4.Discussion
Globally, population aging has emerged as a significant social issue [5]. The number of people over 70 has increased globally between 1990 and 2019. In particular, there has been a growth of 115.4% in the population between the ages of 70 and 79, a 164.7% between the ages of 80 and 94, and a 363.7% between the ages of 95 and above. In 2019, there were 168.3 million more people aged 70 to 79 yearsyears old were present than there were in 1990. In addition, the number of people over 95 increased by 3.7 million, and those between 80 and 94 increased by 90.1 million [6]. In 2050, 1 in 6 people worldwide is predicted to be over 65 (16%), up from 1 in 11 (9%), according to the World Population Prospects 2019. Within the next 50 years, the proportion of seniors in Northern Africa, Western Asia, Central Asia, Southern Asia, Eastern and Southeast Asia, Latin America and the Caribbean is expected to triple. However, by 2050, one in four people in Europe and North America may be over 65. For the first time in 2018, adults over 65 outnumbered young people under five on a global scale. By 2050, there will be 426 million older people, up from 143 million in 2019. The growing geriatric populations contribute to cerebral apoplexy-induced hemiparesis. Hemiparesis is a serious neurological condition that can lead to a degree of loss of motor, sensory and speech abilities and can even affect the patient’s intelligence. And it is one of the most common symptoms caused by cerebral apoplexy. The graph also shows that since 2007, the literature on this disease has increased.
This study evaluated trends in publication related to cerebral apoplexy in hemiparesis research and examined countries, journals, and authors contributing to the field. The summit in 2020 was 211 articles, up from one in 1971 and 169 in 2022. The global trend has steadily increased since 1991 and has grown by leaps and bounds since 2007. The five countries with the most publications, according to the country of the authors, are the United States, Japan, China, Canada, and Germany. Except for China, all of the main participants in this study were developed nations with aging populations, particularly Japan. Government estimates for 2015 show that 14% and 26.7%, respectively, of the populations of Japan and the United States were over 65 [7]. The World Population Prospects 2019 estimates that by 2035, there will be 410 million people in China over the age of 60 or 28.4% of the country’s total population. The World Population Prospects 2019 estimates that by 2035, there will be 410 million people in China over the age of 60 or 28.4% of the country’s total population. This statistic shows that China is on the verge of becoming a serious aging society, and in response, the government has implemented some initiatives to support the elderly and pensioners [8]. The results of this study also showed that a large number of publications came from Neurorehabilitation and Neural Repair. A variety of studies and reports indicate potential directions for collaborative research and publication in the future.
Hemiparesis is the main sensory-motor impairment after cerebral apoplexy [9]. Hemiparesis can cause a person to be unable to move one limb, or even any limb at all, affecting the person’s ability to act autonomously and even care for themselves. This syndrome creates suffering and a great burden for the patient and his family, as well as considerable economic and social problems for the country. Therefore, an essential component of the treatments of cerebral apoplexy recovery is the rehabilitation of hemiplegic limb function in stroke patients. Ramesh, V et al. use Microsoft Kinect to capture joint position data for calculations to accurately identify hemiparesis, gaining valuable time from the onset of stroke to the diagnostic portion [10]. Bindawas, SM, found that recovery from hemiplegia after cerebral apoplexy is related to damaged functional areas of the brain [11]. Motiei-Langroudi, R et al. applied unilateral-multilateral analysis and found that the volume and age of chronic subdural hematomas were significantly associated with hemiparesis [12]. The study by Wang, YF et al. aimed to investigate the core Scalp acupuncture combinations for the treatment of hemiparesis after cerebral apoplexy using a systematic review and Apriori algorithm-based association rule analysis [13]. The systematic review by Pathak, A et al. found the effectiveness of neurodevelopmental treatment based on randomized controlled trials in the rehabilitation of stroke patients with motor disabilities [14]. Retrospective chart analysis by Kim, CH et al. found a difference in recovery rates between the left and right hemiplegic groups. Based on this conclusion, it is recommended that different gait rehabilitation strategies can be used depending on the side of the paralysis [15].
In general, hemiparesis has been a major concern among the various symptoms caused by cerebral apoplexy. It affects not only the physical function of the patient, but also their daily life, their financial situation, and their social activities. The incidence and severity of hemiparesis vary, as some patients may experience some mild symptoms, while others may experience more severe symptoms, which may even lead to a vegetative state. As a result, hemiparesis has been the subject of much attention and concern from experts and society in general among the various symptoms caused by stroke.