Document Detail

Evidence-based physiotherapeutic concepts for improving arm and hand function in stroke patients: a review.
MedLine Citation:
PMID:  12021939     Owner:  NLM     Status:  MEDLINE    
In recent years, our understanding of motor learning, neuroplasticity and functional recovery after the occurrence of brain lesion has grown significantly. New findings in basic neuroscience provided stimuli for research in motor rehabilitation. Repeated motor practice and motor activity in a real world environment have been identified in several prospective studies as favorable for motor recovery in stroke patients. EMG initiated electrical muscle stimulation -- but not electrical muscle stimulation alone -- improves motor function of the centrally paretic arm and hand. Although a considerable number of physiotherapeutic "schools" has been established, a conclusive proof of their benefit and a physiological model of their effect on neuronal structures and processes are still missing. Nevertheless, evidence-based strategies for motor rehabilitation are more and more available, particularly for patients suffering from central paresis.
Hartwig Woldag; Horst Hummelsheim
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of neurology     Volume:  249     ISSN:  0340-5354     ISO Abbreviation:  J. Neurol.     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-05-21     Completed Date:  2002-08-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0423161     Medline TA:  J Neurol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  518-28     Citation Subset:  IM    
Neurologisches Rehabilitationszentrum Leipzig, University of Leipzig, Muldentalweg 1, 04828 Bennewitz bei Leipzig, Germany.
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MeSH Terms
Arm / innervation,  physiopathology*
Electric Stimulation Therapy / methods*
Exercise Therapy / methods*
Feedback / physiology
Hand / innervation,  physiopathology*
Imagery (Psychotherapy)
Movement / physiology
Muscle Contraction / physiology
Stroke / physiopathology*,  rehabilitation*
Comment In:
J Neurol. 2003 Jan;250(1):119   [PMID:  12528010 ]

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