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The Bobath concept is an approach to neurological rehabilitation that is applied in patient assessment and treatment (such as with adults after stroke [1] or children with cerebral palsy [2]). The goal of applying the Bobath concept is to promote motor learning for efficient motor control in various environments, thereby improving participation ...
Action observation for upper limb rehabilitation after stroke. The latest scientific evidence indicates that action observation is beneficial in improving upper limb and hand function in patients with stroke. [92] Thus, action observation therapy is generally associated with better arm and hand function, with no significant adverse events. [92]
Constraint-induced movement therapy (CIMT) is specifically targeted at upper limb monoplegia as a result of a stroke. In CIMT the unaffected arm is restrained, forcing the use and frequent practice of the affected arm. This approach to therapy is carried out during ordinary and daily activities by the affected person.
The Brunnstrom Approach follows six proposed stages of sequential motor recovery after a stroke. A patient can plateau at any of these stages, but will generally follow this sequence if he or she makes a full recovery. [1] [2] The variability found between patients depends on the location and severity of the lesion, and the potential for ...
It primarily involves the antigravity muscles – flexors of the upper limb and extensors of the lower limb. During the passive stretch, a brief “free interval” is appreciated in spasticity but not in rigidity because the resting muscle is electromyographically silent in spasticity. In contrast, in rigidity, the resting muscle shows firing. [8]
Obligatory synergy patterns are observed when a patient tries to make a minimal voluntary movement, or as a result of stimulated reflexes. [1] The flexion synergy for the upper extremity includes scapular retraction and elevation, shoulder abduction and external rotation, elbow flexion, forearm supination, and wrist and finger flexion. [1]
The principles of constraint-induced movement therapy (CIMT) used in stroke patients are based on the idea of the reversal of learned non-use. [4] CIMT uses constrained movement of the less-affected limb and intensive training of the paretic arm to counter-condition the nonuse of the more-affected arm learned in the acute and early sub-acute ...
The exercises were developed by Heinrich Frenkel, a Swiss neurologist who, one day in 1887, while examining a patient with ataxia, observed the patient's poor performance of the finger-to-nose test. The patient asked Dr Frenkel about the test and was told what it meant and that he did not 'pass' the test.
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