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special
Awareness,
prevention,
recovery
Rethinking risk
Stroke is not a new disease, but the ways it
is approached and managed have changed
over the years to accommodate evolving
lifestyles. Once a condition faced almost
exclusively by older people who already had
various health complications, it is now also
known to affect younger people who seem to
be in the pink of health.
Stroke does not discriminate it can
strike anyone at any age regardless of race
or economic status. We see more and more
young stroke victims these days, says Sylvia
Chong, general manager of National Stroke
Association of Malaysia (Nasam).
This non-government organisation for
stroke survivors offers affordable
rehabilitation therapy and counselling
services to survivors and their caregivers.
According to Chong, Nasams members are
mainly older than 45 years old but the
association has been getting many younger
Fast action
Remember these steps for quick
stroke recognition:
Facial drooping Ask the person to
smile. Does one side of the face
drop?
Arm weakness Ask the person to
raise both arms. Is one arm weak
and drifting downwards?
Speech difficulty Ask the person to
repeat a simple phrase. Is their
speech slurred or strange?
Time to call If you observe any of
these signs, call 999 immediately.
Mini strokes
Transient ischaemic attacks (TIA)
occur when blood supply to the brain is
temporarily interrupted, depriving brain
cells of nutrients and oxygen. A person
who experiences TIA has temporary
stroke-like symptoms that go away after
24 hours. However, they should not be
ignored as about 40% of people with TIA
will go on to have a full stroke in the
next five years.
The temporary, mild effect misleads
patients into thinking that they are well
and there is no need to seek medical
attention, but this should be taken
seriously as TIA can be a warning sign of
an impending full stroke, says National
Stroke Association of Malaysias general
manager Sylvia Chong.
Stroke survivor Ratha Renganathan, 28, underwent several surgeries and is recovering with
the help of therapy.
patients.
Much like Ratha, 34-year-old Vincent Chan
had two strokes, with the second one leaving
a greater impact.
The second stroke happened when I was
getting ready for work one morning and
suddenly did not feel stable or balanced
walking around.
I could not stand, walk, hold, drink or
chew and was slurring to the point of
incomprehension, he says.
In retrospect, Chan believes
the factors that contributed to his stroke
were largely controllable.
I had Type 2 diabetes and high blood
pressure, did not exercise and always slept
late, he reveals.
Lifestyle factors play a significant role in
causing strokes among younger patients. A
team of researchers from the Southern
Medical University in Guangzhou, China
recently announced findings linking work
stress to stroke.
The study found that people with highstress jobs (such as those in the service
industry) had a 22% greater risk of stroke
than people who worked low-stress jobs.
Stroke survivor Chia Cheng Boong can
relate to this. The 45-year-old had a stroke
last September that put him in a coma for
four days.
The doctor said I had high blood pressure
and should have been put on medication,
says Chia.
According to Chong, high blood pressure
can increase ones risk of stroke by up to
six times. Chia constantly felt stressed and
lethargic from holding down two jobs,
getting about four hours of sleep every night
without time to relax, exercise or enjoy the
company of his family.
I had no time to go for a medical checkup and kept putting it off because I thought
I was young and would not have any major
health issues, he says.
Instances of non-communicable diseases,
including stroke, are on the rise despite the
medical and technological advances we have
seen, which means it is up to the individual
to care for his or her health even when they
seem to be fine.
Young people, especially, may not be
aware of the consequences of their actions
or the lifestyles they lead and the affects to
their health over the long term.
into account.
Better plasticity (or the brains ability to
cope) enables younger people to recover
better, especially with proper rehabilitation
and care.
Chong says that counselling is an
important part of the recovery process as
substantial emotional and motivational
support is required to help survivors regain
confidence and independence.
Such treatment breathe new life into
young individuals and allow them to reach
their potential.
Ratha, for example, trained to write with
her left hand and now makes greeting cards.
She has even started a small business selling
them, which has given her a sense of
independence.
Physiotherapy plays a great role in stroke
rehabilitation and is a complex process.
According to Datuk Dr B.S. Bains, chief
executive officer and senior consultant
physiotherapist of BainsPhysio, emotional,
physical and social aspects must be
integrated into the therapy to achieve a
desirable goal of physical well-being.
