Bricina in BBT Rehab – Post-Stroke Rehabilitation for Left-Sided Hemiplegia

Left-sided hemiplegia is a common consequence of stroke, usually resulting from damage to the right hemisphere of the brain, which controls movement on the left side of the body. Causes include:

• Ischemic stroke: blockage of cerebral arteries leads to oxygen deprivation, neuron death, and impaired motor signals.
• Hemorrhagic stroke: rupture of blood vessels causes pressure on brain tissue, resulting in loss of left-hand function.
• Secondary muscle complications: due to immobility, decreased circulation, muscle atrophy, contractures, and joint misalignment.

Bricina plays a key role in addressing these underlying causes by:

• Enhancing cerebral and peripheral blood circulation, delivering oxygen and nutrients to neurons.
• Protecting neurons and promoting neuroplasticity, restoring motor signals from brain to hand.
• Indirectly supporting reduction of muscle spasticity and weakness when combined with physical therapy and topical medications.

Clinical Presentation by Stage

0–3 Months Post-Stroke: Soft paralysis, severe weakness of the left hand, minimal or no movement. Neurons are damaged but muscles have not yet developed contractures. Early intervention with BBT Rehab and Bricina helps restore motor function and prevent secondary complications.

6 Months or Later: Spasticity, muscle contractures, restricted movement. Muscle weakness may cause misalignment of joints, shoulder subluxation, nerve compression, and reduced blood flow. At this stage, the combination of Bricina with topical medications for spasticity and weakness is critical to improve function, maintain joint alignment, and enhance circulation.

BBT Rehab Treatment Protocol with Bricina

Phase 1: Early Recovery (Weeks 1–4)

• Goal: prevent secondary complications, maintain basic range of motion.
• Activities: proper positioning, deep breathing, gentle assisted movements of the left hand.
• Administration of Bricina as prescribed to enhance cerebral perfusion and protect neurons.
• Use of topical anti-weakness medications to stabilize joints and reduce early muscle fatigue if needed.

Phase 2: Basic Functional Recovery (Weeks 5–12)

• Goal: regain basic hand function and initiate daily activities.
• Therapeutic exercises: assisted grasping, wrist rotation, object manipulation.
• Topical anti-weakness medications support muscle activation and strength.
• Bricina continues to promote neuronal recovery and improve hand motor control.

Phase 3: Advanced Functional Recovery and Daily Activities (Months 3–6)

• Goal: increase strength, coordination, and independence in daily living.
• Activities: walking, grasping, eating, dressing, and other self-care tasks.
• Topical anti-spasticity medications reduce muscle stiffness and prevent joint misalignment or nerve compression.
• Bricina maintains neuroplasticity, improving motor coordination and hand function.

Phase 4: Long-Term Maintenance (After 6 Months)

• Goal: sustain left-hand function and prevent spasticity, contractures, and joint misalignment.
• Activities: daily maintenance exercises for mobility and hand function.
• Continuous Bricina administration as guided, combined with topical medications when necessary.

Conclusion

• Bricina is the cornerstone of post-stroke rehabilitation, enhancing cerebral blood flow, protecting neurons, and promoting neuroplasticity to restore left-hand movement.
• Topical anti-spasticity and anti-weakness medications complement Bricina, reducing contractures, maintaining joint alignment, preventing shoulder subluxation, and relieving nerve compression.
• The structured BBT Rehab protocol combined with Bricina and topical medications maximizes functional recovery, strength, coordination, and independence for patients with left-sided hemiplegia after stroke.