Sawra Anisha K, Sharath H V, Chavan Nitika
Department of Paediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (DU), Wardha, IND.
Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (DU), Wardha, IND.
Cureus. 2024 Mar 18;16(3):e56379. doi: 10.7759/cureus.56379. eCollection 2024 Mar.
Acute ischemic stroke (AIS) affecting the posterior cerebral artery (PCA) represents a unique clinical challenge, necessitating a multifaceted approach to rehabilitation. This review aims to provide a comprehensive overview of physiotherapeutic interventions tailored specifically for individuals with AIS involving the PCA territory. The PCA supplies critical areas of the brain responsible for visual processing, memory, and sensory integration. Consequently, patients with PCA infarcts often exhibit a distinct set of neurological deficits, including visual field disturbances, cognitive impairments, and sensory abnormalities. This case report highlights evidence-based physiotherapy strategies that encompass a spectrum of interventions, ranging from early mobilization and motor training to sensory reintegration and cognitive rehabilitation. Early mobilization, including bed mobility exercises and upright activities, is crucial to prevent complications associated with immobility. Motor training interventions target the restoration of functional movement patterns, addressing hemiparesis and balance impairments.
影响大脑后动脉（PCA）的急性缺血性中风（AIS）是一项独特的临床挑战，需要多方面的康复方法。本综述旨在全面概述专门针对涉及PCA区域的AIS患者的物理治疗干预措施。PCA为负责视觉处理、记忆和感觉整合的大脑关键区域供血。因此，PCA梗死患者通常表现出一系列独特的神经功能缺损，包括视野障碍、认知障碍和感觉异常。本病例报告强调了基于证据的物理治疗策略，这些策略涵盖了一系列干预措施，从早期活动和运动训练到感觉再整合和认知康复。早期活动，包括床上活动练习和直立活动，对于预防与不动相关的并发症至关重要。运动训练干预旨在恢复功能运动模式，解决偏瘫和平衡障碍问题。
