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.