The Impact Of Wrist And Hand Splints On The Recovery Of Individuals Who Have Undergone Strokes?

Most exercise is designed for neurorehabilitation, not cardiovascular health, so there is a very different definition for stroke patient exercise, as well as a very different goal set. Because strokes affect each person differently, treatment is also specific to the individual. The literature included in this review focuses on three different methods of exercise, each with very specific goals in mind. Cabanas-Valdés and collegues study was on Core and Trunk stability, Minyoung describes use of Virtual Reality enhanced exercise for treatment, and Tutak introduces the concepts behind Rehabilitation

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

Many patients admitted to the stroke and orthopedic rehabilitation unit have impaired physical mobility. The length of time in rehabilitation is ten to fourteen days. Many times nurses, patients and family members form bonds that last long after the discharge. I recently had the opportunity to take care of a patient I will never forget. Mrs. C was admitted to the rehabilitation unit following recent hip surgery. She is eighty years old and had fallen raking leaves in her front yard. Mrs. C has a history of hypertension, arthritis and gout. Medications include aspirin, metoprolol and allopurinol as needed. Prior to admission Mrs. C lived independently and has two children who checked on her routinely. No cognitive or mental deficits are noted. Key parts of this paper include the introduction, NANDA, NIC and NOC elements, data, information, knowledge and wisdom and the conclusion.

This article takes a perspective of the patient approach, in how ultimately long term their health in their hands. How the physical therapists are there to guide and make small corrections,

Stroke is a leading cause of adult disability and patients face multiple challenges, such as weakness/paralysis on one side of the body, social disability, inability to walk and self-care, the decline in community participation, and the decline in cognitive and emotional functioning. These challenges impede them from independently performing their daily activities related to work, school, parenting, or leisure. Evidence Based Practice shows that the best way to treat individuals with stroke is through the use of the mental practice. Mental practice is a training method during which a person cognitively rehearses a physical skill in the absence of overt, physical movements for the purpose of enhancing motor skill performance. It is a practice

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.

Angelo is a 65-year-old male who has left-sided hemiparesis because of a right cerebrovascular accident that occurred 7 years ago. Though he has left upper extremity weakness, it does not affect his right upper extremity, which is his dominant side. Angelo uses a cane to ambulate between locations, yet he needs to use a rail in order to climb up stairs, and he uses an ankle-foot-orthosis to support his left foot. Although Angelo has no visual and/or perceptual deficits, Angelo struggles to flex his shoulder, extend his elbow, and both flex and extend his fingers. Angelo experiences diminished sensation on his left upper extremity, but it depends on the time of day. When Angelo sits down on a chair next to the table, he places his left upper extremity on the top of the table to support it, using his right upper extremity. In addition, Angelo is able to articulate

This type of therapy is one that many people have never heard of, and therefore, do not recognize what it can do to help stroke patients. WebMD explains that occupational therapy helps make sure that an individual is capable of doing everyday tasks (Beckman). As a result, therapists who specialize in this field are more likely to use the glove to help their patients. Stephen H. Scott and Sean P. Dukelow express in their article “Potential of Robots as Next-Generation Technology for Clinical Assessment of Neurological Disorders and Upper-Limb Therapy” that doing exercises such as moving cups from one end of a table to another or picking up a pen and holding it in a writing position help to reteach the brain that these are normal functions and the hand should be able to move in these ways on its own (339). For example, using the glove allows patients to get a firmer grasp on objects such as a cup or a pen. Allowing patients to use the glove prompts the brain by sending a message and making a connection that the hand should be able to operate on its own in these ways. It also lets the brain know how the hand muscles are supposed to move and how they should react when presented with different tasks. According to an article titled “Robotic Device Offers Physiotherapy to Aid the Recovery of Stroke Patients,” “Stroke patients showed improvements after eight weeks of use” (6).

The information in this literature review was collected from an expert interview and the search databases Science Direct, PubMed, and Google Scholar. The expert for the expert interview was selected based on experience with designing prosthetics for individuals that had lost their hand and potentially part of their arm (Birdwell, 2016). The databases were searched using keywords “spinal cord injury”, “hand movement”, and “fine motor movement”. In PubMed the selection was also narrowed down by selecting only studies done on humans. New terminology was searched through science direct due to the built in function that allows for key words from the article to be selected for further information from multiple books or journals.

In-depth, in-home interviews of forty-five minutes to sixty minutes were conducted with five community-dwelling individuals (three men, two women) aged 68-74 years who had experienced a stroke in the past year, followed by in-patient rehabilitation for a minimum of two weeks. Data analyzed using thematic analysis. Peer-review and peer debriefing with a co-researcher established

Stroke is a public health burden that affects 15 million people worldwide (World Health Report, 2002), approximately 795,000 people per year in the United States (Centers for Disease Control and Prevention, America’s Burden on Stroke, 2012) and specifically in Mississippi, stroke is the fifth leading cause of death (Mississippi Vital Statistics, 2014). Approximately 610,000 are first or new strokes and approximately 185,000 strokes, nearly one of four,four; occur in individuals that have had a previous stroke (Mozaffarian, Benjamin, Go, et al, 2015). Currently, there are more than 6.2 million noninstitutionalized adults who have had a stroke in the United States (Faststats, CDC, National Center for Health Statistics, 2012).

In my current position as a registered nurse, I have identified improving patient compliance and stroke rehabilitation as an important phenomenon of interest. While researching cerebrovascular accident (CVA) articles, I have a strong desire to enter the field of neuroscience because I feel that there is a great need for reform in stroke awareness and treatment care in the cerebrovascular patients across the nation. In today’s society, Advanced Practice Nurses (APN) are not viewed as a rare commodity but as a representative to physicians across the nation, assisting in many health care needs. APNs are thoroughly accepted by both health care organizations and consumers and serve a vital role in the population overall well-being. Additionally, APNs will become essential as more individuals gain access to broader services through health care reform efforts, and they will serve as attributing members of a flourishing healthcare system. As I transition into my role as an APN, I plan to focus my efforts on managing and coordinating care for the clinically complex neurological and neurosurgical population. This paper will highlight the importance of following stroke guidelines presented by Joint Commission to help increase the health of the population through improved patient compliance and stroke rehabilitation.

Constraint-Induced Physical Therapy is a specialized rehabilition approach used to improve motor ability and the functional use of a limb affected by brain injury or a stroke. After suffering a stroke, a person can lose the function of one of their limbs. These stroke survivors can get frustrated and learn to stop using affected limb and start relying on the unaffected limb. Constraint-Induced Physical Therapy tries to decrease the effects of learned non-use by forcing patients to use the affected side. CIMT uses techniques like placing a mitt on the patient’s unaffected functional hand and forcing them to perform tasks with their stroke-affected limb for a majority of the day. This therapy also has the patient perform repetitive movements to repair the brains pathways. CIMT is a deliberate practice that focuses on relearning previously acquired motor skills. Relearning motor skills is measured by acquisition, retention, and transfer of skills. Acquisition is the performance of a previously learned motor skill. To relearn a motor skill, the skill must be rehearsed repeatedly. The more time a patient devotes to a task the more opportunity they have to improve their movement

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