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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]
In neuroanatomical circles, it is often joked, for example, that hemisection of the cervical spinal cord leads to an "upper lower motor neuron syndrome and a lower upper motor neuron syndrome". The saying refers to lower motor neuron symptoms in the upper extremity (arm) and upper motor neurons symptoms in the lower extremity (leg).
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.
These interventions focus on the person's physical abilities, environment, and activities, emphasizing enabling function in self-care activities, leisure, and paid or unpaid work. At the level of the person, therapists can provide education and/or direct intervention for physical symptom treatment and management.
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 ...
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.
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.
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