Post Depression Exercise Plan

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

In a meta-analysis by Lee, Folsom, and Blair (2003), who used 23 studies, concluded that the highly active individuals had a 27% lower risk of suffering from a stroke. So for Sally, a minimum of 30 minutes of very light aerobic exercise on most days may be considered to reduce the likelihood of another stroke occurring and also reduce her depression and assist in her diabetes management. As she has right-side hemiplegia due to her last stroke, a supervised exercise program will be

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

My research addresses rehabilitation post-stroke, primarily improving lower extremity function. I study factors contributing to compensation, which involves greater than normal use of the non-impaired limb compared to the impaired limb. Compensation can be detrimental to rehabilitation as the impaired limb is underutilized and function cannot be restored. This may lead to weakness and impaired mobility/gait.

People often relate the loss of arm mobility to stroke patients because it is so noticeable when a person cannot use one of their arms properly. Statistics show, “motor deficits are common following stroke. Approximately 43% to 69% of people suffering from a stroke have upper-extremity impairment, 1, 2 and 4 years after a stroke, 67% still experience non-use of the affected arm as a major problem” (Siebers et al., 389). In these cases, CIMT can be more beneficial than less invasive therapies. CIMT looks to force movement and use of the affected side of the body after a stroke in order to promote rehabilitation while limiting the unaffected limb. However, this type of therapy does not come easily as CIMT is a very rigorous therapy. In the article, Stroke patients ' and therapists ' opinions of constraint-induced movement therapy, it was stated this therapy is intense because the unaffected arm is restrained while the patient participates in about 6 hours

Moreover, relaxation training and stress management is offered to patient experiences a large amount of stress in their daily life, which may support memory improvement. For example, progressive muscle relaxation training is thought to improve memory in elderly with high anxiety levels (Yesavage 2007). Additionally, psychotherapy is offered and proves to be effective in the treating patients experiencing depression after the stroke (Mödden 2010). Overall, a wide variety of rehabilitation treatment is available that aids the patient’s return into he or her routine. However, similar to the neurological assessments it is also of question how well rehabilitation training generalize to real-world

A Stroke is a health condition in which poor blood flow to the brain results in cell death. During a stroke, brain cells are deprived of oxygen and begin to perish. When brain cells perish during a stroke, abilities controlled by that area of the brain, such as memory and muscle control are nowhere to be found. This article is a longitudinal and data analysis, research design. The patients who were eligible for the study were admitted to the Rehabilitation Centre Adelante and received inpatient and outpatient rehabilitation treatment. Individuals who have a stroke may have aphasia or visuospatial skill impairments. The study was to determine the course of cognitive functioning within the subacute phase (< 4 months) after stroke during rehabilitation.

These studies found that these alternative methods did help to improve strength and function of these patients, but none of the studies had significant data to definitively prove this. While the data from these studies are not significant, it does not mean that they are entirely unimportant. Most of the researchers from these studies sent out follow up questionnaires about the enjoyment of the rehabilitation styles. All of the studies that did these questionnaires found that the participants had much greater levels of enjoyment and motivation while completing their from of rehab. This shows that while these alternative methods of hemiplegia rehabilitation might not be entirely effective on their own, they can serve a purpose when combined with traditional physical therapy methods. Physical therapist can utilize video games like the Wii or virtual reality software for patients that do not respond to or do not have proper motivation for traditional rehabilitation methods. This can help the physical therapist tremendously so they will have a tool at their disposal to help increase the motivation of the harder to work with patients. While the studies were performed well, they did have a number of limitations that hindered the research. Many of the studies, all besides one, had less than 50 participants, which leaves very little room for participant or conductor error. These small sample sizes also allow for outliers to throw off the data tremendously, as compared to if the study had a larger sample size. Another limitation that most of these studies had was that there were often a greater number of males to females. While this may not seem detrimental to these studies, it does provide doubt about the accuracy because of the differences between males and females, which may have skewed the data in a

Stroke patients often compensate impairments with other movements (e.g. overusing the unaffected limb). While this method of compensation can be a temporary fix for improving motor skills in activities of daily living (ADLs) or a way to overcome the difficulty of using a paralyzed limb it can also result in reversible loss of neural and behavioral function [1]. This approach of not using a limb has been connected to a reduce quality of life. Therefore other methods need to be developed in order to reduce the impact of acquired non-use.

Thirty-four stroke patients were selected who met the criteria of having adequate cognitive ability to follow instructions, mild spasticity only in all joints of the affected limb, and a Manual Muscle test with a higher than fair score. An experimental group of seventeen patients was assigned to a mirror therapy group where they received 30 minutes of mirror therapy and 30 minutes of conventional rehabilitation therapy per day, 5 days a week for 4 weeks total. A control group of 17 patients received 30 minutes of sham therapy and 30 minutes of conventional rehabilitation therapy per day on the same day. Their results found that subacute stroke patients can improve balance ability through mirror therapy. A significant difference was shown in post-training gains for the total stability index, medial stability index, and lateral stability index observed between the experimental group and the control group (p < 0.05) (Myoung-Kwonm et al.,

Although flywheel resistance exercise was initially devised to retain the muscle health of astronauts in outer space, this type of exercising can be utilized to improve neuromuscular functions and physical capabilities without aggravating the stroke patient’s physical condition (Fernandez-Gonzalo et al., 2016). This study used eccentric overload resistance exercise instead of concentric exercise that only works the muscle at a constant rate. Eccentric overload resistance exercise activates the nervous system by alternating the motor moves and intensities. In fact, the neuroplasticity reported after resistance training in stroke victims and the increased activity in certain cortical areas could be the reason why these adaptations are more effective (Fernandez-Gonzalo et al.,

The participants were randomly allocated to be in the VRRT group or the control group. There was a total of 15 participants in each group. All participants participated in a conventional stroke rehabilitation. The rehabilitation program lasted for 3 minutes a day, five times a week for four weeks. The program consisted of neurodevelopmental treatment, physical therapy, occupational, and speech therapy. The participants in the VRRT experimental group received treatment 30 minutes a day, five times week for 4 weeks. The control group received a placebo VRRT treatment for the same duration. At baseline and at the end of the study, the dynamic balance ability, static balance ability, and gait were assessed. The VRRT treatments consisted

Since the patient does not possess isolated movement in his hemiplegic arm and has some ability to grasp and extend his fingers, this is an appropriate outcome measure to use with this patient to evaluate and quantify the performance as well as the severity of motor function of his involved upper extremity. The current modified 17-item scale has been adjusted for ease of performance for individuals who may have minimal movement in the hemiplegic limb.

Although it is believe that practically all rehabilitation patient will experience some level of depression as part of the adjustment or adaptation process, it is crucial to recognize the symptoms as it can be treated early and perhaps tailored a more suitable multidisciplinary rehabilitation program according to the patient. Prior study shows that standard rehabilitation program had no effects on patient with depressive symptoms (P.Hampel, 2009). In addition, it has been noted that depression has adverse impacts on the normal course of rehabilitation and recovery of

It is common for patients to create learned non-utilization of their weaker arm. Study shows about demonstrates the serious rehashed undertaking work on utilizing the weaker arm can enhance both the measure of utilization and nature of development prompting enhanced capacity and independence. Limitation induced development treatment depends on learned non-utilize which creates amid beginning times following a stroke as the patients acquaint with adjust for trouble utilizing the impaired extremities by expanding dependence of the in-place