Abstract
Background and Aims: Brain damage caused by stroke is associated with sensorimotor and/or cognitive impairment, depending on area of brain affected and the severity of attack. The aims of this study were to show the importance of physiotherapy associated with electrolyte and mineral balance through diet correction in patients recovering from stroke. Methods: This is a follow-up study of two patients with stroke followed at Kinshasa International Hospital Center during period from May 16 to July 1, 2020. The first had received physiotherapy with foods for correction of the existing ionic and mineral deficiency and the second had only received pharmacological management with conservative physiotherapy without making a change in diet. Clinical and electrolyte monitoring was performed at regular intervals in both patients. The variables of interest evaluated in both patients were FIM, MOTOR/SENSORY and Ionic balance. Results: The parameters of FIM, motors and sensory functions were improved during follow-up, however they remained disturbed in the control. Na+, Cl﹣, K+, Ca2+, and ionic Ca+ improved from intake to discharge. The biological parameters deteriorated during follow-up in the control. At Day 1, only K+ which was higher in the control than the case. At discharge, a significant drop in K+ control was noted (4.1 vs 3.4); of Na+ (142 vs 125) and of Cl﹣ (109 vs 85). Conclusion: The results show that ionic balance by diet correction associated with physiotherapy is more effective than conventional physiotherapy associated with pharmacological management.
Highlights
Cerebrovascular accident is defined according to the World Health Organization as “a sudden deficit of focal brain function with no apparent cause other than a vascular cause” [1]
The aims of this study were to show the importance of physiotherapy associated with electrolyte and mineral balance through diet correction in patients recovering from stroke
The results show that ionic balance by diet correction associated with physiotherapy is more effective than conventional physiotherapy associated with pharmacological management
Summary
Cerebrovascular accident (stroke) is defined according to the World Health Organization as “a sudden deficit of focal brain function with no apparent cause other than a vascular cause” [1]. The hypothesis is that physiotherapy associated with electrolyte balance through diet correction is much more effective than simple conventional physiotherapy combined with pharmacological management for the patient recovering from stroke could be demonstrated. It is in this context that we intervened with the two patients suffering from a documented stroke. The aim was to demonstrate the importance of physiotherapy associated with electrolyte and mineral balance through diet correction in patients recovering from stroke. The aims of this study were to show the importance of physiotherapy associated with electrolyte and mineral balance through diet correction in patients recovering from stroke. Conclusion: The results show that ionic balance by diet correction associated with physiotherapy is more effective than conventional physiotherapy associated with pharmacological management
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