XZ participated in writing the manuscript. Clin. Aesthetics Creativity Arts 2, 162. doi: 10.1037/1931-3896.2.3.162, Mohammadianinejad, S. E., Majdinasab, N., Sajedi, S. A., Abdollahi, F., Moqaddam, M. M., and Sadr, F. (2014). Neurosci. Functional neuroimaging studies suggest a reorganization of the brain motor network for the unaffected as well as for the affected hemisphere, thus improving the regional connectivity among the motor areas (Bajaj et al., 2015a,b). With your weights in hand, position your arms out so that your elbows are bent at 90 degrees. Induction of plasticity in the human motor corte by paired associative stimulation. WebAnnually, 700 000 people in the United States suffer a stroke, or 1 person every 45 seconds, and nearly one third of these strokes are recurrent. (2014). Reliability of the PEDro scale for rating quality of randomized controlled trials. doi: 10.1016/j.rehab.2012.09.001, Kandel, S., Orliaguet, J. P., and Viviani, P. (2000). doi: 10.1682/JRRD.2005.02.0048, Dam, M., Tonin, P., De Boni, A., Pizzolato, G., Casson, S., Ermani, M., et al. J. Rehabil. Again, the stretch should be strong, but tolerable. In this multiple systematic review, a short description of each rehabilitation technique is followed by a general survey of available evidence and by a clinical recommendation concerning its implementation in stroke rehabilitation with a view to improving the UE motor outcome of stroke patients. Impact of time on improvement of outcome after stroke. The following neurorehabilitation approaches may modulate the degree of spasticity: botulinum toxin (with or without physical contention), and in a lesser way: repetitive transcranial magnetic stimulation, high frequency-transcutaneous electrical nerve stimulation and transcranial direct current stimulation. However, in early recovery of stroke, patients can get frustrated by the lack of voluntary movement in the affected limbs. While she still doesnt have enough strength to perform some of the exercises, she rocks the ones she can do! In the lower extremity, resisted hip abduction causes abduction, and adduction causes adduction. Paolucci, S., Antonucci, G., Grasso, M. G., Morelli, D., Troisi, E., Coiro, P., et al. doi: 10.1016/j.apmr.2009.02.026, Mikami, K., Jorge, R. E., Adams, H. P. Jr., Davis, P. H., Leira, E. C., Jang, M., et al. Kwakkel, G., Kollen, B., and Lindeman, E. (2004). Arch. Phys. Med. It appears that there is no consensus on the type of contraction mode (concentric vs. eccentric) that should be used for training the UE, nor on the dosage regimen of training nor on the muscles that should be trained. Psychiatry 71, 258261. Interactive visuo-motor therapy system for stroke rehabilitation. Neural Repair 23, 4551. (2014). There is moderate- to high-quality evidence that bilateral arm training (non-device assisted or device-assisted) is similar or inferior to unilateral arm training or to standard rehabilitation treatment. Quite impressed with the range of exercises for hand, arm, leg and foot. doi: 10.1161/STROKEAHA.111.645382, Keywords: rehabilitation, upper extremity, stroke, review, paresis, systematic review, Citation: Hatem SM, Saussez G, della Faille M, Prist V, Zhang X, Dispa D and Bleyenheuft Y (2016) Rehabilitation of Motor Function after Stroke: A Multiple Systematic Review Focused on Techniques to Stimulate Upper Extremity Recovery. 94, 977989. however, only two of the included studies21, 22 with an experimental design had Unauthorized use prohibited. Rev. Based on the current level of evidence for each rehabilitation intervention, a decisional tree for upper extremity rehabilitation after stroke is proposed as a clinical tool for choosing a specific patient's intervention (Figure 4). Get a free copy of our ebook Full Body Exercises for Stroke Patients.
upper extremity weight bearing activities for stroke patients