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Stroke, more space for tailor-made rehabilitation

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Arrive early. It is the golden rule for dealing with stroke. In the presence of symptoms, from the weakness of an arm and / or leg to the mouth pulled to one side, to the difficulty in speaking and understanding or to the sight that suddenly becomes double, it is necessary to go to the emergency room as soon as possible for a diagnosis and subsequent therapies within a dedicated unit. Then, once the acute event has been overcome, a tailor-made rehabilitation process must begin for each patient who is faced with a pathology capable of affecting more than 150,000 people in Italy, with just under a million subjects who deal with it. outcomes, more or less disabling.

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Brain injury, with its consequences, is today the leading cause of disability and unfortunately the lack of information makes it more difficult for patients to develop a tailor-made rehabilitation with the consequent recovery that today’s treatments can offer. To respond to this need, on the occasion of World Stroke Day, the campaign kicks off Strike on Stroke, commissioned by ISA-AII (Italian Stroke Association-Italian Stroke Association), the multidisciplinary scientific society that brings together specialists who deal with cerebrovascular pathology and achieved thanks to an unconditional contribution from Ipsen. Various activities are foreseen by the initiative, which will start with two researches: the first is aimed at neurologists, to understand how specialists deal with post-stroke, the path offered to patients, their level of awareness and what therapies are proposed. Another investigation will instead be addressed to patients and will try to understand what difficulties they encounter in their path, fears, anxieties, doubts. Alongside these, a social campaign will also be developed through a commercial, accompanied by online talk shows. “Post-stroke is a neglected issue, both in clinical practice and in communication – he explains Mauro Silvestrini, president of ISA-AII (Italian Stroke Association – Italian Stroke Association), -, both focused on physiotherapy and pain treatments. However, spasticity is present in about 19% of cases 3 months after the attack and from 17% to 38% one year after the acute event, but only a few patients have access to specific treatments. This opens up a wide area of ​​intervention on rehabilitation and quality of life, also in relation to the efficacy of peripheral muscle relaxants and botulinum toxin, considered the most effective for focal spasticity. It is therefore necessary to develop awareness paths for doctors so that they can inform about the new opportunities offered by research. In turn, the sick must be provided with all the tools to be able to ask for directions and reassurance from medical-health personnel. ” “Rehabilitation is one of the most relevant problems – he underlines Nicoletta Reale, past president of ALICe. Italy ODV (Association for the fight against stroke). It is complex and difficult, because the patient and especially the family members and caregivers are looking for clinical paths that can favor a recovery that, if well managed, can give important results. Too often, however, there are no codified paths that are present in a homogeneous way throughout the national territory, with thousands of patients almost abandoned to themselves. ”

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Obviously, prevention through the control of cardiovascular risk factors and early diagnosis of stroke are the key to reducing the burden of stroke. Urgency in treatment, in the event of an ischemic or haemorrhagic attack, appears to be fundamental to better face the situation. And so let’s go back to the beginning. Hurry up if symptoms and signs of brain distress appear. “This year the World Stroke Organization wanted – for the 2021 edition of World Day – to turn the spotlight on how important the timely recognition of symptoms is, launching the theme”Minutes can save lives“: That is, minutes can save lives, because when it comes to strokes, any waste of time can cause problems – he recalls Andrea Vianello, new president of ALICe. Italy Odv (Association for the fight against stroke). One in four people will have a stroke in their lifetime, but every minute is precious “: just think that for every second that is delayed after the stroke, 32 thousand neurons are burned and 1.9 million for every minute.”

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