physiotherapeutic management of stroke :: essays research papers

IntroductionCerebrovascular disease or the terminal stroke is used to describe the effects of an interruption of the blood contribute to a localised area of the brain. It is characterized by rapid focal or global impairment of cerebral function lasting more than 24 hours or leading to conclusion (Hatano, 1976). As such it is a clinic eithery defined syndrome and should not be regarded as a single disease. guess affects 174-216 people per 10,000 population in the UK per year and accounts for 11% of all deaths in England and Wales (Mant et al, 2004). The risk of recurrent stroke within 5 years is amidst 30-43%. One problem is that the incidence of stroke rises steeply with age and the hoagieprogram of elderly people in the UK is on the increase. To date people who hold up a stroke occupy around 20 per cent of all acute hospital beds and 25 per cent of long term beds (Stroke Association, 2004). The British Government now identifies stroke as a major economic burden on the Nati onal Health Service (DoH, 2002). Fifty pct of stroke survivors will experience some residual impairment (physical and cognitive), which is destroy to the individual and their families (Rudd et al, 2002). It is therefore vital for patients and resources that maximum functional recuperation is achieved as fast as possible. The physiotherapist has a key role to correspond in the commission of stroke patients, through assessment, prevention strategies, acute management and recovery. This essay aims to critically discuss physiotherapeutic management and examine how it has and whitethorn be influenced by a number of factors (e.g. type of organized administration for the delivery of post stroke care, setting of therapy, evidence based make out from which National Guidelines are produced etc). The first stage is to outline stroke pathology, of which forms the origination of appropriate management.PathologyThere are two major stroke sub groups, those resulting from infarction (ischemi c stroke) and those resulting from haemorrhage (intracerebral and subarachnoid). Each of the types can produce clinical symptoms that carry out the definition of stroke. The types often differ with respect to survival and long-term disability, from recovery in a day to incomplete recovery, severe disability and death (Warlow et al, 2001).Ischemic stroke is the most common type of stroke, which accounts for approximately 85% of all cases (Rudd et al, 2002). It affects 35 people per 100,000 of the population per year (Coull et al, 2004).