What is a slow stroke, also known as a cerebrovascular accident (CVA) or brain attack?

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Last updated: April 22, 2025View editorial policy

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From the Guidelines

A slow stroke refers to a transient episode of neurological dysfunction caused by focal brain, spinal cord, or retinal ischemia, without acute infarction, typically lasting less than 24 hours. This definition is based on the guidelines for the prevention of stroke in patients with stroke or transient ischemic attack, as outlined by the American Heart Association/American Stroke Association 1. The key characteristics of a slow stroke, also known as a transient ischemic attack (TIA), include:

  • Focal neurological symptoms or signs lasting less than 24 hours
  • No evidence of acute infarction on brain imaging
  • Transient episode of neurological dysfunction caused by focal brain, spinal cord, or retinal ischemia The distinction between TIA and ischemic stroke has become less important in recent years, as many preventive approaches are applicable to both, and they share similar pathophysiologic mechanisms 1. It is essential to note that the majority of studies used the older definition of TIA, which is based on the presence of focal neurological symptoms or signs lasting less than 24 hours. However, with the advent of modern imaging techniques, a new tissue-based definition of TIA has emerged, which emphasizes the absence of acute infarction 1.

From the Research

Definition of Slow Stroke

  • A slow stroke is a type of massage technique that involves gentle, rhythmic pressure and stroking to promote relaxation and well-being 2, 3, 4.
  • It is often used in rehabilitation settings to help patients relax and reduce anxiety 2.
  • Slow stroke massage has been shown to have physiological effects, such as decreasing blood pressure and heart rate, and psychological effects, such as improving mood and reducing stress 2, 3, 4.

Benefits of Slow Stroke Massage

  • Slow stroke massage has been found to be effective in reducing symptoms of depression 3.
  • It can also help to improve sleep quality, reduce pain, and enhance overall well-being 2, 4.
  • The technique is often used in combination with other massage techniques, such as Swedish massage, to promote relaxation and reduce muscle tension 5, 6.

Applications of Slow Stroke Massage

  • Slow stroke massage can be used in a variety of settings, including rehabilitation hospitals, nursing homes, and private practice 2, 4.
  • It is often used to help patients with chronic pain, anxiety, and depression 3, 4.
  • The technique can also be used to promote relaxation and reduce stress in healthy individuals 5, 6.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Slow stroke back massage: its effect on patients in a rehabilitation setting.

Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses, 2001

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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