Magwise

Diseases treated at the Magwise clinic

Post-stroke paresis

Post-stroke results from damage to the brain or spinal cord caused by a stroke. Strokes can cause ischemia or hemorrhage in the brain, leading to impaired blood flow and tissue damage.

Symptoms of post-traumatic paresis

Symptoms are characterized by loss of muscle strength and difficulty controlling movements. They may affect one side of the body (unilateral paresis) or both sides (bilateral paresis), depending on the location of the brain injury. They mainly include:

  • Muscle weakness
  • Muscle stiffness
  • Difficulty moving around
  • Balance disorders
  • Movement coordination problems
  • Difficulty speaking and swallowing

Treatment of paresis

Treating post-traumatic paresis resulting from stroke usually involves a comprehensive and multidisciplinary approach.

- Medical care. Stroke patients require medical monitoring and care to manage stroke-related complications such as high blood pressure, diabetes, heart disease, etc. Medications such as anticoagulants and antiplatelet drugs can be used to reduce the risk of a recurrence of a stroke.

- Rehabilitation and physiotherapy. Physiotherapy is a crucial element of the treatment of post-stroke paresis. A physical therapist will develop a rehabilitation program that includes exercises to improve muscle strength, balance, coordination, and range of motion. Exercises can be conducted both in a clinical setting and at home.

- Occupational therapy. It focuses on improving functional skills and independent functioning. An occupational therapist can help you regain everyday skills such as eating, dressing, washing, writing, etc., through exercise, training in compensatory techniques, and technical aids.

- Speech therapy. If stroke affects speech and swallowing, speech therapy may be necessary. A speech therapist will help improve pronunciation, understanding, and speech production and rehabilitate swallowing functions.

- Psychological therapy and support. Post-stroke paresis can affect the patient's emotional well-being. Psychological therapy, emotional support, and support groups can help deal with emotional difficulties and adapt to change.

- Pharmacological therapy. In some cases, medications may be used to manage accompanying symptoms such as pain, muscle spasms, tremors, etc. Your doctor may prescribe painkillers, muscle relaxants, antihypertensives, etc.

- Neurostimulation of the brain . Auspicious form of paresis therapy is transcranial magnetic stimulation (TMS), which consists of treating the brain hemisphere unaffected by a stroke with low frequencies.

- Surgical interventions. In cases where post-traumatic paresis is significant and significantly limits the patient's functioning, surgical interventions such as drug pump implantation or revascularization surgery may be considered to restore blood flow to the damaged area of the brain.

Paresis treatment available at Magwise

  • Pharmacotherapy under the supervision of a specialist neurologist
  • TMS Neurostimulation (Transcranial Magnetic Stimulation)

References

Bonin Pinto C, Morales-Quezada L, de Toledo Piza PV, Zeng D, Saleh Vélez FG, Ferreira IS, Lucena PH, Duarte D, Lopes F, El-Hagrassy MM, Rizzo LV, Camargo EC, Lin DJ, Mazwi N, Wang QM, Black-Schaffer R, Fregni F. Combining Fluoxetine and rTMS in Poststroke Motor Recovery: A Placebo- Controlled Double-Blind Randomized Phase 2 Clinical Trial. Neurorehabil Neural Repair. 2019 Aug; PMCID: PMC6688938.

Specjaliści zajmujący się leczeniem niedowładów poudarowych