Treating Stroke Includes the Tutor System in Rehabilitation


    Blood clot diagram (Thrombus)

    Image via Wikipedia

    According to a report by the National Institute of Health report, Effective stroke treatment prevents long term disability and save lives. Published in December 2007, The National Stroke Strategy is a guide to high quality health and social care for post stroke patients and the Stroke experts review standards that define good stroke care:
    1. prompt transfer to a hospital providing specialist care like a high quality stroke unit
    2. an urgent brain scan- computerised tomography [CT] or magnetic resonance imaging [MRI]
    3. Very early multidisciplinary assessment including specialised stroke rehabilitation
    4. The planned transfer of care from the hospital to community and longer term follow up physical (physiotherapy) and occupational therapy support.
    NICE, the UK’s National Institute for Health and Clinical Excellence has produced a quality standard for stroke patients. This report describes the level of care that the NHS should provide.

    Ischaemic strokes 
    Alteplase is a ‘Clot-busting’ medicine that dissolves blood clots (thrombolysis). Can be effective if administered in the first four and a half hours after ischaemic stroke – not all patients are suitable for thrombolysis treatment.
    Following this a regular dose of aspirin (an anti-platelet medication) will reduce the chance of further blood clots occurring.
     Heparin and warfarin are two examples of  anticoagulants that may be given to prevent a blood clot.  Anticoagulants are regularly prescribed for patients that have an irregular heartbeat that can cause blood clots.
    Blood pressure
    Anti hypertensives lower blood pressure. 2 medicines used include thiazide diuretic which decreases water in body and increases blood vessel diameter which will decrease blood pressure.
    (ACE) inhibitors are angiotensin converting enzyme medication that will widen the blood vessels and therefore reduce blood pressure
    Statins will reduce cholesterol if required
    Carotid stenosis
    A narrowing in the carotid artery or carotid stenosis may lead to an ischaemic strokes. The carotid artery in the neck takes blood to the brain.
    Carotid endarterectomy is surgery that will unblock a carotid stenosis.
    Follow up rehabilitation
    Physiotherapy and occupational therapy rehabilitation following even partial recovery of stroke can improve the patients movement ability and  bring back a positive approach to life. The Tutor system has shown much success in stroke rehabilitation.
    The newly developed HandTutor and its sister devices (ArmTutor, LegTutor, 3DTutor) have become a key system in neuromuscular rehabilitation and physical and occupational therapy. The Tutors have been shown to be effective not only for stroke patients but also for those suffering from Pakinson’s disease, Brain Injuries, Spinal Cord Injuries, CP, MS known as neurological injury and disease. The Tutor system is also effective following peripheral nerve injury including  Radial and Ulnar nerve injuries, Brachial Plexus Injuries. Also indicated in orthopedic injury and disease including Total knee and total hip rehabilitation  and a variety of upper and lower limb surgeries. 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 system also includes objective quantitative evaluations that provide the therapist information to customize the most suitable rehabilitation program to the patient’s ability. Currently used by occupational and physical therapists, the ArmTutor, HandTutor and LegTutor is part of the rehabilitation program of leading U.S. and foreign hospitals. The Tutor system is used in clinics and at home and the occupational and physiotherapist can support patient home exercise rehabilitation through the use of telerehabilitation.
     Want to know more?

    Blood clot diagram (Thrombus)

    Image via Wikipedia


Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s

%d bloggers like this: