Posts Tagged ‘Home care’
Dr. Komaroff is a physician and professor at Harvard Medical School and gives the following advice
Rehabilitation helps return abilities impaired by a stroke. How much progress one makes and how quickly it occurs will depend on how severe the stroke was and the part of the brain that was affected.
Strokes can affect muscle strength, senses (like pain), one’s ability to speak and to understand speech, vision, emotions, thinking and level of consciousness. Some people only suffer mild unilateral weakness with nothing else wrong. Other people lie in a coma.
New techniques have been learned in recent years that sometimes lead to recovery that at one time were not possible.
Rehabilitation may occur in the hospital, a rehab facility or at home. One or more specialists may be involved. These may include a physiatrist, rehab nurse, physical or occupational therapist, speech-language pathologist or a recreational therapist.
The strategies used will depend on the patient’s goals for therapy. Some common goals include rebuilding strength, relearning to walk, improving speech and recovering memory. On the other hand rehab can also help a person adapt to a permanent disability, if necessary.
Physical rehab may include walking up or down stairs, walking on a treadmill and using hand or leg weights. Even if the patient can’t bear weight on his legs exercise may still be possible. This may have to be done while partially supported by a harness. Many patients exercise in a swimming pool, where water can support some of the weight.
The therapist may also stimulate natural movements in the arms and legs. This can help restore neurological pathways at the same time as it strengthens muscles and improves circulation.
Regaining skills for regular everyday living is another important goal. The patient will learn practical techniques to make washing, dressing, driving and other routine activities more manageable.
The therapist may teach speech and language skills and may include exercises to improve comprehension, speaking, reading and writing. It may also help restore the ability to swallow safely which is often impaired by a stroke.
Then there is cognitive rehab that teaches strategies to compensate for problems with learning, memory, and awareness.
Rehab usually takes time and hard work. patients sometimes get discouraged but rehab can make the crucial difference between regaining previous ability to function or remaining impaired.
Some patients make little progress after a month of work, every day, with rehabilitation therapy. Then, they suddenly seem to make considerable progress. They should not give up. Stroke rehab really can make a difference.
Finding and using the best physical therapy solutions often includes products like the TUTOR system. The HANDTUTOR, ARMTUTOR, LEGTUTOR and 3DTUTOR have been developed to assist in exercising stroke affected limbs.
The TUTORs have become a key system in neuromuscular rehabilitation and physical therapy for interactive rehabilitation exercise. These innovative devices implement an impairment based program with augmented feedback and encourage motor learning through intensive active exercises. These exercises are challenging and motivating and allow for repetitive training tailored to the patient’s performance. The training is customized by the occupational and physical therapist to ensure that the patient stays motivated to do intensive repetitive manual therapy and exercise practice. The TUTORs are now part of the rehabilitation program of leading U.S. and European hospitals with the TUTORs being used in clinics and in the patient’s home. Home care patients can be supported by the occupational and physical therapist offering tele-rehabilitation. The TUTORs are fully certified by the FDA and CE. See WWW.MEDITOUCH.CO.IL for more information.
It’s not a secret that for people with spinal cord injury the recovery process is difficult and long. Therefore there are all kinds of fresh approaches to assist these patients in their recovery and to make it easier for them.
One of these innovations is The First Steps Wellness Centre of Edmonton,Canada that just began its operations a little over a year ago. It is a rehabilitation gym that specializes in treating people with spinal cord injuries. In this short time over 30 clients are receiving this specialized treatment. The method at the center is to combine physiotherapy with a gym workout thereby improving muscle function. Their success is measured by the fact that their ”graduates” have more of a chance of walking again.
Another recent innovation is the TUTOR system. The HANDTUTOR, ARMTUTOR, LEGTUTOR and 3DTUTOR are physical therapy products that have been designed to administer intensive exercises to the spinal cord injury patient by having him move his affected limb through a series of challenging games. These are part of powerful and exclusive software that gives the therapist objective and quantitative information on the patient’s impairment. The information is then recorded and documented thereby allowing the occupational and physiotherapist to customize the treatment session to the patient’s specific needs. The TUTORs are extensively used as well for physical therapy solutions to Parkinson’s disease, brain injury, stroke, CP, MS, and other upper and lower limb disabilities or surgeries.
The TUTOR system is fully certified by the FDA and CE, is available for adults as well as children and can be used at the patient’s home through rehabilitation. See WWW.MEDITOUCH.CO.IL for more information.
