University of Florida Summary: Time may heal all wounds, but in the case of stroke survivors, the key to better recovery is to spend more time in an intensive physical therapy program, according to a new study.
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But this study focused on people who had persistent disability even a year or more after completing standard care. The study found that extensive physical therapy helped them recover motor function, even though they began the study treatment a year or more after stroke. Each person's recovery was somewhat unique," said Daly, the paper's lead author and a professor in the UF College of Medicine's department of neurology.
Some were able to perform functional tasks that they weren't able to do before; some recovered the ability to move their arm so they could actually place the arm for functional tasks, for example into the sleeve of a sweater.
For instance, a man who had been unable to lift a spoon to his mouth can now feed himself.
Inability to combine regular motions -- for example, flexing the shoulder and simultaneously extending the elbow while reaching for an object -- can be one result of a stroke.
The patient may concentrate on the reaching movement of the arm, but the normal neural pathways are interrupted, and the patient's arm may flex inward toward the body instead of extending to reach for a glass of water or a fork, said Daly, also the director of the National Veterans Affairs Brain Rehabilitation Research Center of Excellence in Gainesville. To help patients regain movements of the shoulders, arms and hands, which are crucial in many daily activities, researchers administered an intensive physical therapy program that included five hours of rehabilitation per day, five days per week, for 12 weeks to 39 study participants.
The first was motor learning rehabilitation. Daly compared motor learning rehabilitation after stroke to learning a new sport move, such diabetes disability group treatment a beginner learning a tennis serve. In this type of rehabilitation, patients must concentrate on performing a movement as deliberately as possible, with as homoktövis velő rendelés normal movement as possible, and must practice the task repetitively.
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In electrical stimulation rehabilitation, electrodes comfortably stimulated the muscles on a person's forearm and caused the hand to lift. Participants in the robotics-assisted rehabilitation group practiced the reach movement using robot software.
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The software guided them to attempt to reach targets displayed on a computer monitor. Their forearm and hand were cradled in a support so participants could concentrate on moving the shoulder and elbow.
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All three groups received some motor learning rehabilitation. Each of the groups improved significantly, on average doubling or nearly doubling their scores on a scale that assesses coordination.
Study cohort included consecutive AIS patients undergoing i. Blood samples taken on admission, immediately after and 24 h after therapy were analyzed for FXIII activity and antigen levels. Val34Leu, p.
Daly says the recovery for all three groups was equal, with no statistically significant difference between the groups. The researchers named a small sample size as a potential limitation of the study, pointing out that there might have been statistical differences in the results between groups if the group sizes had been larger.
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Because of the intensity of the program, one physical therapist worked with three patients; this ratio of therapist to patients was successful. Some people recover quite well and can function normally.
Diabetes disability group treatment this study, however, we enrolled people who had a stroke a year or more prior to their study participation, and who were still severely impaired," Daly said. Note: Content may be edited for style and length. Cite This Page:.