Language plays a very important role in our everyday life. Language disorders are common in neurological practices. A stroke directly affects one s brain and can cause neurological problems.

The consequences of neurological stroke language disorders are alexia, aphasia, alexia, acalculia, and agraphia. A large number of deaths worldwide are caused due to stroke. A severe stroke may impair a patient for life and cause communication disorders. The brain refuses to function properly after a stroke, thus accurate description and recognition become a challenging task.

Understanding the types of language disorders post-stroke

Stroke can severely damage a certain portion of your brain and hamper its proper functioning. One of the most common symptoms following a stroke is language loss. There can be different types of language loss, partial or even complete. Below are the types:

Aphasia

It means complete loss of language functioning. The patient s verbal communication is impaired and it results in difficulty in understanding both written and spoken language, repetition, naming, comprehension and other abnormalities. The blood vessels of the brain are affected causing its dysfunction. One-third of patients in the acute phase undergo this condition.

Alexia

A disconnection syndrome caused due to brain damage or trauma affects the patient s reading ability. It is also known as visual aphasia, text blindness, or word blindness. It is very different from dyslexia.

Agraphia

It is the inability to write unlike in the past. The motor control that allows you to write is disrupted and the patient writes wrong spellings or imaginary words and confuses the meanings.

Acalculia

This is also an acquired syndrome in case of which the patient cannot perform any mathematical calculations. Simple addition, subtraction, numbers and columns are a difficult task and go beyond understanding.

Language recovery

The process of recovery is difficult, slow and does not guarantee results. The severity of language impairment needs to be considered before going for therapy. Rehabilitation is necessary to avoid any depression or frustration in the patient.

Communication is essential. If a patient is suffering from aphasia, begin with simple words like  yes  or  no , hand gestures and nodding to address the basic needs.

Be patient and try to connect with the person emotionally.

Return to the daily routine. The homely environment can be beneficial and make sure you have an everyday list of words to learn or write.

The patient must be active and repeat words until you have the perfect pronunciation.

Keep a notepad handy. For patients who cannot talk and has difficulty in talking can write and express their feelings.

It is very important to stay stimulated. Motivation from friends and family relieves anxiety and can help the patient recover quickly. No two affected person goes through the same process, that s why understand and approach accordingly.

Early therapy is effective and patients may respond very well in groups and a safe environment. Visit the doctor at regular intervals to test your improvements, reflexes and language skills. Post-stroke, the patient s well-being should be a priority.

Know More About Neurological Stroke Language Disorders!

Stroke is a medical condition in which the flow of blood towards the brain is poor and causes the death of certain cells. There are two common types of stroke: 

1. Ischemic- due to lack of blood flow
2. Hemorrhagic- due to bleeding

Signs and symptoms of stroke 

Problems with movement
Inability to feel  on one side of the body
Problems understanding or in speech
Vertigo
Loss of vision
Difficulty in carrying out everyday activities
Role of Physiotherapy for Patients with Stroke

The main focus of physiotherapy is to help you use your arms and legs to regain as much strength and movement as possible. 
If you have one-sided paralysis, correct positioning is important to prevent spasm or injury.
It helps you to sit up as this will help you avoid blood clots in your legs, improve your breathing and help you recover quickly.
If you are unable to move, you may be given chest physiotherapy to keep your lungs free of infection.
What does a Physiotherapist do?

A physiotherapist advises you on how you should be positioned when lying or sitting, and how often you need to be moved.
Motivates you to be actively involved in your physiotherapy sessions to help you relearn normal patterns of movement
Decides when you should begin to start walking and what equipment is needed to move or support you
Provides therapy to strengthen your limbs and teach you how to move again as independently as possible
Takes care of the fact that no complications should arise and you have a smooth recovery.
Treatment Techniques:

Strength Training: It is evident that strength training can improve upper-limb strength and function without increasing tone or pain in individuals with stroke.
Gaming: Goal orientated computer gaming has proven to significantly reduce upper limb impairment in stroke survivors.
Virtual Reality: Virtual reality training has been shown to be effective in restoring upper limb motor impairments and motor-related functional abilities.
Mirror Therapy: Mirror therapy has been shown to have a beneficial effect on motor control and function compared to conventional therapy.
Robot-Assisted Therapy: It has been shown to have a beneficial effect on motor recovery and function.
In the upper extremity with severe impairment and/or poor prognosis for recovery, Chedoke McMaster Stroke Assessment (CMSA) of Arm and Hand < Stage 4) treatment should focus on maintaining a comfortable, pain-free, mobile arm and hand. Engage in repetitive and intense use of novel tasks that challenge the stroke survivor to acquire necessary motor skills to use the involved upper limb during functional tasks and activities. Engage in motor-learning training including the use of imagery.

