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The Fugl Meyer Assessment of Physical Performance (FMA) is an example of one widely used scale. [4] The FMA consists of five sub-scales that relate to various aspects of a patient's upper and lower extremity, and the sub-scales are as follows: [4] Motor; Balance; Sensation; Joint Range of Motion; Pain
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]
Constraint-induced movement therapy (CI, CIT, or CIMT) is a form of rehabilitation therapy that improves upper extremity function in stroke and other central nervous system damage patients by increasing the use of their affected upper limb. [1]
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.
Fugl-Meyer Assessment (FMA) scale is an index to assess the sensorimotor impairment in individuals who have had stroke. [1] This scale was first proposed by Axel Fugl-Meyer and his colleagues as a standardized assessment test for post-stroke recovery in their paper titled The post-stroke hemiplegic patient: A method for evaluation of physical performance.
Active assisted range of motion (or AAROM) – Patient uses the muscles surrounding the joint to perform the exercise but requires some help from the therapist or equipment (such as a strap). Active range of motion (or AROM ) – Patient performs the exercise to move the joint without any assistance to the muscles surrounding the joint.
Range of motion (ROM) is when a person has become injured in some way, most times the doctor's advice the patients to exercise and stretch the back muscles. For this purpose a form of exercises called range of motion exercises which are used to keep the muscles and joints in the patients back strong and flexible.
The patient watches their hand or arm movements (for example) and corrects them as needed. [4] Although the technique is simple, needs virtually no exercise equipment, and can be done on one's own, concentration and some degree of perseverance is required. Research has shown that 20,000 to 30,000 repetitions may be required to produce results.
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