A neurological disorder characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.

Role of physiotherapy in epilepsy

It helps improve strength, mobility, and increases the range of motion and sphere of movement.

It helps improve sensory awareness, response, balance, and coordination.

It helps to improve quality of movement and physical performance.

The goals of physiotherapy

To develop strength enough to support one s head upright

To have balance and motor control to maintain their trunk at midline

To use many different muscle groups

To assist necessary motion in their trunk and extremities

The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals

To understand what the patient is good at and does well

To focus on what he or she capable of doing rather than on what they can t do

To educate and provide awareness with a view to prevent injuries

For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool

Padding out sharp corners in the house to prevent damage if fallen on

Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.

How can physical exercise help with seizures?

Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and well-being in this way can help reduce seizures. 

It can also help people feel more in control of their health. 
It also helps release  feel good  hormones into the brain, keeps muscles active, reduces fat levels in the body, and increases oxygen flow to the brain. 
It can also increase the bone density. 
A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks can result in a significant reduction in the number of seizures they had.
Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.
Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence. 
Making new friends may help with any feelings of isolation. 
Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk.


Epilepsy - Understanding The Role Of Physiotherapy In It!

Asperger's syndrome has been found to affect people at a tender age. The augmented impacts of this syndrome are felt as you grow up. It is a neurological disorder falling under the scope of autistic spectrum disorders. However, it is a milder form of autism and has similarly unidentifiable causes. A person afflicted with asperger's syndrome will not exhibit stark signs of the disorder. These persons are usually smart and brilliant but face issues in communicating or interacting socially. 

Factors that may result in this disorder: 

A) genetic factors could also afflict you with such a syndrome. Thus, it is important to carry your family history while consulting a doctor.
B) certain changes in a person's brain could create trouble. 
C) your body could be susceptible to external toxins: many times bacteria and viruses from a polluted environment can lead you to such a serious neurological condition.

Ways to diagnose asperger's syndrome: 
1. A doctor would concentrate on your child's speech- language development can hint at many underlying health issues. Your child might fail to process speech around him or her which impairs its own speech.

2. Exchanges in a social setup could be indicative of something- children or adults could find social 
Gatherings challenging. They feel awkward to interact with friends, relatives and colleagues. It takes a lot of effort on their part to exchange basic pleasantries. A doctor will be able to deduce from such symptoms.

3. Facial expressions while conversing could help diagnosis- a person's facial expressions tell a lot about how they formulate or feel about things. Their words, at the same time, could be contrary. Counselors lay stress on frequent sittings to closely note the gestures made by a patient. 

4. Comprehension and coordination capabilities- your child or loved one might find it difficult to handle motor regulated appliances. Comprehending instructions could also be a test. People suffering from asperger's syndrome face problems in understanding simple things. 

5. Responding to change will also be taken into consideration- patients trying to cope with this syndrome are usually not open to change. They take a very long time to adapt to a given way of life; a sudden change will thwart their idea of normalcy.

Causes and Diagnosis of Asperger's Syndrome

Coping with Parkinson s disease is not an easy task. Whether you or your loved one is suffering from it, the effect of the disease takes a toll. Other than the fact that it is a degenerative disease and the neurological condition deteriorates over time, the mental trauma that Parkinson s brings; not only to the patient but to the caregiver as well, is a whole chapter on its own. When you are taking care of someone who is suffering from 

Parkinson s disease, it is natural that the emotional upheaval that you may go through will take a huge toll on your health and your mind. It is imperative that you prepare yourself thoroughly, whether you are the patient or the caregiver, about the disease and its treatments.

There is hardly any cure and treatment for the disease. It is still in its research stage and hence, often there is a strong sense of despair that sets in the mind of the patient and their loved ones. It is for this reason you have to prepare yourself to face and fight this disease. 

Here are some tips that may help you to cope with the treatments of Parkinson s disease:

Educate Yourself: Educate yourself about every detail of the disease, specific to the type of Parkinson s that has affected you or your loved one. Ask questions, whether to your doctor or the nurses. Search through the internet, you will get plenty of genuine information. This is necessary as it will prepare you to face the future head-on. You will understand what you are dealing with and how much worse it can get.
Stay Active: If you are the one who is suffering from Parkinson s, then write it down as the golden rule   I will have to stay physically active. Staying active will keep your muscles active and there will be a steady functioning of the nervous system. Staying active gives you the benefit of keeping the muscles at work, ultimately fighting the main symptom of Parkinson s disease. Being physically active is also essential to have a good mental health, both for the patient and the caregiver.
Connect With People: Talk to people, your friends, family members, children, grandchildren and anyone you feel like. If you have any estranged relative, it could be a good time to reconnect. Have wholesome conversations that will influence happy thoughts and encourage you to think and ponder on happy memories. This is crucial as Parkinson s invites depression and you will have to tackle it vehemently.
Talk to a Mental Health Professional: If you feel that you are losing a complete hold of your life and your depression seems uncontrollable, it is time to visit a professional psychiatrist and seek his/her advice in dealing with your troubled mental condition.

