with appropriate medical management of underlying conditions can improve the recovery process. 

How long should stroke treatment continue? 

Typically rehabilitation starts from the hospital and should be continued even after the discharge. Followed up by the physiotherapist with experience in stroke rehabilitation is recommended. They will develop a personalized plan of evidence-based interventions that suit individual requirements and goals, assisting them in regaining their physical abilities and independence. So just reach out to the best physiotherapy hospital in Coimbatore to regain your abilities and live an independent life. 

Individuals can practice physiotherapy either at home or in the gym, individually or in groups. Usually, the session will last until the recovery of patients. However, several survivors of stroke find that they benefit from physiotherapy and exercise even beyond this time. 

Conclusion: 

In conclusion, we can say that physiotherapy plays a crucial role in stroke rehabilitation, and offers several benefits that will potentially enhance the quality of life for stroke survivors. Obviously, challenges may exist, but the potential for recovery and the positive impact of mobility, function, and overall well-being make physiotherapy a significant part of the healing journey. The research and technology have been keep on advancing, so the future of stroke rehabilitation giving hope to numerous patients globally. 


Physiothearpy and stroke-Sriramakrishnahospital

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