Physiotherapy After Stroke

What is stroke?

A stroke occurs when the normal blood flow to the brain is suddenly interrupted or blocked. Usually, it is due to bleeding or haemorrhage from a blood vessel, or a clot in a blood vessel. This interruption of the blood supply to part of the brain can damage or destroy brain cells which will affect body functions. In Malaysia, there are 52,000 stroke patients every year.


Common issues after stroke

The result of a stroke is loss of function in the affected part of the brain. For example:

– Weakness of the arm or leg on one side

– Balance or coordination problems

– Change in sensations (e.g. pain, numbness, or burning and tingling)

– Decreased ability to walk

– Decreased ability to complete usual tasks of daily living

– Loss of flexibility (joint stiffness)

– Speech problems

– Changes in the ability to swallow and eat

– Changes in vision or perception

– Changes in memory, thinking or judgment

– Emotional changes


How can physiotherapy help stroke patients?

Physiotherapy plays an important role in stroke rehabilitation. After a detailed assessment, the physiotherapist will plan rehabilitation programme that meet your needs. The goal is to help patients become as independent as possible in everyday tasks such as standing, walking and using their weak hand.

– Improves balance

– Reduces risk of falls

– Improves energy and mood

– Improves flexibility

– Improves muscle control & strength


Physiotherapy treatments

There are many different ways in which a physiotherapist can help patients recover after a stroke:


– Strengthening weak muscles

– Gait training

– Working to increase your balance and proprioception

Manual Therapy

– Massage and manipulate muscles and joints to reduce pain and improve blood circulation.


– Educate patients to perform daily activities in a safer and more advantageous way

– Assistive device training (using aids/splints)

– Transfer training (e.g. from lying to sitting, from sitting to standing)











中风会导致受影响的脑部区域所控制的功能丧失, 例如:

– 单侧手臂或腿无力

– 平衡或协调问题

– 感觉变化(例如:疼痛、麻木或烧灼感还有刺痛感)

– 行走能力受影响

– 日常生活功能下降

– 柔软度丧失(肌肉或关节僵硬)

– 言语障碍

– 吞咽或饮食困难

– 视力或知觉障碍

– 记忆力,思考能力或者判断力受影响

– 情绪不稳定


物理治疗在中风复健中扮演了很重要的角色。 经过了仔细的评估后,物理治疗师会根据你的需求来设计出合适的复健治疗计划。目的是为了协助你能够独立地完成日常生活的事务,例如站,走,使用患侧的手。

– 改善平衡

– 减低跌倒的风险

– 改善精力和情绪

– 改善柔软度

– 改善肌肉控制以及肌力




– 强化肌力

– 步态训练

– 平衡以及本体感觉训练


– 按摩肌肉以及松动关节以减少疼痛和改善血液循环


– 教导病人以较安全及较有利的方式去执行日常活动

– 教导病人使用辅具或副木

– 转移训练(例如从躺到坐, 从坐到站)



Physiotherapy After Stroke2019-05-15T06:47:20+08:00


In medical term, osteo means bone and porosis means porous. Put both of them together and you get osteoporosis, which is a condition that involves weak and brittle bones. The bones are so brittle that mild stresses such as coughing, bending over and sneezing can cause a fracture.


So how did osteoporosis come about?

Your bones are in a constant remodelling process. Osteoporosis is an imbalance in the bone remodelling process. The old bones are being removed at a faster rate in comparison to the creation of new bone. In other words, too much bones are being broken down and too little bones are being built. Osteopenia, which means a decreased bone mineral density is the warning sign of osteoporosis and it usually occurs before osteoporosis. Most people reach their peak bone mass density around their early 20s. However, as people age, their bone mass is lost faster than it is created.


Who is more susceptible to osteoporosis?

Osteoporosis affects men and woman of all races. However, white and asian woman that are older and have already past menopause are at a higher risk. People that have lesser amount of certain hormones such as sex hormones tend to have weaker bone matrix. A lower level of oestrogen is a one of the strongest risk factor for developing osteoporosis. Lifestyle choices such as a sedentary lifestyle, excessive alcohol consumption and tobacco use may contribute to the development of osteoporosis as well.


What are the symptoms that may indicate osteoporosis?

