18/01/2026
đ§ Stroke (Cerebrovascular Accident): āĻāĻžāϰāĻŖ, āĻĒā§āϰāĻāĻžāϰāĻā§āĻĻ āĻ Evidence-Based Recovery
āϏā§āĻā§āϰā§āĻ (CVA) āĻšāϞ⧠āĻāĻāĻāĻŋ acute neurological emergency, āϝā§āĻāĻžāύ⧠āĻšāĻ āĻžā§ āĻāϰ⧠āĻŽāϏā§āϤāĻŋāώā§āĻā§āϰ āύāĻŋāϰā§āĻĻāĻŋāώā§āĻ āĻ
āĻāĻļā§ cerebral blood flow āĻŦā§āϝāĻžāĻšāϤ āĻšā§āĨ¤ āĻāϰ āĻĢāϞ⧠āύāĻŋāĻāϰāύ āĻā§āώāϤāĻŋāĻā§āϰāϏā§āϤ āĻšā§ āĻāĻŦāĻ āĻļāϰā§āϰā§āϰ āύā§āĻžāĻā§āĻž, āĻāĻĨāĻž āĻŦāϞāĻž, āĻ
āύā§āĻā§āϤāĻŋ āĻ āĻā§āĻāĻžāύā§ā§ āĻā§āώāĻŽāϤāĻž āύāώā§āĻ āĻšāϤ⧠āĻĒāĻžāϰā§āĨ¤
đŦ āϏā§āĻā§āϰā§āĻ āĻā§āύ āĻšā§? (Etiology)
â Cerebral artery occlusion (Thrombus āĻŦāĻž Embolus)
â Intracerebral āĻŦāĻž Subarachnoid hemorrhage
â āĻĻā§āϰā§āĻāĻĻāĻŋāύā§āϰ Hypertension (āϏāĻŦāĻā§ā§ā§ āĻŦā§ risk factor)
â Diabetes Mellitus, Dyslipidemia
â Cardio-embolic sources (AF, Valvular disease)
â Smoking, sedentary lifestyle
đ§ āϏā§āĻā§āϰā§āĻā§āϰ āĻĒā§āϰāĻāĻžāϰāĻā§āĻĻ (Types of Stroke)
1ī¸âŖ Ischemic Stroke (â85%)
â Large vessel disease
â Small vessel disease (Lacunar infarct)
2ī¸âŖ Hemorrhagic Stroke (â15%)
â Intracerebral hemorrhage
â Subarachnoid hemorrhage
3ī¸âŖ TIA (Transient Ischemic Attack)
â ⧍ā§Ē āĻāύā§āĻāĻžāϰ āĻāĻŽ āϏāĻŽā§ā§āϰ āύāĻŋāĻāϰā§āϞāĻāĻŋāĻā§āϝāĻžāϞ deficit
â âWarning strokeâ â āĻāĻŦāĻŋāώā§āϝ⧠major stroke āĻāϰ strong predictor
đ āϰāĻŋāĻāĻāĻžāϰāĻŋ āĻā§āύ āĻŦāĻŋāώā§ā§āϰ āĻāĻĒāϰ āύāĻŋāϰā§āĻāϰ āĻāϰā§? (Prognostic Factors)
â Stroke āĻāϰ āϧāϰāύ āĻ lesion āĻāϰ location
â Brain tissue damage āĻāϰ āĻĒāϰāĻŋāĻŽāĻžāĻŖ (Infarct size)
â Early medical stabilization
â Early, intensive & task-specific physiotherapy
â Patient compliance āĻ neuroplasticity
⥠Ischemic stroke āĻ timely reperfusion āĻ rehabilitation āĻ functional recovery āϤā§āϞāύāĻžāĻŽā§āϞāĻ āĻāĻžāϞā§
⥠Hemorrhagic stroke āĻ recovery āϧā§āϰ āĻāĻŦāĻ prolonged rehabilitation āĻĒā§āϰā§ā§āĻāύ
⥠TIA untreated āĻĨāĻžāĻāϞ⧠permanent stroke āĻāϰ risk āĻŦāĻšā§āĻā§āĻŖ āĻŦā§ā§ā§ āϝāĻžā§
â āĻā§āύ Evidence-Based Physiotherapy āĻāĻžā§āĻž āϏāĻŽā§āĻĒā§āϰā§āĻŖ Recovery āϏāĻŽā§āĻāĻŦ āύā§?
â Upper motor neuron lesion āĻāϰ āĻĢāϞ⧠āĻšā§â
âĒ Spasticity (Velocity-dependent increase in muscle tone)
âĒ Abnormal synergy pattern
âĒ Muscle weakness & disuse atrophy
âĒ Loss of balance, coordination āĻ functional independence
đ§ Neuroplasticity activate āĻāϰāϤ⧠āĻĒā§āϰā§ā§āĻāύâ
â Early mobilization
â Task-oriented training
â Motor relearning programme
â Gait re-education & balance training
â Spasticity management & strengthening
đŠē Physiotherapy & Rehab Expert Clinic āĻ āĻāĻŽāϰāĻž āĻĒā§āϰāĻĻāĻžāύ āĻāϰāĻŋâ
â Acute to chronic stroke rehabilitation
â Evidence-based Neuro-physiotherapy protocol
â Functional independence & ADL training
â Caregiver education & home programme
âŗ Clinical fact:
đ Stroke recovery is NOT automatic.
đ Rehabilitation is a medical necessity, not an option.
đ āĻĻā§āϰāĻŋ āύāĻž āĻāϰ⧠āĻāĻāĻ āĻāĻāĻāύ trained Neuro-physiotherapist āĻāϰ āĻļāϰāĻŖāĻžāĻĒāύā§āύ āĻšāύāĨ¤