TITLE:
Effectiveness of Ionic Correction along with Conventional Physiotherapy in Patients Recovering from Stroke: A Case Study
AUTHORS:
Charan Gutala, Daddy Kabamba Numbi, Amirali Diama, Guy Bumoko Makila, Samsuddin Amlani, Kanjiyani Samsuddin Amirali, Ashikali Amirali Panjwani
KEYWORDS:
Stroke, Diet Correction, Physiotherapy, Ionic Balance, CHIK
JOURNAL NAME:
Open Journal of Therapy and Rehabilitation,
Vol.8 No.4,
November
5,
2020
ABSTRACT: Background and Aims: Brain damage caused by stroke is associated with sensorimotor and/or
cognitive impairment, depending on area of brain affected and the severity of
attack. The aims of this study were to show the importance of physiotherapy
associated with electrolyte and mineral balance through diet correction in
patients recovering from stroke. Methods: This is a follow-up study of two patients with stroke followed at
Kinshasa International Hospital Center during period from May 16 to July 1,
2020. The first had received physiotherapy with foods for correction of the
existing ionic and mineral deficiency and the second had only received
pharmacological management with conservative physiotherapy without making a
change in diet. Clinical and electrolyte monitoring was performed at regular
intervals in both patients. The variables of interest evaluated in both
patients were FIM, MOTOR/SENSORY and Ionic
balance. Results: The parameters of FIM, motors and sensory functions were improved during follow-up, however they remained disturbed in the
control. Na+, Cl﹣, K+, Ca2+, and
ionic Ca+ improved from intake to discharge. The biological parameters
deteriorated during follow-up in the control. At Day 1, only K+ which was higher in the control than the case. At discharge, a significant drop
in K+ control was noted (4.1 vs 3.4); of Na+ (142 vs 125) and of Cl﹣ (109 vs 85). Conclusion: The results show that ionic balance by diet
correction associated with physiotherapy is more effective than conventional
physiotherapy associated with pharmacological management.