Brain Disorders & Therapy

Program of cardiac prevention and rehabilitation: Useful and necessary tool in the treatment of Stroke

Global Summit on Stroke

August 03-05, 2015 Birmingham, UK

Monica Rincon

Posters-Accepted Abstracts: Brain Disord Ther

Abstract:

The National Health Observatory of the National Institute of Health in Colombia states that cardiovascular diseases are
the leading cause of death in the country. In the period 1998-2011, 628-630 deaths from cardiovascular disease were
reported corresponding to 23.5% of all deaths in Colombia. Of the deaths attributed to the group of selected cardiovascular
disease, 56.3% were due to ischemic heart disease, 30.6% to cerebrovascular disease, 12.4% to hypertensive disease and
0.5% to chronic rheumatic heart disease. Many studies have established that stroke is the leading cause of neurological
disability in adults and that the poor level of fitness including a low functional capacity are the factors limiting patients to
make their daily life activities and impact the risk of a new episode and increase mortality from this cause. This decrease in
functional capacity has negative effects on mobility and resistance to fatigue and further worsens its functional performance
and independence leading to greater restriction of their participation in the community. Similarly, it is known that about 75%
of stroke patients have heart disease sharing the same risk factors and the cardiovascular disease is the major factor that limits
the successful results in rehabilitation after a stroke. This demonstrates the existence of a close relationship between coronary
heart disease and cerebrovascular event in terms of etiology associated diseases and risk factors which in turn suggests that
strategies that have been used successfully for the treatment of coronary disease may be useful for the management of this
condition. The cardiovascular and respiratory training provided by the programs of Cardiac Prevention and Rehabilitation
reduces fatigue, incidence of falls and fractures while providing better compensation of energy cost of hemiparetic gait.
Similarly, reduces disability by its impact on mobility, body balance and balance among others. Patients with this type of
training improve functional independence, their perceived quality of life and mood. Various studies have shown how patients
admitted to programs of cardiac prevention and rehabilitation have significant clinical improvement in participation in
activities of daily living perceived through the stroke impact scale. This participation which results in community integration
is the main predictor of the overall recovery of a disabled person. Thus, cardiac prevention and rehabilitation programs offer
an opportunity to reduce cardiovascular risk, mortality and recurrence of stroke and have also shown to improve the perceived
quality of life due to provided components of exercise and education. Therefore, the current proposal is to consider the model
of cardiac rehabilitation as a secondary prevention strategy in stroke care because it has shown a significant positive impact
in reducing morbidity and mortality by achieving one of the most important objectives in the treatment of these patients-The
marked improvement in the perception of their quality of life.

Biography :

Monica Rincon completed her Medical School in 1989 from Universidad El Bosque, Colombia. She has specialized in Physical Medicine and Rehabilitation from
Universidad El Bosque Colombia in 1994, she also had training in Cardiac and Pulmonary Rehabilitation from Alton Ocshner Foundation New Orleans Louisiana.
She has completed her Master’s degree in Bioethics (2004) from Katholieke Universieit Leuven; Belgium and a Master degree in Physiology from Universidad
Nacional de Colombia in 2011. She is the Director of Rehabilitation Service, Fundación Cardioinfantil-Institute of Cardiology, Professor in the Faculty of Medicine
at Universidad del Rosario and Universidad de La Sabana. She has published papers in different journals and has been serving as an Editorial Board Member
(Revista Colombiana de Cardiología and Revista Colombiana de Medicina Física y Rehabilitación).