Impact Of Parkinson's Treatment - How Can It Be Managed?

Headaches and migraines can vary drastically depending on their duration, specific symptoms and the person they are affecting. The more you know about your specific type of headache or migraine, the better prepared you will be to treat them and possibly even prevent them. The two types of migraine are- 

Migraine without aura: The majority of migraine sufferers have Migraine without Aura. 
Migraine with aura: Migraine with Aura refers to a range of neurological disturbances that occur before the headache begins, usually lasting about 20-60 minutes.
Symptoms of migraine vary and also depend on the type of migraine. A migraine has four stages: prodrome, aura, headache and postdrome. But it is not necessary that all the migraine sufferers experience all the four stages.

Prodrome: The signs of this begin to appear a day or two days before the headache starts. The signs include depression, constipation, food cravings, irritability, uncontrollable yawning, neck stiffness and hyperactivity.
Migraine Aura: Auras are a range of symptoms of the central nervous system. These might occur much before or during the migraine, but most people get a migraine without an aura. Auras usually begin gradually and increase in intensity. They last for an hour or even longer and are 

Visual: Seeing bright spots, various shapes, experiencing vision loss, and flashes of light
Sensory: Present in the form of touch sensations like feeling of pins and needles in the arms and legs
Motor: Usually related with the movement problems like the limb weakness
Verbal: It is related with the speech problems
Headache: In case of a migraine attack one might experience:

Pain on both sides or one side of the head
Pain is throbbing in nature
Vomiting and nausea
Sensitivity to smells, sound and light
Vision is blurred
Fainting and lightheadedness
Postdrome: This is the final phase of the migraine. During this phase one might feel fatigued, though some people feel euphoric.

Red flags that the patient may be having underlying serious disorder not migraine

Onset of headaches >50 years 
Thunderclap headache - subarachnoid haemorrhage 
Neurological symptoms or signs 
Meningism 
Immunosuppression or malignancy 
Red eye and haloes around lights - acute angle closure glaucoma 
Worsening symptoms 
Symptoms of temporal arteritis
These patients require CT scan / MRI or CSF examination. Most Migraine patients do not need these tests. 

Diagnosis of Migraine: Usually migraines go undiagnosed and thus are untreated. In case you experience the symptoms regularly then talk to the doctor, who evaluates the symptoms and can start a treatment. You can also be referred to a neurologist who is trained to treat the migraines and other conditions. During the appointment the neurologist usually asks about the family history of headaches and migraines along with your symptoms and medical history.

The doctor might advise for some tests like:

Blood Tests: These reveal problems with the blood vessel like an infection in the spinal cord and brain.
CT scan: Used to diagnose the infections, tumors, brain damage, and bleeding that cause the migraines.
MRI: This helps to diagnose the tumors bleeding infections, neurological conditions, and strokes.
Lumbar Puncture: For analyzing infections and neurological damages. In lumbar puncture a thin needle is inserted between the two vertebrae to remove a sample of the cerebrospinal fluid for analysis.
Treatments

Migraine treatments can help stop symptoms and prevent future attacks.

Many medications have been designed to treat migraines. Some drugs often used to treat other conditions also may help relieve or prevent migraines. Medications used to combat migraines fall into two broad categories:

Pain-relieving medications. Also known as acute or abortive treatment, these types of drugs are taken during migraine attacks and are designed to stop symptoms.
Preventive medications. These types of drugs are taken regularly, often on a daily basis, to reduce the severity or frequency of migraines.
Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions.

Some medications aren't recommended if you're pregnant or breast-feeding. Some medications aren't given to children. Your doctor can help find the right medication for you.

Migraine - Identifying the Early Signs!

Facial Palsy is a paralysis of facial muscles. The weakness of facial muscles is also known as Facial Palsy. It may be caused by temporary or permanent damage to facial nerves. There are different facial nerves for different sides of the face. When nerve bundles on one side are affected, muscles on that side of the face become weak. 

Since different nerves are involved, cerebral palsy may affect different parts of the face such as lower part, left side, right side, etc. There are medicines for Facial Palsy. However, there is no standard treatment approach in modern medicine for treating Facial Palsy. However, Ayurveda can help in treating these patients.

