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Robotic Mirror Therapy System for Functional Recovery of Hemiplegic Arms
Published on: August 15, 2016
[Complications in the hemiplegic patient in the first year after the stroke]
1Servicio de Rehabilitación, Hospital de Górliz, Astondo Ibiltoki, 2. E-48630 Górliz, Vizcaya. rilardia@hgor.osakidetza.net
Insights
Stroke survivors face common complications like painful shoulder and contractures within the first year post-cerebrovascular accident (CVA). Early identification and management of these hemiplegic syndrome issues are crucial for recovery.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Clinical Research
Context:
- Cerebrovascular accidents (CVAs) lead to hemiplegia, increasing patient risk for post-hospitalization complications.
- Understanding these complications is crucial for effective patient management and rehabilitation.
- Hemiplegic syndrome presents unique challenges in the first year after a stroke.
Purpose:
- To determine the incidence of common complications associated with hemiplegic syndrome.
- To analyze complication frequencies during the initial 12 months following a stroke.
- To identify the most prevalent secondary conditions in hemiplegic patients.
Summary:
- A study of 73 hemiplegic patients revealed that 81% experienced complications within the first year post-stroke.
- Painful shoulder (40%) and contractures (23%) were the most frequent complications.
- Sympathetic-reflex dystrophy of the paretic arm affected 15% of patients.
Impact:
- Findings highlight the significant burden of complications in hemiplegic patients.
- Identifies key areas for targeted interventions and preventative strategies in stroke rehabilitation.
- Informs healthcare providers about the long-term sequelae of stroke, improving patient care pathways.
Introduction:
After a cerebrovascular accident (CVA) a hemiplegic patient is at risk from numerous complications after leaving hospital.
Objective:
To analyze the frequency of occurrence of the commonest complications characteristic of the hemiplegic syndrome, during the first year after the stroke.
Patients And Methods:
We evaluated 73 hemiplegic patients admitted to the rehabilitation department for treatment after a stroke. At each medical consultation, on admission and three, six and twelve months after the CVA, the complications 'belonging' to the hemiplegic syndrome were evaluated. These included contractures, painful shoulder, sympathetic-reflex dystrophy, fractures and thalamic pain.
Results:
During the first year of the illness 81% of the patients had some type of complication. A painful shoulder was the commonest complication, seen in 40% of the patients, followed by contractures (23%). Sympathetic-reflex dystrophy of the paretic arm occurred in 11 patients (15%).
Conclusion:
The commonest complication in patients during the first year after their stroke are painful shoulder and contractures.
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