Look at pg 65 for notes on primary moves for various activities
In a pt who has had a stoke what will you notice with their hand?
- they will have a flattening of the three arches in their hand
Repetition of UL tasks why important?
- 15-40min/ day for several weeks help retrain brain and mm how to do activity
- can increase by doing in a large group- competitive and pts are pushed
- make sure the activity is challenging but achievable
- ensure training is task sepcific
- whole and part practise can be used- whole is thought to be best
- there is a deceleration phase when grasping
- neural pathways will adapt according to what is practiced
What do you need to think about when setting a task for a pt?
- type of contraction
- range of movement
Speed of contraction
Synergic muscle activity
Relationship to gravity
Short or sustained contraction
Overall motor schema
Pts post stroke usually have shoulder pain: info
FROM- IMMOBILITY, MM, CAPSULE, LIG LENGHTM JT STIFFNESS
- do not use pully- as it produces incorrect range
- manage by strapping, education and training
- 80% stroke survivors have a shoulder that subluxes- inferior most common- results in loss function etc
What are the risk factors for shoulder sublux?
- severe arm paralysis/ complete loss of function
- decrease supraspinatus contraction
- sensory imapirement
- decreased proprioceptio
- haemorrhagic stroke
Management of shoulder sublux?
- supportive dvices
- task specific functional activities
- stregnthen RC mm