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Stroke rehabilitation is the process where stroke survivors relearn skills that they have lost because of brain
damage. For example, coordinating leg movements in order to walk. Rehabilitation also teaches survivors
new ways of doing things to get around any remaining disabilities.
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Most rehabilitation experts believe that the most important element in any rehabilitation program is a
carefully directed, focused, repetitive practice.
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Rehabilitative therapy begins in the hospital after the patient has been stabilized-often within 24 to 48
hours after the stroke. The first steps involve promoting independent movement because many patients are
paralyzed or seriously weakened. Patients are asked to change positions often when in bed and to engage in
several range-of-motion exercises to strengthen their impaired limbs.
Patients progress from sitting up and transferring between the bed and a chair to standing, bearing their
own weight, and walking, with or without assistance. Rehabilitation nurses and therapists help patients
perform progressively more complex and demanding tasks, such as bathing, dressing, and using a toilet, and
they encourage patients to begin using their stroke-impaired limbs while engaging in those tasks.
"Not only am I moving the hand, my feet are moving, I am jumping around, it is as if I am really playing the
game. It is motivational, makes you feel like you are progressing, even if you are not and that helps you," he
said.
Before his stroke, Pope was a semi-pro tennis player. He initially tried the traditional exercises
recommended by physical therapists, but found them repetitive and boring.
He says the We is fun and it is helping him make progress. His therapists agree.
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stroke- a sudden loss of consciousness caused by an interruption in the flow of blood to the brain
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Symptoms of stroke
loss of vision
loss of speech
loss in feeling/numbness
loss of motion DUMMY!!
Problems with cognitive functions-The stroke victim may have memory problems or may have difficulty
following directions
Fatigue
Emotional upsets
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Wii has declared to improve motor functions for stroke patients announced in American Stroke
Association's International Stroke Conference 2010. ?!?!? UGLY SENTENCE
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How/why the Wii?
The Wii is used to improve motor function because it is a very popular game console that requires human
motion, more than that of other popular gaming systems. The Wii uses a motion sensor that is picked up by
the Wii, requiring individuals to swing, shake, and otherwise move the motion sensor. Regular video games
only reuire the movement of joysticks and pushed buttons as input for the video game, which is more
restricted than arm swings for the Wii.
This increased motion helps stroke victims. Because of the stroke, part of the brain has died. Rehabilitation
involves relearning skills that were lost as part of the stroke. The Wii's requirement of motion allows the
skills to be relearned. Both Xbox and Playstation, while very popular, do not require enough motion to help
victims relearn the skills--they aren't learning any.
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The pilot study focused on movements with survivors' impaired arms to help both fine (small muscle) and
gross (large muscle) motor function. Groups received an intensive program of eight sessions, about 60
minutes each over two weeks, initiated about two months following a stroke. The only side effect for a few
groups was nausea and dizziness.
The great thing about using virtual reality to combat strokes is that many of the games for the Wii simulate
intense and important repetitive tasks or everyday life. A necessary skill needed in life for people.
Wii-stroke patients showed signs of better motor function, both fine and gross, manifested by improvement
in speed and grip strength
Not only is this new method very promising, safe, fun and engaging, but is also a very affordable method for
improving motor function.
_____
Study by Dr. Gustavo Saposnikby divided 20 patients into two groups: one using the conventional therapy
while the other using Wii. Both groups underwent intensive therapy for two weeks with eight 60 minute
sessions each. During the course of the research, it was shown that the group that used the Wii console
showed 30% more improvement over the group that used conventional methods. Aside from the large
margin of improvement gained from such method, the practicality of this technique was also pointed out.
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POWERPOINT THINGY
Difficult to keeps the patients motivated to rehabilitate
Often difficult to provide a level of rehabilitation appropriate for each individual patient
Effects of stroke:
Attention and concentration deficiencies
Balance loss
Pain
Weakness and paralysis
Depression
Fatigue
Upper limb remains weak in up to 66% cases.
Steps of Rehabilitation
1) Rehab in the hospital
2) Travel to specialized units
3) Home-based rehabilitation
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Wii Game's
Games are defined by rules, with a measurable outcome giving the patient tasks to carry out
Also have problem-solving activity, which gives the patients something to try to achieve
A series of meaningful choices provide patients with customizable rehabilitation
Difficulty can be set by changing speeds, sizes, and/or levels or game play
In-game changes can be made to determine a level of challenge suitable to for each patients
The Wii is good for rehabilitation because the enjoyment of playing, getting a good score, beating a previous
high score, improving motor function, and competition are all rewarding reasons to rehabilitate using the
Wii.
