I would love to have a proprioception protocol, mine is still off and I know of no way to recover it. Send your doctor after the actual exercises done.
http://7thspace.com/headlines/514402/proprioceptive_based_training_for_stroke_recovery_proposal_of_new_treatment_modality_for_rehabilitation_of_upper_limb_in_neurological_diseases.html
The central nervous system (CNS) has plastic properties allowing its
adaptation through development. These properties are still maintained in
the adult age and potentially activated in case of brain lesion.
In the present study authors hypothesized that a significant recovery
of voluntary muscle contraction in post stroke patients experiencing
severe upper limb paresis can be obtained, when proprioceptive based
stimulations are provided. Proprioceptive based training (PBT) is based
on performing concurrent movements with both unaffected and affected
arm, with the aim to foster motor recovery through some mutual
connections of interhemispheric and transcallosal pathways.
The
aim of this pre-post pilot study was to evaluate the feasibility of PBT
on recovery of voluntary muscle contraction in subacute phase after
stroke.
Methods:
The treatment lasted 1Â h daily, 5Â days per week for 3Â weeks. The PBT
consisted of multidirectional exercises executed synchronously with
unaffected limb and verbal feedback.
The Medical Research
Council scale (MRC), Dynamometer, Fugl-Meyer Upper Extremity scale (F-M
UE), Functional Independence Measure scale (FIM) and modified Ashworth
scale were administered at the beginning and at the end of training.
Statistical significance was set at p < 0.05.
Results:
Six patients with severe paresis of the upper limb within 6Â months
after stroke were enrolled in the study (5 ischemic and 1 hemorrhagic
stroke, 3 men and 3 women, mean age 65.7 ± 8.7 years, mean
distance from stroke 4.1 ± 1.5 months) and all of them well
tolerated the training.
The clinical changes of voluntary muscle
contraction after PBT were statistically significant at the MRC scale
overall (p = 0.028), and dynamometer assessment overall
(p = 0.028). Each patient improved muscle contraction of one or more
muscles and in 4 out of 6 patients voluntary active movement emerged
after therapy.
The functional outcomes (i.e. F-M UE and FIM) did not show significant change within group.
Conclusions:
The findings of this preliminary research revealed that PBT may be a
feasible intervention to improve the motricity of upper limb in stroke
survivors.
Credits/Source: Archives of Physiotherapy 2015, 5:6
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