Rehabilitation of the upper limb after an stroke. Part 5. Dissociation to an “open“ chain and hand treatment! An multi-eclectic approach

van de Rakt, Jan and Mccarthy-Grunwald, Steven ORCID logo ORCID: (2023) Rehabilitation of the upper limb after an stroke. Part 5. Dissociation to an “open“ chain and hand treatment! An multi-eclectic approach. Italian Journal of Sports Rehabilitation and Posturology, 10 (26). pp. 2649-2683.

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Introduction: Part 4 show what the skill must be to achieve dissociation and with the hand onfacilitation we say amazing results with the possibilities to create an goal in the ADL and often with some hand possibilities. To get the hand on the right spot we need the arm therefore also the trunk and the diagonals. This part we go further with this dissociation and search for an “open “chain but we see also the possibilities that sciences have created. The science has stoke much effort in the developmental of robotic and F.E.S. stimulation techniques but still today it isn’t clear of this the answer is for the recovery of the arm and especially the hand and it isn’t also clear or this is an better way to get more function in the hand than the “old way”.

Design: But obvious there is much more possible to get an better arm-hand function by using this inventions, but than for all stroke survivors with arm and hand function decrease. An eclectic approach will use everything to get an better result but always with an good base of science and with the training and motoric learning rules in the head. To get an result in the damaged brain, there must be an amount of intensity to get the brain working on his plasticity. The question remain that we not know how much plasticity an damaged brain can obtain and obvious that is different for every stroke survivor.

Conclusion: Therefore therapist try everything what you think can help but also science keep on searching!! And this can also be done in the chronic stage of this disease. In this part will always the care for the diagonals (Whole Trunk), the shoulder all away to the hand be central because you cannot forget an part an think that this has no influence on the goal that you are exercising. Hands-on – hands-off, electro treatment, incorporation in the ADL, mobility care for all tissues and tone control etc. make that the outcome is maximal.

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: 28 Mar 2023 14:55
Last Modified: 13 Jan 2024 14:30


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