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There are several non-pharmacological interventions which are recommended for prevention and treatment of post-stroke hemiplegic shoulder pain. These include proper positioning, range of motion exercises, motor retraining, and adjuvant therapies like neuromuscular electric stimulation (NMES) (e.g. functional electric stimulation (FES)). [27]
It is this process that CIMT seeks to reverse. The American Stroke Association has written that Taub's therapy is "at the forefront of a revolution" in what is regarded possible in terms of recovery for stroke survivors. [1] As a result of the patient engaging in repetitive exercises with the affected limb, the brain grows new neural pathways.
Open chain exercises are postulated to be advantageous in rehabilitation settings because they can be easily manipulated to selectively target specific muscles, or specific heads of certain muscles, more effectively than their closed chain counterparts, at different phases of contraction.
The influence of the Brunnstrom Approach on the development of the FMA is most evident within the Motor sub-scale for both the upper and lower extremity where there is a strong emphasis on the evaluation of muscle synergies.
This therapy can improve range of motion, reduce deformity, improve response to occupational and physical therapy, and delay the need for surgery. [5] Botulinum toxin type A injections have also shown advantages for upper extremities. There is still some doubt about its use to improve upper limb function as it may induce muscle weakness temporary.
NMES has been found to be effective in treating certain upper and lower extremity issues post-stroke, weakness following ACL repair and total knee replacement, muscle weakness in knee osteoarthritis, and debilitation and weakness after critical illnesses. However, the benefit of NMES for patellofemoral pain syndrome (PFPS) remains uncertain. [16]
Range of motion exercises are also called "ROM" exercises. There are three types of ROM exercises: passive, active, and active assists. Passive range of motion is movement applied to a joint solely by another person or persons or a passive motion machine. When passive range of motion is applied, the joint of an individual receiving exercise is ...
Occupational therapy services focus on mental health promotion and prevention for all: encouraging participation in health-promoting occupations (e.g., enjoyable activities, healthy eating, exercise, adequate sleep); fostering self-regulation and coping strategies (e.g., mindfulness, yoga); promoting mental health literacy (e.g., knowing how to ...