Rehabilitation of the upper limb after an stroke. Part 2

van de Rakt, Jan and Mccarthy-Grunwald, Steven ORCID logo ORCID: (2023) Rehabilitation of the upper limb after an stroke. Part 2. Italian Journal of Sports Rehabilitation and Posturology, 10 (22). pp. 2243-2277.

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Part 1 started with the chains, the base for exercising the arm/hand function. Further we discussed the most affected form after an stroke and what we must do to prevent further loss and build an base to an optimal result. That treatment content: 1) Hold the mobility in all joint. 2) The trophic of the arm/hand must be optimal. 3) Try to reduce the high tone and be aware, that when the head of the humerus shift, that tissue also must change of place. Tone in the pectoralis and latissimus will give an pressure and stretch on the n.medianus, that lies behind the pectoralis and that can damage this nerve. Sometimes the tension on the n.medianus is so high that the nerves lies not behind the m.pectoralis but under or even in front of the muscle 4) Be aware of the low perception and extinction. 5) What does the tone of the back diagonal – to the shoulder blade position. 6) Try to exercise in an closed chain and build up an support function in different position. 7)And try to give stimuli that enter the damage brain, but be careful. The mobility has written down in part 1, but this isn’t only for the individual with an severe stroke but all person after an stroke must have this treatment. Of course will the possibility to make movement on his own, makes this an lot easier, but still asked this for an frequently assessment. Part 2 goes further with the trophic of the hand/arm and shoulder because this is often for many person after an stroke an moment that the recovery stops and an lot of pain will influence the quality of life. When it is possible will active movement be introduced because that is the best way to hold the mobility, prevent trophic problems and get the best result. And we go to train the arm that has no or little function with the chain rules.

Item Type: Article
Journal / Publication Title: Italian Journal of Sports Rehabilitation and Posturology
Publisher: Societcientifica Riabilitazione e Posturologia dello Sport
ISSN: 2385-1988
Departments: Institute of Health > Rehabilitation and Sport Science
Additional Information: Steve McCarthy-Grunwald, Lecturer in Mental Health Nursing with Dementia Specialty, University of Cumbria, UK.
Depositing User: Anna Lupton
Date Deposited: 22 Mar 2023 17:52
Last Modified: 13 Jan 2024 14:30


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