Whether it is called telerehabilitation, telemedicine, tele-physical therapy, tele-physiotherapy or tele-occupational therapy , these systems allow a therapist in a remote location to conduct treatment sessions, using a virtual-environment-based motor-training system, with a patient who is located at home. The system consists of a patient computer with motion-capture equipment and video camera, a therapist computer with video camera, and virtual-environment software that is synchronized over a high-speed Internet connection.
Home-based telerehabilitation interventions have shown promising results in improving the health of stroke patients and in supporting caregivers. Telemedicine systems based on a virtual environment for upper extremity exercise can improve the physical health of stroke patients. Health professionals and participants reported high levels of satisfaction and acceptance of telerehabilitation interventions. During performance, the patient can see not only their movement but also the correct trajectory that they have to accomplish. The feedback derived from the patient’s action, its outcome and feedback from the supervision of the physiotherapist can favor the acquisition of new motor abilities by the patient.
The TUTOR system of telerehabilitation is at the forefront of this recent innovation. Users are those patients who have suffered a stroke or other limb limiting injuries or disease and are not required to be hospitalized any longer or who need continuing therapy sessions and live too far away from clinics. The HANDTUTOR, ARMTUTOR, LEGTUTOR and 3DTUTOR are physical therapy products that use an impairment based rehabilitation program with powerful software and augmented feedback that encourages motor learning. The TUTORs are medical devices that form a physical therapy solution where these physical rehabilitation products have been created to allow the therapist, whether right there with the patient or at a remote location, to evaluate and objectively quantify and record the patient’s sessions. This allows for customization of the treatment program. The TUTOR process combined with traditional functional exercises speeds up functional recovery.
Did you know that more women die of stroke than from Aids or breast cancer combined? Stroke is the second leading cause of women’s death in the entire world. The misconception is that the public thinks that stroke is an old lady’s affliction. Many young women and especially those on birth control pills or going through pregnancy suffer strokes.
Unfortunately emergency rooms are too slow in diagnosing stroke in women preferring rather to check for drug intake or bacteria before discovering the real reason for weakness in an arm or leg. Once a CT scan is administered and they see the truth the doctors then question the women about their use of birth control pills and smoking.
It may be true that women are atypical in their symptoms and therefore it may be more difficult to diagnose them than men. Dr. Steven J. Kittner, director of the Maryland Stroke Center and Goddess Fund Medical Advisory Board member, has done extensive work with young women and stroke. Young women are not thought of as being a high risk for stroke. The Goddess Fund is dedicated to the education of health care professionals and also disseminates information needed for stroke prevention and treatment.
Another problem is that some stroke organizations don’t sufficiently explain the risks of birth control pills as a potential cause of stroke. Smoking and taking birth control pills is especially dangerous. The combination increases the risk of stroke 22% more than the average person. Some doctors, though, have stopped prescribing certain birth control pills to those that smoke.
According to WHO, the Women’s Health Organization, those that use ”the pill” are 3 times more likely to suffer an ischemic stroke than non users. WHO also found that oral contraceptive users over the age of 35 had a greater risk of getting a hemorrhagic stroke compared to non users.
Most frustrating is the slow and difficult process of rehabilitation. Exercises to improve fine muscle coordination and other skills are arduous. Luckily there are modern physical therapy products and solutions that can greatly improve movement ability for stroke victims young or old. One such set of tools is the TUTOR system. The newly developed HANDTUTOR and its sister devices (ARMTUTOR, LEGTUTOR, 3DTUTOR) have become a key system in neuromuscular rehabilitation for stroke victims as well as for those recovering from brain and spinal injuries,Parkinson’s, MS, CP and other limb disabling limitations.
These innovative devices implement a physical therapy solution that is an impairment based program with augmented motion feedback that encourages motor learning through intensive active exercises and movement practice. The HANDTUTOR, ARMTUTOR, LEGTUTOR and 3DTUTOR consist of wearable glove and braces that detect limb movement showing the patient how much active or assisted active movement they are actually doing. The software uses special rehabilitation games to set a new target for this movement in terms of the patient’s ability to move their limb. The devices then measure the limb movement and give feedback on the success of the patient in trying to gain this new objective. In this way the patient is given feedback that allows him to understand which effort is more successful. The TUTOR system provides exercises that are challenging and motivating and allows for repetitive and intensive exercise practice. The TUTOR system is now part of the rehabilitation solution of leading U.S. German, Italian, French, UK and other foreign hospitals. See WWW.HANDTUTOR.COM for more information.