Stroke

In approximately 79 % of all stroke cases, a blood vessel that supplies the brain is blocked, e.g. by a blood clot. This results in an insufficient blood supply. Nearly 13 % of patients suffer exactly the opposite, namely bleeding in the brain, due to damaged vessels. In both cases, the supply of blood to certain regions of the brain is no longer sufficient due to a local circulatory disturbance.


Frequency

According to the most recent estimates, approximately 270,000 first cases of stroke occur in Germany each year. Roughly half the surviving stroke patients remain permanently disabled one year after the event and require help from others. Nearly 1.3 million of the country's citizens suffer from the consequences of this illness in the meantime. Due to the ageing of our society, the number of stroke patients can be expected to increase drastically over the coming decades. Legitimate projections by the Erlangen stroke registry predict 3.5 million patients with direct care costs of EUR 108 billion. The clinical picture of stroke therefore constitutes one of the main challenges for the German healthcare system.

Symptoms

The symptoms of stroke can vary widely between individuals, also in regards to their severity. They include:

  • Impaired vision
  • Restricted field of vision
  • Disruptions of depth perception, seeing double
  • Speech and language comprehension disturbances
  • Paralysis, numbness
  • Disrupted touch sensation
  • Drooping corner of the mouth – such dysfunctions can also occur in the leg and arm (drop foot and wrist drop)
  • Shoulder pain
  • Unstable knee joint function while standing
  • Torso instability
  • Dizziness with uncertain gait
  • Spasticity of various forms and severity

Rehabilitation

According to the federal rehabilitation workgroup, what is known as a phase model applies in the field of neurological rehabilitation. Initially the patient's need for help is assessed by the attending doctor and therapist. A certain rehabilitation phase can be considered depending on the patient's need for help. According to the federal rehabilitation workgroup, neurological rehabilitation is divided into the following phases:

  • Phase A: Acute medical treatment
  • Phase B: Medical-therapeutic rehabilitation Early rehabilitation, however in part still with the most severe limitations (coma). Most severely affected patients, whose ability to participate in treatment is limited
  • Phase C: Medical-therapeutic rehabilitation. Impairment of self-sufficiency
  • Phase D: Medical-therapeutic rehabilitation. Movement possible at the ward level
  • Phase E: Medical-occupational rehabilitation. Reintegration, reorientation if applicable
  • Phase F: Curative care, measures to maintain the current condition

A lot has been accomplished in acute care in recent years. With modern medical devices, Ottobock pursues the goal of focusing more on rehabilitation that follows acute patient care. From wheelchairs to provide support in the early rehabilitation phase, to products for dorsal flexor weakness (orthoses, functional electrical stimulation (FES) in the form of surface stimulation or as an implant) to orthoses that stabilise the shoulder, knee and wrist joint, Ottobock offers a broad portfolio of modern product solutions.

The products shown are fitting examples. Whether a product is actually suitable for you and whether you are capable of exploiting the functionality of the product to its fullest depends on many different factors. Amongst others, your physical condition, fitness and a detailed medical examination are key. Your doctor or orthopaedic technician will also decide which fitting is most suited to you. We are happy to support you.


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