The effect of physiotherapy interventions improves motor and mental function in stroke patients

Physiotherapy interventions in stroke patients

Introduction

A stroke, or cerebral vascular accident, is a neurovascular event that occurs when the blood supply to the brain is disrupted either due to a blood clot in a micro-vessel or a rupture of a blood vessel in the brain. Hypertension is the main cause of cerebral stroke, followed by dyslipidemia. The incidence of non-fatal strokes has been found to be associated with depression and use.

Stroke is considered the leading cause of alcohol and death. Patients with stroke have substantial rates of mental health comorbidities, resulting in high mental health care after a stroke.

Patients with comorbidities face many challenges to improve their health status and quality of life, and this is especially true for patients with stroke, hypertension, depression, and anxiety. Biopsychosocial models have been used to explain that well-being is not only related to physical health but also psychosocial health.

Engaging in physical activity can improve the physical, psychological, and social health of normal individuals. People with depression, anxiety, substance abuse, and various mental disorders can receive many benefits from physical activity.

However, there are limited studies that address whether patients with recent strokes who have a previous history of anxiety and depression can benefit from treatment with physical therapy. . Therefore, it is necessary to know the influence of physiotherapy interventions on mental function in stroke patients.

Yung and Fir (2017) report that physical activity is highly effective in patients with mental problems and exercise should be considered in relation to other interventions. One study developed the effects of two physiotherapy interventions on cognitive function in patients with stroke and found that patients showed significant improvements in cognition as well as memory.

Another study conducted by Tamawy and colleagues in 2105, in which the effects of aerobic exercise on mental function in patients with stroke, revealed that aerobic exercise improves cognitive function in patients with ischemic stroke.

A study focusing on cognitive rehabilitation in patients with attention after a stroke used independence as a measure of outcomes, similar to the present work.

Previous studies concluded that cognitive rehabilitation has a substantial effect on functional independence in patients with stroke. In a systematic, Cumming and colleagues concluded that increased physical activity after a stroke improved performance in these patients.

Conclusion

In this study, we found that physiotherapy interventions improved motor and mental function in stroke patients who had a history of depression and anxiety. Participation in physiotherapy treatment programs will therefore be beneficial for such patients.

Patients showed a decrease, which was assessed by an increase in PHQ-9 and DRS scores, as well as greater independence corresponding to an increase in FIM scores. In addition, patients show a satisfactory improvement in mental function.

Patients are treated to improve their physical function only; however, over time, patients show substantial improvements in their psychological and mental health. Exercise therapy has an important role in the treatment of mental health patients, but is rarely used by health workers in dealing with these patients.

If the patient is mentally impaired to exercise therapy in activity with traditional medicine, the patient can achieve greater benefits.

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Source

Yuan, S., & He, Y. (2020). Effects of physical therapy on mental function in patients with stroke. Journal of International Medical Research, 48 (2), 0300060519861164.

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