Hemiplegia is a vascular disorder, colloquially referred to as "stroke", that develops as a result of pathological changes in cerebral circulation and is characterized by loss of neuromuscular function in one half of the body. It is a state of paralysis in the muscles on the right or left side of the patient's body, depending on the location of the damage in the brain. It is a condition in which the contraction feature of the muscle is completely lost in the arm, leg and trunk remaining in the same half of the body. When examining the pathogenesis of cerebrovascular events (CVA), 4 different groupings can be made. Thrombotic type constitutes 40% of ischemic CVOs. It usually occurs due to arteriosclerotic thrombosis or occlusion of large blood vessels, especially the carotid and middle cerebral arteries. The embolic type accounts for 30% of all CVAs and is usually caused by cholesterol or other hematogenous materials in the artery wall or may be of cardiac origin. In the lacunar type, there is a problem with large vessels, but it involves small perforated brain vessel branches. The last type, hemorrhagic CVO, is less common but has a severe course. Bleeding begins suddenly, but its effect lasts a lifetime. If medical intervention can be given immediately to the hemorrhagic type, the prognosis is better.
Although hemiplegia is basically defined as a unilateral loss of function of the body, it is actually a collection of clinical symptoms. Speech loss or impairment, defined as motor aphasia, is also combined with symptoms such as shoulder subluxations, visual disturbances, loss of control of urination and defecation, memory problems, ataxia, coma, sensory loss and Horner Syndrome. These symptoms are seen in different combinations depending on the affected vessels of the brain and the way they are affected.
While these early findings disappear in a short time in some patients, they generally have a permanent course.
Return of movements after cerebrovascular accident, the cause and severity of the event. and is closely related to its location. Factors affecting the patient's development include; The patient's age, motivation, family and socio-economic level, and specific neurological disorders are included. For this reason, it is very important to start hemiplegia rehabilitation early.
What is a herniated disc (disc herniation)?
A herniated disc is a type of cushion located between the vertebrae. fluid in the middle of the interverteral discs that function It is the protrusion of the part (nucleus pulposus) from the surrounding structure (annulus fibrosus) as a result of strain or wear.
How much of the back pain is caused by a herniated disc?
As can be seen in the table below. Lumbar disc herniation is responsible for only 4% of low back pain. The majority of low back pain develops as a result of excessive tension and strain in soft tissues (e.g. muscle) (70%).
Causes of low back pain
· Lumbar Strain, sprain--- --70%
· Degenerative changes------10%
· Disc herniation-----4%
· Compression fractures due to osteoporosis----4%
· Spinal stenosis-----3%
· Spondylolisthesis-----2%
< br /> · Spondylolysis, discogenic low back pain or other instabilities-----2%
· Congenital diseases-----< 1%
· Traumatic fractures- ------ < 1%
· Cancer------0.7%
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