Rehabilitation can be a long and tough
process. The sooner therapy begins, the
quicker the brain relearns normal
movements and stroke survivors can resume
much of their usual lifestyle.
With good physiotherapists and family
support in an encouraging environment,
stroke patients will be on the road to
recovery for there is indeed life after stroke.
Key to recovery
PHYSIOTHERAPY, combined with other
forms of health management, plays a key
role in rehabilitating stroke patients. The
greatest misconception that the general
public has about physiotherapists is that
they are masseurs, which makes the layman
compare them with the traditional masseur.
On the contrary, physiotherapists are
movement specialists with good standing
knowledge of muscles and joint structures,
and are an integral part of medical teams.
A physiotherapist has to deal with the
patients culture and background, and
emotional, physical and social aspects should
be amalgamated in the therapy to achieve a
desirable goal in rehabilitating the patient to
achieve his or her best possible form of
physical well-being.
A physiotherapist equips families with
appropriate knowledge of stroke and
appropriate responses to the disability as
well as the new lifestyle that needs to be
adopted.
The physiotherapist thoroughly discusses
the condition with the attending physician
and properly examines the victim clinically
to determine the residual weakness after an
acute episode of stroke.
Once clinical examination is carried out
and musculoskeletal profiling is completed,
the physiotherapist plans the therapy.
Various evidence-based techniques of
treatment are applied, such as PNF
(proprioceptive neuromuscular facilitation),
patterning, coordination and balancing, EMF
(electromagnetic feedback), command,
cognitive and repetitive training.
Most of the time, a therapist will use a
combination of therapy techniques and
persuasive techniques.
The therapist requires a motivated
Proper
rest is
crucial
IF you went to bed early but still wake up
feeling groggy or unrested, you might be
sleep-deprived. Sleep loss can affect your
daily life beyond daytime drowsiness.
In the 1980s, when Japan was at its
peak of economic development, a large
number of deaths resulting from extremely
long working hours, paired with sleep
deprivation, was reported in the country.
Most of these cases involved acute
cardiovascular events. This phenomenon is
termed karoshi, which translates to death
from overwork.
Sleep deprivation has many implications.
Individuals who sleep less than six hours
every night have been linked to a higher risk
of having high blood pressure and a heart
attack.
In addition, when you fail to get adequate
sleep, your body produces less leptin, a
hormone that suppresses appetite, and more
ghrelin, a hormone that stimulates appetite.
As a result, you tend to gain more weight
from overeating and are prone to obesity,
which can lead to a number of health
complications.
Ongoing sleep scarcity also increases the
risk of developing diabetes, particularly if
you are obese or have a family history of the
disease.
This is because your body produces more
of the stress hormone cortisol when it is
sleep deprived, which promotes insulin
resistance.
Getting sufficient
sleep at night is
vital for good
health and proper
cognitive functions.
Common treatments
People come seeking advice
and treatment for various issues,
from wrinkles, acne scars, volume
loss and skin problems such as
pigmentation to dark circles and
even to achieve a V-shaped face,
says Dr Tan.
The most common treatment
that people seek is autologous
haematopoietic stem cell
rejuvenation, better known as PRP
(platelet-rich plasma) or even as
the vampire face lift or Korean
ultra V lift.
Safety is paramount
Long-term investment
n For more
information,
contact
the Mahkota
Dermatology
Centre.
Dr
Kelvin
Tan.
A lifelong commitment
Ng has been a dedicated
consumer of Biogrow Oat BG22
oat bran powder since 2012. Since
then, his cholesterol levels have
been consistently kept at healthy
levels.
As a heart patient, Ng knows
the importance of keeping his
cholesterol levels normal for
optimal heart health.
Eighty-year-old Ng believes
Biogrow Oat BG22 is the best
fuel for his body.
Power of oat
beta-glucans
STROKE is a non-communicable
disease that attacks millions of
people worldwide every year.
The World Stroke Campaign
aims to encourage people to
understand stroke risk factors such
as high blood pressure, diabetes
and high blood cholesterol.
The theme for this years World
Stroke Day is I am a Woman,
because women are:
l More at risk of having a stroke
l More likely to die from a
stroke than men
l Less likely to receive acute
care and rehabilitation than
men, despite responding
equally well to treatment
l More likely to experience a
severe decline in cognitive
function and run higher risk
of post-stroke depression
l More likely to experience
hypertension, atrial fibrillation
(irregular heartbeat), diabetes,
depression and obesity, all of
which increase the risk of
stroke
This years World Stroke Day
encourages women to make
healthier lifestyle choices, learn
about stroke prevention and
perform health checks to
avoid preventable stroke and
cardiovascular diseases.