Conclusion:
Wii has potential to help engage and motivate patients during rehabilitation.
Wii is low-cost (compared to other rehab methods) off-the-shelf hardware that offers an opportunity
for home rehabilitation
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WHAT EXACTLY IS A STROKE?
· ISCHEMIC-blood flow to the brain is cut off from either a blood clot or a narrowing of the arteries. (most
common)
· HEMORRAGIC-caused by a bursting of an artery. This causes a rush of blood and floods an area of the
brain.
-In 2005, one of every 17 deaths in the United States is classified as a stroke.
Stroke death rate for 2005 was close to 150,000 (more prevalent in women)
-World Health Organization announced 15,000,000 people suffer stroke
worldwide each year. Of these, 5 million die and another 5 million are have
unrecoverable damage
-Blood flow is cut off from an area of the brain and that area slowly dies.
Strokes on the right side of the brain affect the left side of the body and strokes on the left side of the brain
affect the right side of the body.
IF BRAIN DAMAGE TAKES PLACE, HOW CAN A PERSON RECOVER?
When the blood flow is cut off, alternate pathways can provide a supply of blood to the damaged area. The
brain can also make compensations. One area can take over the functions that were originally handled by a
different area.
Usually, recovery happens in phases. It takes place over a period of time that can vary from a few weeks to a few
years. general phases that a stroke patient can expect to go through.
· TREATMENT FOR THE ACTUAL STROKE-when a person first enters the hospital. Doctors will determine the
type of stroke and will provide the appropriate treatment. This may consist of drugs to break up clots and thin the
blood or surgery to repair a broken blood vessel. Treatment is aimed at preventing another stroke from taking place
and limiting the amount of brain damage that occurs.
· RECOVERY- After a stroke, some spontaneous recovery takes place for most people. Abilities that may have
been lost will begin to return. This process can take place very quickly over the first few weeks, and then, it may
begin to taper off.
· REHABILITATION- This phase usually takes place while the patient is still in the hospital. Various therapists
and specialists will work with the stroke victim to bring back lost skills. This can be a very frustrating time for the
patient as they become aware of their limitations from the stroke. Oftentimes, this is the period where anger or
depression can set in. It's good to remember that with proper therapy, many or most skills can be relearned.
· RETURNING TO THE HOME ENVIRONMENT-This can be a very exciting time, but adjustments may have to
be made. Some of the adjustments might be temporary or some may last for a lifetime.
For the stroke victim, simple tasks such as tying shoes or fastening pants can be difficult. These are easy to
remedy. Velcro shoes and drawstring pants can be worn. Other issues may not be as easy.
There are things that you can do to minimize your risk of having a stroke. Many strokes are caused by fatty
deposits that reduce the blood flow to the brain. A proper diet, coupled with regular exercise, can keep your body
strong and healthy.
Also, there is research that strongly suggests that consuming aspirin and vitamin E on a regular basis may help to
prevent ISCHEMIC strokes. The vitamin E keeps the blood thin while the aspirin lowers the clotting ability of the
blood. The drawback to this type of preventative course is that it can cause a small number of HEMORRAGIC
strokes. For many people, this type of prevention out ways the risk. Remember, most strokes are ISCHEMIC in
nature.
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Six months following a stroke, about 50% of survivors still need help with everyday tasks such as
dressing, eating, and using the bathroom. Once brain cells ahve been damaged they cannot regenerate,
but doctors do know that intensive physiotherapy can help the brain re-learn how to move limbs. The
way it does this is by getting other undamaged nerve cells to set up new "pathways", through which the
brain can pass on instructions.
Re-learning basic things like how to move your limbs is a long and arduous process, and requires
prolonged and repeated therapy. But U.S. doctors now believe that the Nintendo Wii can serve as a fun
and cheap form a therapy that patients can even practice at home if they get their own console and
games.
May 23,
2010
May 23, 2010
Stroke is the leading cause of serious, long-term disability in the United States.
Stroke is the third leading cause of death in the United States. Over 143,579
people die each year from stroke in the United States.
Stroke is the leading cause of serious, long-term disability in the United States.
Each year, about 795,000 people suffer a stroke. About 600,000 of these are first
attacks, and 185,000 are recurrent attacks. Each year, about 795,000 people
suffer a stroke. About 600,000 of these are first attacks, and 185,000 are
recurrent attacks.
