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NEW ADVANCES CAN STOP A STROKE: PHYSIOLOGICAL RESEARCH
New technology improves diagnosis. Today, doctors sometimes can detect high-risk patients before stroke symptoms even arise.
An important result of all this is a change in attitudes. Physicians once shrugged in defeat at strokes. Now they know that many stroke patients can be rescued, and doctors treat strokes with the same urgency as heart attacks.
The death rate from strokes in the United States has plunged 40 percent in the last 20 years. New treatments cut the risk of stroke by 60 percent in some patients. Many have been helped by the treatment of high blood pressure – a major factor in stroke – through diet or drugs.
“Stroke is one of the most rapidly expanding areas in the brain sciences,” says Dr. Michael Walker, who directs the Division of Stroke and Trauma for the National Institute of Neurological Disorders and Stroke (NINDS) in Bethesda, Maryland.
Physiological Research
It once was accepted that damage from stroke was permanent, because the brain does not replace dead brain cells. But new findings in physical therapy show that, with persistent guidance, the brain can find new pathways, allowing undamaged nerve cells to take over and perform the functions of the dead ones.
Dr. Mark Hallett, a clinical director for NINDS, studies adult stroke survivors who have regained function of a limb after losing partial or total control. Dr. Hallett says he has found that “if you use a body part repetitively, more groups of nerve cells become devoted to it, and this may upgrade its use.
“This suggests,” he adds, “that the brain can be trained to use different nerve pathways to control a once-paralyzed hand, for example. We believe that the brain’s capacity to reorganize itself will help rehabilitation profoundly.”
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