Healthier lifestyle
choices
Most cardiovascular diseases
and stroke can be prevented by
The wonders
of milk
An easier way to
obtain necessary
Obtain essential
nutrients from
Marigold HL
Low Fat Milk.
Marigold HL Low
Fat Milk with Plant
Sterols provides
1.6g of plant
sterols to help
maintain healthy
cholesterol levels.
Hearing
well
OUR hearing facilitates the forming of
relationships and opens up a wealth of
sensory experiences. Without the ability to
hear well, relationships break down as we
cannot participate in normal conversations.
Hearing loss is often gradual and subtle,
hence commonly ignored. Often, it can only
be detected through hearing tests.
A person with hearing difficulty may:
l Think that others seem to mumble
when speaking
l Be told that the television is turned up
too loud
l Find group conversations difficult to
follow
l Have to constantly ask others to repeat
themselves
About 10% of the population are hearing
impaired. Sensorineural damage (nerve
deafness) is the most common form of
hearing loss. However, hearing instruments
can improve the hearing difficulty of about
95% of those who are hearing impaired.
There are many possible causes of hearing
loss, including infections, chronic illnesses,
injuries, genetic factors, medication,
exposure to extreme noises and ageing.
The most common cause of temporary
hearing loss among infants and young
children is otitis media or ear infection.
On the other hand, presbyacusis is the
Second chance
The team at Your Physio has
seen great recovery in patients
who wasted no time in seeking
Support for caregivers
Assisting a stroke
survivor with rehabilitation
is no easy feat; caregivers
require mental and
emotional support, too.
Your Physio recognises
this need and therefore
holds consultation sessions
for caregivers every
Saturday from 9am to 11am
at its sole centre.
This session includes
lessons on transfer
techniques for patients as it
is essential for caregivers to
know the right methods of
mobilisation assistance.
Lee (left) and the Your Physio team helped An walk within a month after his stroke.
A common aim
An is one of the many stroke
survivors who has made strides in
his recovery with the help of Your
Physio therapists.
Many patients who come to
us are not clear on their prospects
for recovery, which is largely
influenced by individual
circumstances, says Lee.
This is where we come in and
advise them on the best treatment
plan for significant improvement.
Stroke patients commonly suffer
from pain in the affected side,
especially the shoulders.
According to Lee, the source
of this pain has to be diagnosed
accurately for significant
improvement to be made treating
the affected area alone is not
enough.
This combination of staff
expertise and personalised care
has proven fruitful for Your Physio.
Within its first month of
operation, the centre had up to 15
patients daily, approximately 50%
of whom were stroke survivors
Specialised treatment
YOUR Physio offers a range of
physiotherapy services for
management of various types of
pain caused by:
l Back injuries, including
spondylosis and problems with
tendons, muscles and soft tissues
l Neck injuries, including
trauma, degenerative diseases
and muscle strain
l Shoulder injuries, including
frozen shoulder, dislocation and
rotator cuff tendinopathy
l Ankle injuries, including
who had suffered traumatic brain
injury.
The physiotherapists also
accommodate late evening and
weekend appointments for those
with busy schedules.
Besides effective treatment
methods, the staff also believes
in the importance of a warm,
welcoming environment that is
conducive to relaxation for both
patients and their caregivers.
The mental state of a patient
plays a great role in their
and mind.
The HD massage technology is the
worlds first to provide a thorough
massage that works along the spine
and extends to the hips, buttocks
and thighs.
Equipped with five exclusive
humanised massage techniques, the
massage chair does not merely
alleviate tension, numbness and
weakness in your body but
effectively improves blood
circulation and digestive health as
well as encourages muscle recovery
for complete restoration.
The Gintell DVas HD massage
chair boasts the impressive SV-Chiro
Track, the third generation of
technological innovation that
The Gintell
DVas HD
massage chair.
Minimising risk
It is critical that stroke patients
follow their doctors medical
Adjustable FlexSelect
cushioning.
The NordicTrack
T13 treadmill.