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The Life of Flood 461

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What To Expect As You Recover

Studies show that most patients who suffer hemiplegia after stroke have shoulder subluxation. A recent review of 13 studies including 517 stroke patients with mild to moderate impairment of their arms found that strengthening hands and arms with small weights, resistance bands, and pulley weights could be done without increasing spasticity and pain.
And so, an illustrated guide using a simple description, based on the newest science evidence based indications, showing clear directions of exercise execution and the suppose level of difficulty, home exercises for stroke patients might be a useful tool between physiotherapist and patient, to compensate or optimize the lack of weekly sessions, objectifying higher gains and facilitating stroke recovery 5.

Motor imagery (MI) is a mental process of rehearsal for a given action in order to improve motor function while Mental Practice (MP) is a training method during which a person cognitively rehearses a physical skill using MI in the absence of overt, physical movements for the purpose of enhancing motor skill performance.
In 2016, the Heart and Stroke Foundation's Canadian Partnership for Stroke Recovery identified exercise programs as a priority area for knowledge translation through a committee made up of people who have had strokes, caregivers, stroke recovery experts, health-care providers and policy-makers.
Johns Hopkins' Kata Project, a collaboration between neuroscientists, engineers, animal experts, artists and entertainment industry experts, has designed an immersive experience for post-stroke patients who will try to swim” as a virtual dolphin named Bandit.

Dr Mead has received research funding for exercise after stroke, honoraria from Later Life Training to develop an educational course for exercise after stroke professionals and honoraria and expenses to present work on exercise after stroke at conferences.
The Baltimore study used focused, repetitive, task-oriented movements such as those applied in a regular aerobic dance class except that their aerobics exercise program for stroke patients included two focused movements only: lower-limb workouts and upper extremity exercises.
More recently, the selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine and citalopram , have become the pharmacologic therapy of choice due to the lower incidence of side effects Also, psychologic treatment such as cognitive behavioral therapy , group therapy , and family therapy are reported to be useful adjuncts to treatment.

Current Systematic Reviews support the use of mental practice as an adjunct to conventional therapy techniques for arm rehabilitation in the acute, sub-acute and chronic phases of stroke, particulalry in those with more severe impairment of the upper limb.
APTA offers resources to physical therapists (PTs), including a podcast , around care of patients with limitations in functioning after a stroke, and has created a PT's " guide to stroke " at Move as well as a pocket guide to physical fitness for survivors of stroke for PTs.

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