On average, every
40 seconds
someone in the
United States has
a stroke.
Stroke accounted for about one of every 17 deaths in the United States in 2005.
Stroke mortality for 2005 was 143,579 (56,586 males, 86,993 females). Stroke
accounted for about one of every 17 deaths in the United States in 2005. Stroke
mortality for 2005 was 143,579 (56,586 males, 86,993 females).
Worldwide Statistics
Worldwide Statistics
According to the World Health Organization, 15 million people suffer stroke
worldwide each year. Of these, 5 million die and another 5 million are permanently
disabled.
Stroke is the #1 cause of serious, long-term adult disability in the United States.
Stroke is the third leading cause of death after heart disease and cancer.
About 1/3 have mild impairments, another 1/3 are moderately impaired and the
remaining 1/3 are severely impaired.
It has been estimated that 33% of stroke survivors need help caring for themselves.
http://www.strokeeducation.info/topics/statistics.htm
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American Heart Association (2010, February 26). Wii video games may help stroke patients improve
motor function. ScienceDaily. Retrieved May 25, 2010, from http://www.sciencedaily.com
/releases/2010/02/100225164849.htm
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http://www.ninds.nih.gov/disorders/stroke/poststrokerehab.htm
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from http://www.ninds.nih.gov/disorders/stroke/poststrokerehab.htm
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PICTURES
http://fast1.onesite.com/capcom-
unity.com/user/crazedspartanhadouken/random_pics/grandma_wii.jpg
http://paprikalab.com/blog/wp-content/uploads/2008/04/nintendo_wii_1.jpg
http://www.nhlbi.nih.gov/health/dci/images/atrial_fib_stroke.jpg
http://www.nlm.nih.gov/medlineplus/ency/images/ency/fullsize/9953.jpg
http://www.strokerecovery.ca/images/strokeimage.jpg
http://www.aihw.gov.au/cdarf/data_pages/incidence_prevalence/stroke.jpg
http://www.torontorehabilitationcentre.com/images/hc_stroke_treatment_aftercare_at_stroke_re
hab_center_article.jpg
http://www.ubergizmo.com/photos/2007/10/wii-therapy.jpg
http://static.disaboom.com/content/images/articles/content/170084.jpg
http://sdruzenicmp.cz/en/data/im/2.jpg
http://onlinehealthinfosite.com/migraine/images/headache.jpg
http://www.information-providers.ie/shop/images/CAT-WII-Consoles.jpg
http://www.ondisruption.com/photos/uncategorized/2007/06/12/wii_vs_ps3_vs_x360_console_sale
s_tr.jpg
http://network.nationalpost.com/np/blogs/posted/1206-Wii-2.jpg
http://lorettofaheyrehab.org/images/DSC_2736.jpg
http://www.neurevolution.net/wp-content/uploads/primarycortex1_big.jpg
http://kaanyucel.files.wordpress.com/2009/10/cerebellum.gif
http://soleclassics.com/wordpress/wp-content/uploads/2008/02/10.jpg
NOTES
http://www.medicinenet.com/script/main/art.asp?articlekey=113722
http://www.clevelandleader.com/node/3319
http://www.sciencedaily.com/releases/2010/02/100225164849.htm
http://www.cbsnews.com/stories/2010/02/26/health/webmd/main6246313.shtml
http://www.dailymail.co.uk/health/article-486525/Wii-games-help-stroke-victims.html
http://www.dailymail.co.uk/health/article-486525/Wii-games-help-stroke-victims.html
http://www.emaxhealth.com/1275/114/35864/wii-video-games-help-recovering-stroke-patients.html
http://article.wn.com/view/2010/02/26/Wii_Games_May_Help_Stroke_Patients_Improve_Motor_Func
tion/
http://www.topnews.in/health/scientists-studying-if-nintendo-wii-technology-can-help-stroke-patients-
24452
http://www.spacedaily.com/reports/Virtual_reality_games_may_help_stroke_victims_recover_study_9
99.html
http://news.softpedia.com/news/Wii-Games-Crucial-in-the-Recovery-of-Stroke-Victims-67988.shtml
http://mybroadband.co.za/news/gaming/11596-Playing-virtual-reality-games-may-help-stroke-
patients.html
http://www.thaindian.com/newsportal/india-news/scientists-studying-if-nintendo-wii-technology-can-
help-stroke-patients_10096459.html
http://www.gameguru.in/nintendo-wii/2010/27/wii-game-technology-may-help-improve-motor-
function-of-stroke-patients/