Stroke - How Physiotherapy Can Help With It?

Stroke is one of the major reasons for disability in adults. In the US alone, 7 million people suffer from a stroke in a year. After a stroke, the affected individual suffers from lots of health issues. They feel week and fatigued. An ache in one side of the body, inability to walk, and social disability are experienced. Emotional and cognitive functioning is disturbed. Continuum care is recommended for the affected individuals and they need interdisciplinary care to ensure they can do things independently. This is where occupational therapy plays a vital role.

What does the therapist do? 

Using a range of evidence-based methods, the occupational therapists can address the physical, emotional, and mental challenges caused by the stroke. Occupational therapy does not concentrate only on the ailment. It takes into account the emotional needs, desires, limitations, and activities of the stroke survivors. It helps them to recoup the skill to get the daily chores done independently. An occupational therapist surveys the home of the stroke survivor and evaluates the risk of hazards. The practitioner also helps the affected individuals in coping with the loss of vision and memory. The physical strength and fortitude are augmented. The major focus will be on making the affected reach the heights of performance in the valued occupations.

How does it help? 

Studies prove that occupational therapy does not only help one to recover faster, but also prevents worsening of the condition further. The stroke survivor, who receives the occupational therapy, is independent when it comes to daily living chores. Wouldn t it be a great improvement on the emotional health when the affected feels he or she can get things done with little or occasional help? Also, this reduces the caregiver burden. The family is relieved that the survivor can eat, bath, and take a few things without someone having to sit closer and help. This mentally boosts the caregivers and the family to motivate the survivor. The stroke survivor also looks forward to the rehabilitation treatment as the occupational therapy makes them feel great.

Transitional and community integration services can make sure that the patients are engaged in their specific environments, once they get back home after occupational therapy in the specialized care center. After a certain period, when the stroke survivors show considerable improvement, the practitioner again evaluates to find if activities like driving can be resumed by the clients. Community mobility of different choices is recommended if the client is not fit for driving. There are driver rehab programs and the driving skills can be regained.

An occupational therapist spends more time with the client than any other healthcare professional. This is because the practitioner is responsible for alleviating the challenges faced by the affected individual emotionally and physically. The practitioner not only helps the client to achieve the goals but also ensures that the client is psychologically motivated whenever he or she is discouraged. Rehabilitation can reverse the damage done to the brain. But it takes lots of efforts to learn the things to do them in a different way. An occupational therapist makes this goal easier for his or her clients.

Occupational Therapy For People Recovering From A Stroke! 

A stroke may be called a brain attack. It may happen to any person at any time. A stroke occurs when blood supply to the brain is cut off. The brain cells become oxygen deprived due to the stroke and eventually die. Dead brain cells result in brain dysfunction due to which patients lose control over muscle and memory.

Strokes can be mild to life threatening and requires immediate medical attention. Stroke requires advanced care and should be treated by extensively qualified and experienced medical experts. 

Neurosurgery satisfies all the required clauses for treatment of stroke and accounts for being one of the best ways for management of stroke. Renowned hospitals have a dedicated neurosurgical wing and a team of neurological specialists who know how to deal with stroke the best.

Vascular Neurology
This form of neurology focuses on patients who have undergone a stroke or have experienced symptoms of stroke. A multidisciplinary approach is taken for the prevention of recurrent cerebrovascular conditions.

Types of stroke

Ischemic stroke: This kind of stroke occurs when there is a blockage in a blood vessel, which supplies blood to the brain. This form of stroke is the more common. The underlying cause of this stroke is known as atherosclerosis, which is a condition where fatty deposits occur in the walls of the blood vessels and cause blockage in them.
Hemorrhagic stroke: This type of stroke occurs when a blood vessel gets weak and ruptures into the brain. This is caused by two types of weak blood vessels known as aneurysm and arteriovenous malformation.
Transient ischemic attack: This type of stroke is also known as a mini stroke. These attacks occur because of blood clots. The blockage caused is temporary or transient in nature.
Treatment of Ischemic stroke

Tissue Plasminogen Activator: This is one of the best ways to treat ischemic strokes. This medicine is given to the patient intravenously. It dissolves the blood clot and improves blood flow to the area of the brain which is affected. The medicine should be given within three to four hours after stroke symptoms appear.
Endovascular procedure: This is a process by which the blood clot is removed using a catheter, which gets inserted into the area of the blocked blood vessel. It helps in restoring blood flow to that area. 
Treatment of Hemorrhagic stroke

Endovascular procedure: Several endovascular techniques and methods are used so that the weakening of blood vessels is reduced and less bleeding is caused.
Surgical treatment: Different modes of neurosurgery may be undertaken to stop bleeding and for relieving pressure within the skull.

