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STROKES

that occurs in patients with Parkinsonism and Alzheimer's (Medical Update, 1990). This breakthrough represents one of the many innovations or leading edge areas of medical pursuit in the 1990's. As always, a good degree of testing is required, as well as consideration of expense or cost before such application would be widely available. The aforementioned represents one type of potential therapy. Currently, physical therapy is actuated on a wide basis with stroke patients. Inevitably, it is the motor cortex which will be seriously impacted at the time of a stroke. Apraxia is the characterization of such event, that is when one incurs a stroke and the motor cortex is impacted, the result is apraxia or an inability to make purposeful movements. In ideomotor apraxia, simple tasks may be performed, but complicated acts cannot be, because the idea cannot circulate throughout the area of damage, or because the command cannot be remembered long enough (amnestic). In functional apraxia, a patient may recognize an object such as a shoe, but then no longer remember what it is used for. Consequently, the stroke patient's memory is impacted as well as his/her ability to perform basic functions or simple necessities. To a large extent, physical therapy may aid and decrease this deficiency. In fact, I believe it would be fair to state that in the case of most individuals who have received this kind of trauma to their motor cortex, they find the greatest benefit within physical therapy particularly after the stroke has occurred. Of course, physical therapy is not the only type of therapy, and drugs are ubiquitous in its treatment. At the same time, and as indicated earlier, there are different types of strokes as well as causes. Atrial fibrillation, rapid and disorganized heart beats originating in the upper chambers of the heart, may produce blood clots that cause stroke. There is general agreement that patients with atrial fibrillation and rheumati...

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