Unilateral Training Research Paper

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

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

There is evidence to suggest that improved motor recovery occurs when the brain uses the original neural system to control the movement as this is shown to represent "true" recovery. Whereas, if new networks were to form in the unaffected hemisphere of the brain, motor recovery will be reduced. As a result of using these new networks, fine motor control is lost and employment of compensatory movement strategies are associated with a poorer functional outcome (Nudo, 2007). The recovery of motor skills following a stroke, like walking, relies on the brain’s ability

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

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.

(2013). The efficacy of SMART Arm training early after stroke for stroke survivors with severe upper limb disability: a protocol for a randomized controlled trial. BMC Neurol 2; 13:71.

Five participants with acute stroke and unilateral hemiparesis (Age 51 ± 17 years; Height 1.7 ± 0.1m; Weight 81.6 ± 3.6kg; LOS 36 ± 24.6 days; 3 males, 2 females; 2 with right hemiplegia) were recruited for RE gait training during inpatient rehabilitation in conjunction with traditional therapy. Participant inclusion requirements: have a medical clearance, upright standing tolerance (≥30 min), intact skin, physically fit into the device, have joint range of motion within normal functional limits for ambulation, have had stroke with its onset >1 week and 0.05). This may suggest that the RE was limited to rehabilitate muscles during the IDS and swing phases as seen in figures (6-8).

Stroke and TBI involve injuries to the brain. To treat those injuries, the brain itself must be targeted. Brain training is completely

Brain foundation 2011, A-Z of disorders, Stroke, Brain Foundation, Sydney, viewed 30 June 2011, .

The significant improvement in post-treatment mean values of all measured variables in the three groups may attribute to motor learning effect as multiple repetitions of movement with intensive training required for new motor skill acquisition and inducing long-term brain plasticity. Sensorimotor stimulation is needed to induce this plasticity that is intensive, highly repetitive and rewarded. The neural plasticity and motor function retraining using multiple repetitions of movement are essential to regain function

Cross-limb transfer refers to the phenomenon by which physical practice with one limb results in performance gains in the trained and untrained limbs. Performance gains occur both in terms of muscle strength (Farthing et al., 2005; Hinder et al., 2011) or skill (Wang and Sainburg, 2006), having implications for rehabilitation scenarios in which one of the limbs is momentarily incapable of movement following injury. This phenomenon is also of theoretical importance because it can help to reveal the basic neural processes involved in movement control and learning (Hendy et al., 2012; Lee and Carroll, 2007). Therefore, determining the conditions in which cross-limb transfer may occur is of theoretical and applied interest.

Many individuals have UE paresis after experiencing a stroke. This is why occupational therapy service is needed; since they address many of the deficits, including stroke-related motor impairment of the UE. However, despite improved UE functional capacity, UE performance may remain severely limited after stroke (Doman, Waddell, Bailey, Moore, & Lang, 2016). There is a difference between the function and the performance. For example, many individual after rehab are able to have movement with their affected UE but, are not able to complete their activities of daily living; like brushing their teeth and washing their face. So as an OT you must create an intervention that allows the client to regain both the movements and complete their everyday performance. Like Many OT’s I would first create an intervention to regain movement of the affected UE while utilizing the side without paresis. I will begin with therapy aimed at strengthening and increasing the range of motion. Once a client achieves movement required to continue on the different tasks and accomplish their R-UE. I would take

MRP is used, because the CNS demonstrates plasticity. Through therapeutic challenges the CNS can reorganize. EF 3 is important, as is the understanding of EF 4. Therapists need knowledge in kinetic & Kinematic features of movement. Shows assumption 1 and assumption 2. Group circuit classes can boost practice sessions. Education is completed by providing photos & checklist to ensure that additional practice is consistent with motor strategies used during therapy, these are used to education family. Top down approach by Shepherd &

Results from the cylinder task showed a significant increase in left forelimb preference (with a corresponding decrease in right forelimb preference) after ischemic stroke induced in the left motor cortex, supporting our hypothesis. This is most likely due to the stroke in the left forelimb motor area making it difficult to control digit movements, wrist extension, elbow flexion, and shoulder movements for the right limb (Neafsey and Sievert, 1982; Tennant et al., 2011). Therefore, the left forelimb would be

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