Rehabilitation of the upper limb after an stroke. Part 1. The flexion attitude synergy an multi-eclectic approach

van de Rakt, Jan and Mccarthy-Grunwald, Steven (2021) Rehabilitation of the upper limb after an stroke. Part 1. The flexion attitude synergy an multi-eclectic approach. Italian Journal of Sports Rehabilitation and Posturology, 8 (17). pp. 1829-1867.

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Official URL: http://oaji.net/journal-detail.html?number=1587

Abstract

The rehabilitation of an arm after an stroke is the greatest problem the past centuries. The prognostic of the recovery is very poor, especially by the group that hasn’t an cortical-spinal bane left. No activity in 72 hour after the stroke in the shoulder abduction and extension of the fingers means that the possibilities to an full recovery are poor. That has given many therapist no motivation to try to get the best result of his treatment for every individual after an stroke. And looking what therapist do, is an poor image what can be done by all individuals after an stroke. That means not that in this article you find the solution for full recovery but this will give so far as possible the possibilities that there are to get an optimal result. Even the “a- functional“ arm need treatment to get an level that the individual has no pain and can handle this arm on the right way. Walking and balance difficulties will have always an reaction in the upper trunk and therefore also in the shoulder blade and the arm and that asked for an proper treatment. But there are an lot of possibilities to create an “function” for that “a-functional” arm/hand that makes that this arm/hand has an goal in the ADL and there are many books about this subject. Further one there are doubt that compensation in the early rehabilitation after an stroke is the best way to handle this problem, there are sounds that the amount of treatment isn’t right and the amount of investigation on the CIMT-approach gives an picture that an lot of scientist are searching for an greater intensity and for an longer time. Together they expect an better result because only more time isn’t the answer. But the most important issue that all arm/hand are treatable after stroke and that the therapist must assess what the level is and what the possibilities from there are. This part start with an arm/hand that has an low tone with what activity returning but as an flexion attitude synergy and with great problems to hold the mobility on his highest level.

Item Type: Article
Journal / Publication Title: Italian Journal of Sports Rehabilitation and Posturology
Publisher: Societcientifica Riabilitazione e Posturologia dello Sport
ISSN: 2385-1988
Departments: Nursing, Health & Professional Practice (NHPP)
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: 26 Sep 2019 09:34
Last Modified: 28 Sep 2019 17:08
URI: http://insight.cumbria.ac.uk/id/eprint/5100

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