Rehabilitation of the upper limb after an stroke. Part 7. Stabilisation problem

van de Rakt, Jan and Mccarthy-Grunwald, Steven ORCID logo ORCID: (2020) Rehabilitation of the upper limb after an stroke. Part 7. Stabilisation problem. Italian Journal of Sports Rehabilitation and Posturology, 7 (2). pp. 1504-1521.

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Introduction: Everywhere in the world is there often an distribution in tasks what the physical therapist do and what the occupational therapist do. The first is responsible for the walking and balance part ( the leg part )and the second is the expert on the rehabilitation of the ADL and IADL and the function of the arm. The trunk /head is an area where they are both be present or ……… That means that the effects that will occur of their training on the whole body are not know by members of the rehabilitation team. An person that is excessive busy with lifting of the arm in an flexion synergy will increase the tone of the neck muscle and that can have influence on the possibilities of the mouth and tongue. But this example is nothing, comparing the effect of the balance training on the tone of the affected arm/hand. Extreme training of r the balance/walking will increase the tone in the affected arm and that will have an great influence on the possibilities of the arm. It is even possible that the great amount on the training in the beginning on walking and balance will have an great negative impact on the possibilities of the hand/arm function. Regrettable there is little interest and investigation for this topic.

Design: To compare the enormous reactions that people in sport must make to react on the all kind of situations to hold control of whole with that what people after an stroke must do to deal with increase difficulties. We see all that people after an stroke when they stand up, or walk or do other difficult things an increase have of their tone. We see that the affected leg is less fluency but we see also that the arm /hand goes in an associated reaction or even in an increase flexion movement ( maybe) attitude synergy. And after that exercise we see that this tone decrease but always lesser fast. In practice we feel that the function of that arm/hand was decrease after an exercise with an high increase of the tone and it looks like that the further improvement were difficult.

Conclusion: Stabilization of the body is very important and play an major role in the treatment of people with an neurological tone change. And it is very important to control that and that science look how this is created and what the best approach is. But our conclusion is that this is an sign that the difficulty is too high and that this person must do something that is too heavy!!

Item Type: Article
Journal / Publication Title: Italian Journal of Sports Rehabilitation and Posturology
Publisher: Society Scientifica Riabilitazione e Posturologia dello Sport
ISSN: 2385-1988
Departments: Institute of Health > Nursing
Depositing User: Anna Lupton
Date Deposited: 14 Feb 2023 09:11
Last Modified: 26 Jan 2024 13:57


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