STROKE REHABILITATION


TCM Holistic Stroke Rehabilitation

Stroke remains the second leading cause of death and a major cause of disability worldwide. The silent and deadly nature of stroke, as well as the resulting long-term disability, makes it one of the most dreadful illnesses which everyone fears. Traditional Chinese Medicine (TCM) has been used for many centuries and is still widely used today for the treatment and prevention of stroke and stroke rehabilitation.

What is Stroke? 

From a biomedical perspective, stroke occurs when blood supply to the brain is interrupted. This causes brain cells to lose their function, thus leading to the signs and symptoms commonly observed. From Traditional Chinese Medicine (TCM) perspective, stroke has been thought to be caused by internal and external influences, resulting in disrupted and unsettled flow of Qi and blood in the body which ultimately rush upwards to the head.

brain-stroke

 

There are two main types of stroke:

  • Ischaemic stroke occurs due to blockage of the blood vessel, limiting blood flow to the brain. It is the most common type.
  • Haemorrhage stroke occurs when a weakened blood vessel ruptures in the brain, whereas thrombosis occurs when a clot is formed and blocks the blood supply to the brain.

The occurrence of either will cause oxygen-deprivation in parts of the brain, resulting in damage to brain cells and therefore affecting abilities controlled by those areas of the brain.

 

Bells’ Palsy

Bell’s palsy is linked to facial nerve damage causing rapid onset of facial muscle weakness. It is the most common cause of facial nerve injury. Bell’s palsy and stroke can cause similar symptoms. Read here to find out how TCM acupuncture can help.

 

Post-stroke rehabilitation

Besides conventional western medical care, TCM treatment, as complementary form of support, can also maximize recovery after stroke. The types and degrees of disability that follow a stroke depend upon which area of the brain is damaged. Some of the common disabilities resulting from a stroke that can be treated by TCM are listed below:

 

  • Hemiparesis and hemiplegia, where there is one-sided weakness or paralysis affecting the face, arm, leg or entire side of the body. These patients may have difficulty with everyday activities such as walking or grasping objects.
  • Dysphagia, where patients have a problem with swallowing. This is due to damage to the part of the brain that controls muscles for swallowing.
  • Dysphasia, where there are problems with language use, having disruptions either on the productive side (speech/writing) or primarily receptive abilities (comprehension).
  • Dysarthria, where muscles used to produce speech are weak or paralyzed, causing slow, slurred speech that is hard to understand. Some people also struggle to maintain the correct pitch or volume when speaking.
  • Muscle spasms and spasticity in limbs
  • Sensory disturbances, where patients may lose the ability to feel touch, pain, temperature, or position. Some may experience pain, numbness or odd sensations of tingling and pricking in paralyzed or weakened limbs.
  • Urinary and faecal incontinence
  • Shoulder and arm pain
  • Anxiety and depression
  • Insomnia

Knowing and understanding the internal and external factors contributing to the development of stroke enables one to take precautionary actions to reduce the risk of stroke occurrence. Early stroke rehabilitation plays a vital role in helping the patient recover bodily functions. 

 

3 Best TCM therapies for stroke recovery

  • Acupuncture

Young-man-getting-acupuncture-TCM-cancer

British Acupuncture Council shares that studies suggest that acupuncture may help in a wide range of post-stroke symptoms such as functional recovery in general, motor function, cognition, speech problems, dysphagia, shoulder pain, urinary incontinence, constipation, depression, fatigue and as a preventive intervention for ischaemic cerebral apoplexy.

Acupuncture can help to improve the blood circulation in the brain, which boosts oxygen supply in the affected areas. It also helps to dissipate blood clots so as to speed up recovery. If you want to know more about how acupuncture help with stroke reocery, you may find more here.

 

  • Cupping

Cupping-therapy

Cupping is often used for stroke rehabilitation in Asian countries. In a studies, cupping therapy has shown positive effects on hemiplegic shoulder pain and high upper-limb myodynamia after stroke, as well as aphasia and intractable hiccup after stroke. The vacuum produced from cupping causes a localized expansion of the tissue. This facilitates a profound vasodilation reaction to increase circulation/blood flow to painful constricted areas. Increased circulation improves oxygen supply and cell metabolism, which reduces inflammatory (or toxic) substances.

