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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Stroke

Joseph is a 59-year-old construction worker who recently suffered a stroke. A small blood clot became lodged in one of the vessels serving the right side of his brain and restricted blood flow to a portion of his right precentral gyrus. Many neurons in that area were damaged or destroyed and, as a result, Joseph is partially paralyzed on the left side of his body. He is able to move his left leg and walk, and can also move his left arm, but his left hand and the left side of his face are paralyzed. Answer the following questions about the case study: Why were Joseph s left face and hand paralyzed, but not the rest of his arm or his leg? What is preventing Joseph from moving his left hand? In your answer, include the following: First, describe normal function of a motor neuron that forms a synapse with a muscle cell. How is the signal that initiates movement transmitted from the neuron to the muscle? Describe this process in detail. Next, keeping in mind that the motor neuron itself is not damaged, explain how damage or destruction of a neuron that communicates with the motor neuron prevents Joseph from moving his hand. With time, and perhaps some physical therapy, Joseph may recover some of the movement in his left hand and face. What factors might contribute to this recovery? In your answer, include the following: Why can t Joseph s brain simply replace those neurons that were damaged and destroyed by the stroke? How might compensation allow Joseph to regain some of his lost movement? Describe at least one experimental treatment that might improve movement in Joseph s case, and explain how this treatment would impact Joseph s nervous system.
Fri, 20 Mar 2015
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Physical Therapist or Physiotherapist 's  Response
DEAR FRIEND, I SALUTE YOUR CURIOSITY TO KNOW ABOUT STROKE. FIRST I WILL EXPLAIN THE BASIC NATURE OF BRAIN THAT ONCE DAMAGED CAN NOT BE REGENERATED BUT CAN BE REPLACE BY OTHER TISSUES BUT SAME FUNCTION FROM NEW TISSUE CAN NOT BE EXPECTED. SECOND HIS LEFT SIDE HAS PARALYSED IT MEAN HIS RIGHT BRAIN HAS BEEN AFFECTED BY SOME BLOCKAGE IN VESSELS OF BRAIN. YOUR RIGHT BRAIN CONTROLS LEFT SIDE OF YOUR BODY AND VISA VERSA.. WHEN BRAIN LOSES FUNCTION SUDDENLY WEAKNESS WILL BE OBVIOUS!!.. AS YOU MENTIONED RIGHT PRECENTRAL AREA WHICH IS RESPONSIBLE FOR GENERATION OF MOTOR IMPULSES DUE TO RIGHT BRAIN DAMAGE WEAKNESS WILL BE THERE.
FOLLOWING ARE THE FACTORS WILL CONTRIBUTE IN RECOVERY...
EXTENT OF AREA OF DAMAGE
PATENT FUNCTION OF INSULTED BRAIN AREA
HEALTH OF ADJACENT AREA
VASCULAR HEALTH
INTENSITY OF PHYSICAL THERAPY
WILL OF PATIENT.
compensation WILL BE THERE BUT CAN NOT FUNCTION WITH FULL INTENSITY. BY PHYSICAL THERAPY HE GRADUALLY RELIEVES SPASTICITY AND REGAINS STRENGTH.
FOLLOWING THERAPY MAY HELP IN JOSEPH'S CASE.
MIRROR THERAPY
ANTI SYNERGY POSTURE
CONSTRAIN INDUCED MOVEMENT THERAPY
VIRTUAL GAME BASED THERAPY
SUSPENSION WITH HARNESS.
ROOD'S APPROACH
STRENGTH AND FLEXIBILITY TRAINING
BALANCE AND COORDINATION TRAINING.
I HOPE YOU SATISFIED WITH MY ANSWER.
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Suggest Treatment For Stroke

DEAR FRIEND, I SALUTE YOUR CURIOSITY TO KNOW ABOUT STROKE. FIRST I WILL EXPLAIN THE BASIC NATURE OF BRAIN THAT ONCE DAMAGED CAN NOT BE REGENERATED BUT CAN BE REPLACE BY OTHER TISSUES BUT SAME FUNCTION FROM NEW TISSUE CAN NOT BE EXPECTED. SECOND HIS LEFT SIDE HAS PARALYSED IT MEAN HIS RIGHT BRAIN HAS BEEN AFFECTED BY SOME BLOCKAGE IN VESSELS OF BRAIN. YOUR RIGHT BRAIN CONTROLS LEFT SIDE OF YOUR BODY AND VISA VERSA.. WHEN BRAIN LOSES FUNCTION SUDDENLY WEAKNESS WILL BE OBVIOUS!!.. AS YOU MENTIONED RIGHT PRECENTRAL AREA WHICH IS RESPONSIBLE FOR GENERATION OF MOTOR IMPULSES DUE TO RIGHT BRAIN DAMAGE WEAKNESS WILL BE THERE. FOLLOWING ARE THE FACTORS WILL CONTRIBUTE IN RECOVERY... EXTENT OF AREA OF DAMAGE PATENT FUNCTION OF INSULTED BRAIN AREA HEALTH OF ADJACENT AREA VASCULAR HEALTH INTENSITY OF PHYSICAL THERAPY WILL OF PATIENT. compensation WILL BE THERE BUT CAN NOT FUNCTION WITH FULL INTENSITY. BY PHYSICAL THERAPY HE GRADUALLY RELIEVES SPASTICITY AND REGAINS STRENGTH. FOLLOWING THERAPY MAY HELP IN JOSEPH S CASE. MIRROR THERAPY ANTI SYNERGY POSTURE CONSTRAIN INDUCED MOVEMENT THERAPY VIRTUAL GAME BASED THERAPY SUSPENSION WITH HARNESS. ROOD S APPROACH STRENGTH AND FLEXIBILITY TRAINING BALANCE AND COORDINATION TRAINING. I HOPE YOU SATISFIED WITH MY ANSWER.