Abstract

Modern physical therapy is based on the idea that function governs the organ. This aspect can explain why the main activity of the hand is gripping and grasping and the main function of the foot is walking. The upper limbs use the movement in an open kinematic chain and have a very large representation at the central level, while the lower limbs work in a closed kinematic chain. We continue to face limitations in the recovery and interdisciplinary recovery of upper limb function in stroke, even though we currently have sufficient scientific evidence and therapeutic ways to stimulate healing. The research aims to identify whether a person suffering from an ischemic stroke can change the function of the affected upper limb three months after the accident by starting or continuing the recovery program until the patient leaves the acute phase.

Highlights

  • Disruption of Upper Limb function Scientific evidenceRehabilitation of movement in spastic hemiparetic patients depends on knowledge of the basic mechanisms of movement deficits:

  • Introduction point of view is poorRecovery of the upper limb at the functional level is critical

  • The upper limbs use the movement in an open kinematic chain and have a very large representation at the central level, while the lower limbs work in a closed kinematic chain

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Summary

Disruption of Upper Limb function Scientific evidence

Rehabilitation of movement in spastic hemiparetic patients depends on knowledge of the basic mechanisms of movement deficits:. Motor recovery after stroke is associated with decreased neural activity and cerebral reorganization [3]. Tone disturbance appears to contribute to disability, it was observed in 19% of patients investigated 3 months after stroke. Severe disabilities have been observed in both patients with and without tone disorders. 9 hemiparetic children were compared with 12 kindergarten children, in a concrete task and in an abstract task. No differences were identified between the two tasks, hemiparetic children performed a significantly higher range of motion in the concrete task. It was concluded that patients do better in concrete tasks, which have a well-defined purpose, using an object, compared to abstract tasks, without an object. Increased reflexes and disturbances of tone respond positively in specific tasks and training

Shoulder-elbow
Recovery after Stroke
Upper limb management after a stroke
Upper limb posture
Prevention of pain and subluxation on the hemiplegic side
Evaluation Test and Kinetotherapeutic Treatment Plan
Discussion

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