Diagonals part seven. Stroke 5. Walking: what say the scientist and what is best practice

van de Rakt, Jan and McCarthy-Grunwald, Steven (2018) Diagonals part seven. Stroke 5. Walking: what say the scientist and what is best practice. Italian Journal of Sports Rehabilitation and Posturology, 5 (2). pp. 1013-1062.

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Abstract

In this part we try to listen to the science, that has and still do over the whole world investigation by stroke patients over the walking aspect and the best way to get the best recovery or compensation. Recovery is only for a group possible, that had an “minor” stroke and there we see that the old system is not too much damaged and recovery is possible. But with greater damage of the brain individual after a stroke must go another way to get his independently and that is compensation. That compensation starts with the first movement in bed and will also affect the diagonal. The science has reported that the walking pattern on the EMG don’t change very much after a short period and they said that this pattern is fixed within in certain period. We have our doubt and have search to other forms of training and learning and see that changes is well possible but to be sure the science must have investigated that. Here is a problem because science gives another interpretation of the word intensity. For the scientist this is “more time” to do the exercises and in our view, it is the heaviness of the exercises and that can be done by an individual with a stroke a certain time before he is fatigue. In the treatment we start with the individual with a severe stroke that need all assistance to get him on his feet and will have need of a splint on his knee because the power in the knee muscle is to limited, to hold the knee. Regrettable an individual after a stroke that the scientist never investigates because this is too difficult. From this starting point we walk through all the steps, we must make to get independent walking individual when possible and what the problem were when that goal cannot fully be reached. And we discuss other forms, approach or new development to get walking possible with the use of the diagonals. Part 8 will discuss other cases with a severe stroke.

Item Type: Article
Journal or Publication Title: Italian Journal of Sports Rehabilitation and Posturology
Publisher: Societcientifica Riabilitazione e Posturologia dello Sport
ISSN: 2385-1988
Departments: Faculty of Health and Science > Health, Psychology and Social Studies > Lifelong and Interprofessional Learning
Additional Information: Steve McCarthy-Grunwald MSc BSc RMN is Senior Lecturer in Mental Health Nursing with Dementia Specialty, University of Cumbria, UK.
Depositing User: Anna Lupton
Date Deposited: 07 Dec 2017 13:09
Last Modified: 08 Dec 2017 02:28
URI: http://insight.cumbria.ac.uk/id/eprint/3458

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