Ace Physiotherapy and Sports in Singapore
The medical term for stroke is cerebrovascular accident (CVA), which occurs when the blood supply to the brain is interrupted. This lack of blood flow can cause a range of motor, sensory, and cognitive deficits depending on the part of the brain affected. If symptoms persist for more than 24 hours, it is diagnosed as a stroke, whereas symptoms lasting less than 24 hours are referred to as a transient ischemic attack (TIA) or ‘mini-stroke’. Physiotherapy plays a vital role in stroke rehabilitation. It helps restore normal movement patterns and function through intensive exercise, expert handling, positioning, and the use of adjunct treatment techniques. At acephysiosports.com, our specialist physiotherapists have extensive experience in assessing and treating adults with stroke. Using the latest evidence-based research and a deep understanding of stroke pathophysiology, we deliver a first-class standard of treatment tailored to each individual’s needs.
Types of stroke
There are two types of stroke.
Ischemic Stroke – This is the most common type and occurs when a blood clot or other obstruction blocks blood flow to the brain.
Hemorrhagic Stroke – This happens when a blood vessel in the brain bursts, causing bleeding that damages surrounding brain tissue.
Symptoms of stroke
The symptoms of a stroke vary depending on the type and the areas of the brain affected. The most common symptoms include severe headache, weakness in the arm and leg on the same side of the body, facial droop, and slurred speech. Muscle weakness often makes it difficult for individuals to sit, stand, or walk. Physiotherapy can play a vital role in improving mobility, balance, coordination, and sensation. In addition, people affected by stroke may experience difficulties with swallowing, vision, writing, and following instructions, all of which can also be addressed through specialist rehabilitation.
Diagnosis of stroke
A stroke is a medical emergency and is diagnosed in the hospital setting following a detailed neurological examination. On admission, the individual will usually undergo a computed tomography (CT) scan as quickly as possible to determine whether the stroke is ischemic or haemorrhagic. Identifying the type of stroke is crucial, as it guides doctors in deciding the most appropriate and immediate course of treatment.
Once a stroke has been diagnosed, further investigations may be carried out to provide more detail about the brain and blood vessels. These often include a magnetic resonance imaging (MRI) scan and a Doppler ultrasound scan to assess the blood vessels for any blockages or narrowing that may have contributed to the stroke.
Causes of stroke
An ischaemic stroke occurs when there is a lack of blood supply to the brain tissue. This is most commonly caused by an obstruction from a blood clot, which may form within the brain (thrombus) or travel from another part of the body (embolism). In some cases, it may also result from a general decrease in blood supply due to shock or, more rarely, venous thrombosis. The likelihood of experiencing an ischaemic stroke increases with age, pre-existing medical conditions such as diabetes, and a family history of stroke. Modifiable risk factors include high blood pressure, high cholesterol, smoking, excessive alcohol consumption, obesity, and low levels of physical activity.
In contrast, a haemorrhagic stroke occurs when a blood vessel in the brain leaks or ruptures, leading to bleeding within the brain tissue. This type of stroke is more likely to occur in individuals with high blood pressure, bleeding disorders, a history of head injury, or those who use certain illicit drugs.
Treatment of stroke
Medical management of stroke primarily focuses on reducing risk factors and preventing further strokes. Patients are advised to maintain a healthy weight, engage in regular physical activity, follow a balanced diet, and limit alcohol consumption. In addition, medication may be prescribed to lower blood pressure and cholesterol, as well as to support smoking cessation or help individuals stop using harmful substances.
It is essential that individuals receive intensive stroke rehabilitation within a specialised stroke unit, supported by a multi-disciplinary team. Nursing staff, physiotherapists, occupational therapists, speech and language therapists, and psychologists work alongside medical staff to deliver holistic, 24-hour specialist care. Once discharged from hospital, patients will continue to require ongoing rehabilitation to help them re-settle and reintegrate into the community.
Physiotherapy for stroke
Here’s a clear list you can use for the main principles of stroke physiotherapy treatment:
It is common for stroke survivors to experience muscle weakness, typically affecting one side of the body, known as right or left-sided hemiparesis. This weakness may involve the arm, leg, and trunk on the opposite side of the brain where the stroke occurred. For instance, a stroke in the left side of the brain will affect the right side of the body. Physiotherapy plays a vital role in improving movement on the affected side, preventing muscle tightness, and reducing the risk of stiff joints. Your physiotherapist will design a tailored exercise program that includes strengthening, stretching, and balance exercises suited to your specific symptoms and needs. As technique is essential, using a mirror at home can be a helpful way to monitor posture and body alignment during exercises.
Your physiotherapist will assess your ability to perform essential daily movements such as getting in and out of bed, sitting, standing, walking, and climbing stairs. If these transfers are difficult after a stroke, they will teach you safer and easier methods to carry them out. A wide range of supportive equipment is available to assist recovery, including bed levers, specialist seating, hoists, rotastands, walking frames, and sticks. Your physiotherapist will recommend the most suitable equipment for your needs. If you face challenges with personal care, kitchen tasks, or require significant adaptations at home, your physiotherapist will make a referral to occupational therapy services for further support.
There are many important physical, cognitive, and sensory benefits to receiving intensive physiotherapy after a stroke. Some of the key advantages of regular physiotherapy include:
Physiotherapy treatment after a stroke is goal-oriented. At the initial assessment, goals are discussed and set by the individual in collaboration with the physiotherapist. For example, a long-term goal may be to walk to the local shop using a walking stick or to independently drink a cup of tea with the affected arm. Progress towards these goals is monitored and reviewed regularly to ensure continuous improvement.
If your main goal after a stroke is to stand and walk again, treatment may include dynamic balance and strengthening exercises, core stability training with a gym ball, body weight–supported treadmill training, or functional electrical stimulation (FES). Water-based exercise therapy in our warm hydrotherapy pool is another highly beneficial and enjoyable option that can significantly improve mobility at any stage of recovery. It is common for leg strength to return more quickly than arm strength after a stroke. If this happens, our specialist physiotherapists offer a wide range of treatments to improve movement and function in the upper limb. These may include Botox® injections, Saebo therapy, constraint-induced movement therapy, and electrical muscle stimulation. Our experienced neurological physiotherapists will carefully assess your condition and determine which adjunct treatments are most suitable for you.
If you are able to attend one of our clinics for physiotherapy, you will benefit from access to specialist facilities such as a wide open space, parallel bars, treadmill, hoist, tilt table and Bobath plinth. If it is more convenient to receive treatment at home, our physiotherapists can bring smaller pieces of equipment including ankle weights, wobble boards, pedals, balls and steps. Whether in the clinic or in your home, our physiotherapists have extensive experience in both settings and are committed to providing the highest standard of rehabilitation for individuals recovering from a stroke.
Why acephysiosports.com for stroke
At acephysiosports.com, we understand that the symptoms of stroke can have a major impact on your ability to move and lead an active, independent life. Our specialist neurological physiotherapists provide intensive, personalised rehabilitation focused on your specific challenges and goals, helping you achieve substantial improvements in mobility, independence, and overall quality of life.
Physiotherapy rapidly decreases the recovery time for individuals who have had a stroke. Our specialist physiotherapists are focused on minimising your problems and increasing your independence to facilitate a return to an active, rewarding life. To book an appointment or find out how our experienced physiotherapists can help you after a stroke, please contact us now on +65 81535374. Alternatively, please book an appointment online today at acephysiosports.com.
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