Pain Movement Therapy ( Cimt )

De, D., & Wynn, E. (2014). Preventing muscular contractures through routine stroke patient care. British Journal of Nursing, 23(14), 781-786. doi:10.12968/bjon.2014.23.14.781

following a stroke the client usually has weakness in the left side of the body so physiotherapist will aim to create a work out plan

Strokes are known as the leading cause of acquired disability in adults where between 20-30% are left unable to walk, and leaving those who are able to walk, with a moderate to severe walking disability (Maguire et al., 2012). This disability results in a huge socioeconomic impact on the patients and their families lives. In order to improve their quality of life, an improvement in balance is the important first step in which is crucial to enable more independent movement, for example walking.

The lack of technology in the past has left multiple stroke patients struggling with physical and mental impairments. However, due to the constant change and improvements made to technology, patients are now getting more help with their physical and mental needs. Nowadays, the odds of a patient gaining full function and ability back after a traumatic brain injury are much more favorable than not. Advanced technology such as robotic gloves, interactive video games, and electrical stimulators are effective tools in the treatment of strokes because they stimulate the brain to help regain ability and motor functions.

Throughout most of modern science, it was believed that injuries to the central nervous system were permanent and unrepairable. However, scientists are now starting to believe that there are remedies for some of these injuries and that the CNS can reorganize itself after injury. For many years there was not much focus being on neurorehabilitation, but now more scientists are diving deeper into rehabilitation techniques for CNS injuries. Research on monkeys who had an unusable arm showed that certain therapy techniques could train the monkey’s brain to use the arm again. This type of therapy is known as CI therapy. This technique requires the working appendage to be rendered immobile forcing the subject to use the immobile arm more over a consecutive

Stroke is the fourth leading cause of death in American and a leading cause of adult disability. Stroke or other known as a “transient ischemic attack” occurs when a blood clot blocks an artery or a blood vessel breaks, interrupting the blood flown to an area of the brain. These characteristics cause a loss of cerebral function. (NSA, 2014) When brain cells die during a stroke, abilities controlled by that area of the brain are lost. These abilities include speech, movement and memory. How a stroke patient is affected depends on where the stroke occurs in the brain and how much the brain is damaged. (NSA, 2014) Stroke rehabilitation starts on admission to hospital and continues after discharge; the aim is to restore a level of

Stroke can be defined as an unexpected and evolving start of neurological symptoms due to a quick and steady blocking of blood stream to the brain. A stroke is a common brain injury that ranks amongst the leading causes of death around the world (Murray and Lopez et al 1997). The symptoms and the harshness of the injury is determined by the area, and the degree of damage it causes to the brain. A common result of a stroke is Hemiparesis, which effects only half of the body. This condition then adversely effects the different systems of the body causing weakness of the muscles and loss of agility. Following a stroke, many patients begin to experience a continuous sensorimotor shortage. This shortage in sensorimotor not only hinders their capacity

Did you know that Stroke is one of the leading health problems in America? A stroke is often called a “brain attack” and it occurs when blood flow to a certain area of the brain is cut off. The brain cells are deprived of the oxygen and glucose needed to survive, and then they die. If a stroke is not caught early enough, permanent brain damage and sometimes-even death can occur. Stroke is the leading cause of long-term disability in the United States, and many survivors experience either a weakening on their left or right side of their body. This weakening can result in decreased mobility, a decrease in social interaction and participation, and an increase in depression. Aerobic exercise has been shown to play a key role in neuroplasticity and motor recovery after someone experiences a stroke. The objective of the main article uses two different types of aerobic exercises and tries to understand how the exercises affect motor recovery post stroke.

As part of the rehabilitation process following a stroke, patients must relearn voluntary control over the affected muscles. The standard therapies typically used in the relearning process include both physical (PT) and occupational (OT) therapies. These routine stroke recovery therapies involve repetitive task specific practice over a long period of time and often result in delayed to moderate functional improvement (Yin, Hsueh, Yeh, Lo, & Lan, 2016). Sadly, many patients fail to reach their maximum recovery potential using PT and OT alone (de Rooij, van de Port, & Meijer, 2016).

Physical therapists working at these large hospitals throughout the Midwest where recruitment will occur will be formally trained how on how to perform MT so that therapists will be consistent within and between patients. Both groups will receive 1 hour of MT of the upper extremity 5 days a week for 4 weeks. In addition to this treatment, the physical therapist will also work with patients in both groups on limb activation for 1 hour 5 days a week for 4 weeks and provide the more traditional physical therapy given to stroke patients, such as doing exercises to improve strength in the upper and lower extremity on the affected side involving neuromuscular re-education, pre-walking functional activities, weight shifts in sitting or standing, or the maintenance of unassisted

The subjects of the study were ten people who had recently had a stroke, two were women and eight were men. Additionally, these people had only one leg affected and were able to safely use all the testing equipment. Each person was first subject to four tests for a clinical assessment to better understand the subjects. These tests were the Modified Ashworth Scale, Timed Up and Go Test, manual muscle testing, and a test to determine the person’s range of motion.

The initiation of the therapy can vary in how quickly it begins for each individual. For some patients it begins within two days post stroke and continues after being discharged. Since there is such a wide range of the severity of strokes, rehabilitation options can be different from client to client. For some individuals, rehabilitation can take place in an inpatient therapy at a hospital, for others they may return home and attend outpatient therapy at a clinic. There are other options including subacute care units and long term care facilities that also provide important therapy “Rehabilitation Therapy after a Stroke,” 2015). Regardless of the environment, these therapies aim to achieve the same goal of improving the function and independence of the stroke

Stroke is the second most common cause of death and disability worldwide[1]. One of the

Langan J, DeLave K, Phillips L, Pangilinan P, Brown SH. Home-Based Telerehabilitation Shows Improved Upper Limb Function in Adults with Chronic Stroke: A Pilot Study. Journal of rehabilitation medicine. 2013;45(2):217-220. doi:10.2340/16501977-1115

The first clinicians to study hemiplegic shoulder positioning were Dean et al.’s (2000) who recruited 23 chronic stroke patients and allocated them to an intervention group of 10 patients and a control group of 13 patients. Both groups’ arm received training on active tasks but the intervention group additionally received prolonged positioning of the hemiplegic arm thrice per day for 20 minutes, during 6 weeks (Dean et al. 2000). Three different positions were implemented: first, the patient laid supine with shoulder in maximum painless abduction, external rotation and flexion of the elbow; second, the patient laid supine with shoulder in 90ο abduction, maximum painless external rotation along with elbow flexion, and; third, the seated patient