 

  • Herbal Medication

chinese-herb-motherwort

There are various factors leading to the formation of Internal Wind which eventually brings about stroke. Once diagnosed, these deficiencies, stagnation and pathogenic factors can be managed and improved through the taking of various herbal medication. For example, a pilot study has indicated that Danshen Dripping Pill (DPP) treatment may reduce the risk of stroke/TIA recurrence, and this reduction may be associated with its anti-inflammatory effects. DPP is a herbal medication comprising of Red Sage Root, Notoginseng and Borneol Flakes. These herbs have a combined effect of moving stagnant Qi and removing Blood stasis, potentially alleviating stagnation/stasis contribution towards formation of stroke.

 

 

 

What Shanghai Medical Clinic can do for  patients with stroke 

At Shanghai Medical Clinic, we have a team of TCM physicians and acupuncturists with more than 30 years experience in the treatment of Chinese medicine. Each of them has been trained and worked in the field of in Chinese medicine for a minimum of 20 years. Specifically, Our TCM Physician, Dr. Wang Xiaozhong who specializes in using acupuncture for post stroke rehabilitationn and infertility.

 

Stroke is a dreadful disease for both the patient and family members alike. It is therefore important to receive the best possible care and complementary treatment in your rehabilitation towards a better quality of life. By combining Traditional Chinese Medicine therapies and expertise with Technology-Enhanced Therapies, we strive to provide the best care possible in your journey of rehabilitation of stroke.

 

Please contact us at +971 4343 4811 or make an booking for a personalized consultation.

 

Frequently Asked Questions

It is well-established that timely intervention at the onset of acute stroke is crucial as more brain tissues can be rescued. Therefore, being aware of stroke symptoms and seeking immediate treatment by calling the ambulance is life-saving knowledge which everyone should know.

 

“FAST stroke” is the first way to tell if someone is having a stroke; start by remembering the acronym FAST for stroke test:You should ask for a doctor when you find these symptoms of stroke:  

 

F—Face: Smile to a mirror. Does one side of the face droop?

A—Arms: Raise both of your arms. Does one arm drift downward?

S—Speech: Read a book and repeat a simple phrase inside. Is the speech slurred or strange?

T—Time: If you see any of these signs, see a doctor right away.

The golden period for recovery is within the first six months of the stroke. A minimum of two treatments per week is recommended for faster results. After the initial six months, 1–2 treatments per week should suffice, depending on the patient’s condition. It is noteworthy that treatments such as acupuncture should be carried out as frequently as three times per week during the first three months after experiencing a stroke. This is because the recovery function of the brain from brain damage is most active during this period.

 According to TCM, stroke happens due to internal factors of deficiency, stagnation, fire/heat, phlegm and wind. The concept of what each factors encompasses and what should be done to mitigate these deficiency, excess, stagnation and imbalance are detailed as below:

1. Yin Deficiency

  • Sleeping early at night (before 11 pm)
  • Having sufficient rest by not overworking (long hours under stressful conditions)
  • Eat Yinnourishing food such as deep, green leafy vegetables, cucumber, celery, millet, eggs and fish
  • Avoid fried, grilled food which causes heat and exhausts Yin.

 2. Stagnation

This refers to blood and/or Qi being stuck, unable to flow freely through the vessels and meridians. It causes stiffness and pain in the extremities which are commonly experienced by stroke patients. By exercising, keeping active and doing activities which relieve stress, Qi stagnation can improve. Acupuncture treatment can help get Qi and blood moving again.

 3. Fire(Heat)

Late-night sleep and prolonged extremes of emotions such as anger, frustration and stress bring about fire in the Heart and Liver. Some simple ways to mitigate the level of heat in the body:

  • Adopting a regular diet of heat clearing food such as lotus seeds and lily bulbs
  • Sleeping early
  • Maintaining a positive and cheerful mindset

 4. Phlegm

Phlegm is another internal factor. The formation of phlegm in the body can happen due to unhealthy eating habits such as ingesting excess dairy products, rich, fatty and sweet food weakens the Spleen. The build up of phlegm particularly affects the spleen and contributes to post-stroke problems with speech, numbness in the limbs, and mental fog.

5. Wind

In TCM, Wind is a pathogenic factor that can enter the body from the outside environment (external), or wind can be an internal factor, generated within the body. It is believed that Wind causes the sudden loss of self-awareness in an acute stroke attack, and its subsequent hemiplegia. In the case of stroke, internal wind is considered to be the cause of a person losing their conscious awareness of their body and becoming mentally disconnected and/or physically paralysed.

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