Neurological diseases treated in the Intensive Care Unit are included in the classification of chronic diseases by the World Health Organization (WHO).
Cerebrovascular diseases (BDH) -The term cerebrovascular diseases (CVD)- covers all diseases in which a region of the brain is affected temporarily or permanently due to ischemia or bleeding and/or the vessels feeding the brain are directly affected by a pathological process.
DEFINITION OF STROKE ACCORDING TO WHO
According to the World Health Organization definition, stroke; It is a clinical syndrome characterized by the rapid onset of signs and symptoms of focal loss of cerebral function, without any apparent cause other than vascular causes.
STROKE WORLDWIDE
Stroke is not only It is the third most common cause of death after coronary heart disease and all cancers, not only in developed countries but also all over the world. Approximately 700,000 strokes and roughly 600,000 ischemic lesions and 100,000 intracerebral or subarachnoid hemorrhages and 175,000 related deaths occur in the United States each year.
RISK FACTORS OF STROKE
1-Unchangeable risk factors
- Age
- Breed
- Familial history history of stroke or TIA
- Race
- Low birth weight
2- Risk factors that are definitely related to stroke and can be modified
- Hypertension
- Heart diseases (atrial fibrillation, coronary artery disease, heart failure)
- Smoking, Alcohol
- Diabetes
- High blood cholesterol and lipids
- Diet, obesity, physical inactivity
- Postmenopausal hormone therapy
SYMPTOMS OF STROKE
- Headache
- Tinnitus
- Double vision
- Facial paralysis – facial numbness, numbness, tingling
- Loss of consciousness, vomiting
- Irregular breathing
- Stiffness in arm and leg muscles on one side of the body
- Loss of movement , abnormal movements and positions
- Balance and walking problems
- Pain, touch and sensation of body positions disorder in speech and perception in the brain
- Speech disorders
- Urinary incontinence
- Urinary incontinence
STROKE TREATMENT
- Conventional Treatments
- Normal Joint Movements (NEH)
- Strengthening exercises
- Mobilization activities
- Compensation techniques
- Exercise Treatment
- Neurophysiological approaches
- Compulsive use treatment
- Functional electrical stimulation
- Spasticity treatment
- Depression treatment
- Motor learning
- Aphasia rehabilitation
- Space therapy
Treatment should be a team effort. Physiotherapists have a great responsibility in the rehabilitation process after doctor's control.
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