The early stages of bone loss are usually asymptomatic. However, once a person is diagnosed with osteoporosis, they may experience back pain (caused by fracture or collapsed vertebra), a decrease in height over time, a stooped posture and bones that are more fragile and can fracture easily.


Are there any complications?

Bone fractures in the spine or hip are the most serious complication of osteoporosis. Hip fractures are usually caused by a direct fall, and can result in disability and an increased risk of death within the first year of injury. Spine fractures are not always caused by a direct fall, the spinal bones called the vertebrae may be weaken over time and crumple due to the increased amount of stress.


How can I prevent osteoporosis?

By maintaining a good nutritious diet and regular exercises, your bones will be healthy throughout your life.

  1. Consuming an appropriate amount of protein is essential in maintaining your bone health as they are one of the building blocks of the bone.
  2. A healthy body weight is crucial in maintaining bone health as being underweight increases the chances of bone loss and fractures. Whereas being overweight is shown to increase risk of fractures in your arms and wrists.
  3. Calcium is also very important for bone health and they can be consumed via low-fat dairy products, dark green leafy vegetables, canned salmon or sardines with bones, and soy products among many others. If getting a sustainable amount of calcium from your diet is challenging, you can consider taking calcium supplements.
  4. Vitamin D improves our body’s ability to absorb calcium and improves bone health in general. Although the best amount of vitamin D consumption a day is still under research, a good starting point would be around 600 to 800 international units (IU) per day, either through food or supplements.
  5. Exercise is extremely important to help you build strong bones and decrease the rate of bone loss. It is recommended to start implementing weight bearing exercises when you’re young and continue throughout adulthood. A combination of strength training exercises and weight-bearing exercises are the most ideal.


Last but not least, to diagnose osteoporosis and assess your risk of fracture, your medical doctor will order a bone density scan which is used to measure bone mineral density. It is commonly performed using dual-energy x-ray absorptiometry (DEXA scan) or bone densitometry.

Hence, if you would like to seek chiropractic treatment but have a possibility of osteopenia, it is advisable to do a DEXA scan beforehand and bring them during your first consultation. The treatment procedure will then be decided based on the result of the scan. As we are an integrated health centre that consist of chiropractic, physiotherapy and fitness, we will do our best to provide you he best treatment based on your condition. You can contact us via 018 – 982 8539 or drop us an email at


Physical Inactivity And Low Back Pain

The trend of physical inactivity has been increasing ever since the development of high speed technology. Though it has made most of our chores or work very much efficient, it has certainly allowed us to fall back to our seats and click away at whatever we want. At Healthworks, we realized that physical inactivity has a dire role in regards with low back pain. Through our consultations, we observed that there is trend linking physical inactivity to low back pain. And often times, clients who own desk bound jobs are mostly found with this complaint.

Physical inactivity is a term used to identify people who do not get the recommended level of regular physical activity. The American Heart Association recommends 30-60 minutes of aerobic exercise three to four times per week to promote cardiovascular fitness. It has been linked to not only musculoskeletal diseases but other chronic diseases such as Obesity, Cardiovascular Diseases and shorter life span etc. The incidence of chronic disease has increased dramatically in the last century, and are considered to be an underestimated epidemic. More recent data shows that one-third of worldwide deaths are due to CVD and this figure is expected to increase.

Our human spine is an important and a delicate system that keeps us alive. Part of staying healthy is through movements, healthy movements in the body allows better blood flow which channels nutrition to the structures of the spine. Physical inactivity may result in inadequate mechanical stimulation, a factor important in maintaining intervertebral disc integrity which leads to a reduced ability of the vertebral disc to maintain a normal concentration of water. At HealthWorks, we often see these signs of degeneration happening most frequently in the Lower back and the neck.

Physical inactivity also forces the muscles to reduce in size and function (Atrophy). In using proton MR spectroscopy, a previous study found that compared to 25 asymptomatic controls, participants with chronic low back pain had a significantly higher fat content in multifidus (Lower Back Muscles). As the muscles of the lower back loses its strength, other muscles would have to compensate for it’s function. Over time this compensation would lead to a fatigue and causes pain.

If you are experiencing some form of physical inactivity, get up right from where you are and have a short walk for yourself. If there are any questions to this article, feel free to contact us via our website: or Whatsapp us at 018-9828539.

Physical Inactivity And Low Back Pain2019-06-24T09:45:13+08:00
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