Stroke Treatment/Paralysis Treatment

Stroke is an acute onset of neurological dysfunction due to an abnormality in cerebral circulation with resultant sign and symptoms that correspond to the focal area of brain.


Paralysis:  It is a loss of muscle movement in the body due to motor deficits.

Paresis:  It is a condition in which there is a partial weakness of  muscles.

Risk factors of Stroke

Potentially mobifiable Not modifiable
Transient ischaemic attaks especially in the presence of 70-99% carotid artery stenosis Prior stroke
Hypertension Age
Artial fibrillation or other source of cardiac emboli Race
Left ventricular  hypertrophy Gender
Congestive heart failure Family history of stroke
Cigarette smoking  
Coronary artery disease  
Alcohol consumption  
Cocaine use  
High serum cholesterol  


Types of Stroke/Paralysis

  • Monoplegia: – only one limb is affected
  • Diplegia: – affecting the same body region on both side of the bodye.g. both arms or both legs.
  • Hemiplegia : – one side of the body is affected
  • Paraplegia: – both legs and back is affected.
  • Quadriplegia: – all four limbs and back are affected.
  •  Tetraplegia: – all four limbs and back are affected. Respiratory system is also involved.
Stroke Symptoms/Early Warning Sign of Stroke
  • Sudden, severe headaches with no known cause
  • Sudden weakness or numbness of the face, arm or leg on one side of the body
  • Loss of speech, or trouble talking oar understanding speech
  • Sudden dimness or loss of vision, particularly in only one eye.
  • Unexplained dizziness, unsteadiness or sudden falls, especially along with any of the previous symptoms.
Stroke Physiotherapy Measures
  • Changes associated with recovery are monitored.
  • Tolerance to positions and activities is increased
  • Upright (out of bed) and weight bearing status is improved.
  • Risk of secondary impairments and recurrence of condition is reduced.
  • Awareness of hemiplegic side and motor function ( motor control and motor learning)
  • To regain trunk control, symmetry and balance are improved.
  • Strength, power and endurance improved.
  • Care is coordinated with patient, family and caregivers
  • Increase in ROM exercises to prevent tightness and contractures
  • Modalities to improve motor function in patients with hemiplegia