Role of Neurosurgery in Management of Stroke

Lifestyle changes and unhealthy habits take a toll on one s physical and mental health resulting in many diseases. One such disease that is growing common is the stroke that occurs due to a sudden interruption of blood supply to the brain. As with any lifestyle disease, the chances of having a stroke can be reduced as well. Knowing the risk factors and taking appropriate measures can prevent you from a stroke attack. 

Read on to know the seven effective ways to prevent you from a stroke.

Opt for a healthy lifestyle: While smoking leads to an increased risk of suffering from a stroke, excessive consumption of alcohol not only triggers irregular heartbeats, but also high blood pressure, which can be a solid reason behind having a stroke. Therefore, leading a healthy lifestyle free from smoking and alcohol can help in preventing strokes.
Manage conditions: Whether it is diabetes or any other kind of illness which directly or indirectly give rise to the risk of having a stroke, dealing with one's underlying conditions is important. In case one is diagnosed with such a condition that can be responsible for a stroke, he or she must make it a point to keep that condition under control.
Lose weight: Obesity is often known to increase the complexities associated with a stroke such as diabetes and high blood pressure. Therefore, for those who are overweight, losing a few pounds can be really helpful in preventing the chances of having a stroke.
Keep blood pressure in check: High blood pressure often causes a stroke, if not controlled. It is referred to as the biggest contributor in causing a stroke by many. Lowering the high blood pressure or bringing it to normal levels can indeed be a great way of preventing a stroke.
Exercise regularly: Exercise not only contributes to lowering the blood pressure, but also helps to maintain body weight while ensuring the overall fitness of the body. Some light hand exercises or regular walking combined with proper diet can do wonders in preventing a stroke.
Have a proper sleep at night: Spending sleepless nights may increase the risk of stroke. Therefore, one must make it a point to maintain the necessary amount of sleep at night that can help in reducing stress and anxiety, while decreasing the chance of heart diseases as well as a stroke.
Never ignore the palpitations: Ignoring the palpitations is the last thing one can want to do, if he or she is willing to prevent the chances of suffering a stroke. Feelings of lightheadedness or shortness of breath, chest pain and abnormal heart beats can be warning signs for a stroke. Therefore, you must pay proper attention to these and deal with appropriate medications.
An otherwise healthy person can stay away from stroke by continuing a healthy lifestyle and following the tips mentioned above. However, if you have suffered a stroke earlier, then it becomes imperative to follow these tips along with supervised medical care.

Stroke - Can You Prevent It From Happening?

Stroke is a condition known to all for its deadly impact. Even if the affected person survives, the after-effects can be immensely debilitating right from affecting movement to speech. Being informed, you can protect yourself and your loved ones from both ischemic and hemorrhagic stroke. Here are the common signs of stroke that you should be aware of:

Numbing of arms and legs: Many people wake up and find that their arms and legs are numb and they tend to assume that it is due to compression of the nerve. But the actual reality is that the flow of blood through the arteries running up to the spine is reduced, and it has led to weakness or numbness on either side of the body.
Double vision and blurriness: Vision problems can also be a strong indicator of stroke even though most people think it is due to long hours of work or aging. When you see two images of the same object, it doesn t have to mean that you are reading too much. It could mean that the blood vessel in charge of supplying oxygen to the eyes has been disrupted or blocked.
Slurred speech: Some medicines, particular painkillers can cause speech issues. But this is not the case always; if it is not a side effect that you typically experience after taking painkillers, you should consult a healthcare expert without any delay. 
Confusion and trouble over thinking and articulating: When you find yourself in a state where you cannot recall the right word to explain the right thing, you may rest assured that it is an issue stemming from the stroke. If you find yourself to struggle thinking or finding a word very commonly, then you are heading for big trouble.
Balance problems: Some people have balance issues, and they think it is due to the dose of alcohol, but experts say it is crucial to identify whether this assumption is correct. You will never have delayed balance problems, and therefore, you cannot blame a drink that you had last day. So, if you have balance issues without any identifiable reason, it is advisable to call a doctor.
A headache that becomes intolerable at times: Headaches can be a sign of a migraine but in case you are not prone to this ailment, then the debilitating headache could indicate a stroke. Migraine headaches can also mean stroke since both of them have similar signs and symptoms.
Fatigue that won t let you stay upright: If you are not doing any physically strenuous job but still feel tired most of the time, it could be a warning sign of stroke. If it continues for over a week, it is recommended that you consult an expert immediately.
Equipped with this knowledge, stay aware and pay attention to the indications your body gives to take care of yourself.


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