PHTY302 Lecture Notes - Lecture 11: Contracture, Systematic Review, Glove
Document Summary
Upper limb function after stroke: 69% of people with acute stroke have upper limb impairment on admission. Are more likely to include trunk movement. Are more likely to have wider hand aperture than required. Common kinematic deviations: houlder fle(cid:454)io(cid:374, houlder e(cid:454)ter(cid:374)al rotatio(cid:374, el(cid:271)o(cid:449) e(cid:454)te(cid:374)sio(cid:374, upi(cid:374)ation, wrist e(cid:454)te(cid:374)sio(cid:374)/radial de(cid:448)iatio(cid:374, mcp a(cid:374)d ip fle(cid:454)/e(cid:454)t, thu(cid:373)(cid:271) a(cid:271)d/rotatio(cid:374, cuppi(cid:374)g of ha(cid:374)d. Recovery of ul function after stroke: outcomes for ul generally poor after stroke. 20% score zero on advanced hand activities of mas i. e. no functional use of hand australian study. (cid:1007)(cid:1004) (cid:1010)(cid:1010)% of stroke sur(cid:448)i(cid:448)ors (cid:272)a(cid:374)(cid:374)ot use ar(cid:373) fu(cid:374)(cid:272)tio(cid:374)all(cid:455) agai(cid:374) . Rehabilitation of the ul after stroke foundation guidelines. For stroke survivors with some active wrist and finger extension: I(cid:374)te(cid:374)si(cid:448)e (cid:272)o(cid:374)strai(cid:374)t i(cid:374)du(cid:272)ed (cid:373)o(cid:448)e(cid:373)e(cid:374)t therap(cid:455) (cid:894)(cid:373)i(cid:374)i(cid:373)u(cid:373) (cid:1006) hours of a(cid:272)ti(cid:448)e therap(cid:455) per day for 2 weeks, plus restraint for at least 6 hours a day) should be provided to improve arm and hand use.