Ayurvedic Interpretation of Facial Palsy:

In Ayurveda, Facial Palsy is referred to as Ardita, and it is defined as a disability in facial expressions and communication. The source of the disease is facial nerve paralysis, which precipitates motor and sensory impairment on the affected side of the face. According to Ayurveda, this disease can affect people of all ages. 

Ayurveda targets the dosha responsible for this disease. According to Ayurveda, the dosha responsible for this problem is known as Vata. It is thought that the face or the relevant side of the face is afflicted by Vata, which needs to be rectified.

Factors Responsible for Facial Palsy:

According to Ayurveda, there are some factors which may precipitate Facial Palsy in the long term. These include:

Speaking loudly.

Chewing hard stuff.

Laughing, sneezing or yawning excessively.

Putting heavy load on head.

Sudden change of direction of head or neck.

Having uncomfortable posture during sleep.

Using too high or too low pillows.

Anemia.

Injuries.

Excessive sleeping during the day.

Excessive use of tongue scrapers.

Excessive rubbing of the ears, eyes, and nose.

Consuming excess of alcohol.

Symptoms of Facial Palsy According to Ayurveda:

Preliminary symptoms of Facial Palsy, as mentioned in different Ayurvedic books, include: 

Blurred vision.

Loss of sense of touch on facial skin.

Pain.

Neck stiffness.

Jaw stiffness.

Distortion of the affected side.

Tremors of the head.

Shaking of teeth.

Incomplete closure of affected eyelids.

Distortion of nose.

Slurred speech.

Hoarseness in voice.

Impairment of hearing loss and smell sensation.

Pain in the ear on the affected side.

Trouble chewing and swallowing.

Sneeze getting suppressed.

Severe pain in the neck, chin, teeth, on the affected side.

Ayurvedic Treatment of Facial Palsy:

Ayurveda depends on the following to treat the problem.

Oil massages on the head.

Applications of oil to the ears and eyes.

In the case of any burning sensation, therapeutic bloodletting may also be conducted.

Medicated oil in nostrils

Oral drugs include Akaangavira Rasa, Sameera Pannaga, Ashwagandha Churna, Ashwagandharishta, etc.

Exercise including balloon breathing exercise

Conclusion:

A study published in the European Journal of Pharmaceutical and Medical Research has come up with astounding results for the efficacy of Ayurveda on Facial Palsy. This indicates that in the absence of any standard therapy, Ayurveda can offer an excellent remedy against Facial Palsy. However, it is always recommended to consult an Ayurvedic physician before opting any ayurvedic remedies or purchasing any ayurvedic medicines. Any treatment depends upon the condition of the individual. This is why one should always consult a doctor before going for any treatment.

Facial Palsy - Causes, Symptoms & Ayurvedic Treatment For It!

What is Parkinson s disease?
Parkinson s disease is a progressive and degenerative disorder of the Central Nervous System that mostly affects older people. It is a chronic disease and the symptoms develop over a period of time. The characteristic symptoms of Parkinson s are rigidity, shaking, bradykinesia (slowness in movement) and shuffled gait. Anxiety and depression also seem to be common in advanced stages of Parkinson s disease. In addition to the motor symptoms, the cognitive function of the brain is also compromised.

Degeneration of the nerve cells in the substantia nigra of the brain results in the reduction in production of dopamine which is a neurotransmitter in the brain. Neurotransmitters relay impulses from one nerve to the other. This is what is mainly responsible for the motor symptoms in Parkinson s. Although, Parkinson s is not a curable disease, it can be controlled and the progress of the disease can be kept in check with certain medications.

What causes Parkinson s disease?
The cause of Parkinson s is mostly idiopathic, i.e. the cause is unknown and is not specific. However, there have been cases which show that it can be attributed to factors such as genetic and environmental factors.
What are the symptoms of Parkinson s?

The symptoms of Parkinson s can be classified as Motor symptoms and Non-motor symptoms:

Motor Symptoms 

Bradykinesia: Slow movement
Tremor of limbs
Rigidity or stiffness of trunk and limbs
Impaired balance and difficulty in coordination or postural instability
Non-motor Symptoms 

Depression
Anxiety and fear
Loss of energy and fatigue
Constipation
Excessive salivation
Weight gain or weight loss
Cognitive problems such as difficulty in remembering, confusion, dementia
Parkinson s disease is not curable, but when detected early, medicines are prescribed to give symptomatic relief. Dopamine substitutes are prescribed to the patient to relieve the motor symptoms.

Parkinson's Disease - Understanding The Motor & Non-motor Symptoms!

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