Where the fuck is the protocol for this located? You left out treatment options for severe arm paresis. Damn it all, quit cherry picking easier patients to treat.
This is the closest I could get to finding a protocol; you'll have to extrapolate a lot.
Arm Ability Training (AAT) Promotes Dexterity Recovery After a Stroke—a Review of Its Design, Clinical Effectiveness, and the Neurobiology of the Actions
- 1BDH-Klinik Greifswald, Centre for Neurorehabilitation, Intensive and Ventilation Care, Spinal Cord Injury Unit, University of Greifswald, Greifswald, Germany
- 2Functional Imaging Unit, Center for Diagnostic Radiology, University of Greifswald, Greifswald, Germany
Motor Deficits of Stroke Survivors With Mild to Moderate Arm Paresis
I think I have severe since both my pre-motor and motor cortex for arm use are mostly dead.
Arm paresis post stroke shows a bi-modal distribution.
Many stroke survivors have either severe arm paresis and are only able
to use their arms functionally in everyday life to a very limited
extent, if at all, or mild to moderate arm paresis with the ability to
use their paretic arm for functional tasks, yet with a lack of dexterity
(1, 2). Thus, the motor control deficits of these subgroups are quite different and hence so too are their therapeutic needs.
Clinically, stroke survivors with mild to moderate arm
paresis have reduced strength and endurance of their paretic arm and are
functionally limited by a lack of speed, accuracy and co-ordination of
arm, hand, and finger movements and a lack of dexterity when handling
objects. Key to understanding any functional deficits and the need and
opportunities to improve function by training is a focused analysis of
the specific motor control deficits involved in this clinical syndrome. A
way to do this is to test various domains of sensorimotor control that
have been shown to be independent by factorial analysis (3, 4).
When motor performance of healthy people across various
tasks has been analyzed by factorial analysis certain independent arm
motor abilities have been documented. These are different independent
sensorimotor capacities that together contribute to our skilfulness in
everyday life. What are these abilities? They are our ability to make
fast selective wrist and finger movements (wrist-finger speed), to
manipulate small objects (finger dexterity) or larger objects (manual
dexterity) efficiently, our ability to keep our arm steady (steadiness),
to move our arm quickly and precisely to an intended target (aiming),
or to move it under constant visual control along a line (tracking) (5).
AAT includes turning over coins and screwing nuts on bolts - I should be so lucky to have this kind of return. More training for the lucky few stroke survivors.
ReplyDeleteI can't do coin flipping or putting on nuts. When you have dead brain it is hard to get excited about any stroke research. Nobody is trying to fix my type of damage.
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