Physiotherapy after paralysis/stroke- Know how physiotherapy can help you to recover in Normal Life-Dr. Ashutosh Sharma,PT
How can a stroke/Paralysis affect my movement?
- You may experience weakness, or even complete paralysis (called hemiplegia) in the muscles of one side of your body. This can make it difficult to move or use your limbs and get about. Your limbs may move in a different way when you try to use them. For example your hip may move upwards when you want to step forwards, or your elbow may move out to the side when you want to lift something.
- The affected side of your body may feel different. Your limbs may feel heavy because the weakness makes them difficult to move, or they may feel numb (like after you have had an injection at the dentist). Some people have more unusual sensations such as pins and needles, hot and cold sensations or feel as though water is running down their limb. Occasionally they can be painful.
- You may have problems with your posture and balance, making it difficult to stay upright and you may be more likely to have a fall.
- Joints on your affected side, such as your shoulder, may be vulnerable to injury, for example if your arm is pulled or its weight is allowed to ‘drag.’ This can cause a partial dislocation (called subluxation) or ‘frozen shoulder’, where your shoulder becomes painful and difficult to move.
- Some muscles on your affected side may become stiff (most often at the wrist, fingers and the ankle) which can limit your movement at the joint and some people may develop muscle spasms or a type of stiffness called spasticity.
Physiotherapy is an important part of your rehabilitation. Techniques such as exercise, manipulation, massage, skills training and electrical treatment are used to help you heal and recover your movement. The main focus of physiotherapy after your stroke is to help you learn to use both sides of your body again and regain as much strength and movement as possible.
Neurophysiotherapy is a type of physiotherapy designed to treat problems that originate within the brain, and it is important that you receive this for at least part of your recovery. A neuro-physiotherapist is trained to understand and treat the changes caused by neurological conditions (ones that affect the nervous system, including stroke).
How can physiotherapy help?
After a stroke, our brains cannot grow new cells to replace the ones that have been damaged, so your recovery depends on your brain’s ability to reorganise its undamaged cells and make up for what has been lost. This is called neuroplasticity. Physiotherapy can provide expert practical guidance to help.Physiotherapists often work with other members of the stroke team to make sure they can help with the range of problems that stroke can cause. The team may consist of occupational therapists, speech and language therapists, doctors, nurses and social workers (plus other specialists).This team is called the multidisciplinary stroke rehabilitation team.
Depending on your needs, your physiotherapist will:
- help the stroke nurses set up your plan of care to keep you as well as possible and void any complications that might slow down your recovery.
- advise on how you should be positioned, when lying or sitting, and how often you need to be moved•decide when you should begin to get up out of bed and start walking and what equipment (if any) is needed to move or support you .
- motivate you to be actively involved in your physiotherapy sessions to help you relearn normal patterns of movement.
- •offer therapy to strengthen your limbs and teach you how to move again, as independently as possible.
- •work together with the rehabilitation team, and your carer, family or friends to support your recovery in a co-ordinated way.
- •advise you, your family and any carers how you can do as much as possible for yourself, and move around as much as possible.
it is important to be as active as possible as soon as you can after your stroke, so the team will encourage you to get up and about as much as you are able to, whether this is continuing with your previous activities or just sitting in a chair. In the early stages, and for people with relatively mild problems, physiotherapy will focus on preventing complications and restoring your ability to move and be active again.
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