Rehabilitation of the upper limb after an stroke. Part 4. Dissociation and tone and tissue control.

Mccarthy-Grunwald, Steven (2021) Rehabilitation of the upper limb after an stroke. Part 4. Dissociation and tone and tissue control. Italian Journal of Sports Rehabilitation and Posturology, 10 (24). pp. 2465-2494.

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Abstract

Introduction. The reality for the individual that has suffer from an stroke is visible in the text that an person with an severe stroke say: “ Brilliant that I can move and managed my shoulder and elbow and
have less difficulties with the ADL and no pain, but at the end of the arm is my hand and that is purpose of al that shoulder movement to bring my affected hand in an position that I can use him .”
I was silent. He was right , I wasn’t capable to get an good hand-function . He was able to pick up something and open his hand but only with mass flexion and mass extension . And often when he don’t
look to his hand was the object gone ! The therapy remain on that level but when stop an while, he experience what he loss in an short time and his motivation was present again . Still it is never the
treatment goal to hold that level!! After the treatment of the flexor attitude and movement synergy, now there is more dissociation possible and that can be through recovery but also through an good
treatment. But that means don’t stop, go one with dissociation, also with the hand to get the highest possible level!

Item Type: Article
Journal / Publication Title: Italian Journal of Sports Rehabilitation and Posturology
Publisher: Societ� Scientifica Riabilitazione e Posturologia dello Sport
ISSN: 2385-1988
Departments: Departments > Science, Natural Resources and Outdoor Studies > STEM
Depositing User: Christian Stretton
Date Deposited: 11 May 2021 09:39
Last Modified: 08 Jun 2021 10:07
URI: https://insight.cumbria.ac.uk/id/eprint/6087

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