The process leading to the use or non-use of the paretic hand in daily life in persons with post-stroke hemiplegia

I happen to think your definition of learned non-use is completely wrong.  It is vastly more likely that  the neuronal cascade of death in the first week is the problem. You may be able to initially move a muscle but after the neuronal cascade of death has occurred, you no longer have live brain cells that can do that task.  You are assigning learned non-use to an impossibility and blaming the patient rather than BLAMING THE DOCTOR for not stopping the neuronal cascade of death. 

My take is that your doctor has the learned nonuse problem, they have learned to do nothing for stroke survivors and have been getting away with it for decades. 

 

The process leading to the use or non-use of the paretic hand in daily life in persons with post-stroke hemiplegia

脳卒中後片麻痺の人の日常生活における麻痺した手の使用または不使用につながるプロセス.  Japanese Occupational Therapy Research , Volume 38(1) , Pgs. 45-53.

NARIC Accession Number: I247965.  What's this?
Author(s): Reiko Miyamoto; Shin Kitamura.
Publication Year: 2019.

Abstract: 

The objective of this study was to examine subjective experiences using the paretic hand among stroke patients. To this end, 12 participants with experience using a paretic hand in their activities of daily living were interviewed, and the interview data were analyzed using Saiki’s grounded theory approach. The researchers found that stroke results in the “selection of scenes and means of using the paretic hand,” and the “selection of scenes and means of non-use of one’s paretic hand.” Participants described the experience of “a feeling of necessity to use the paretic hand,” “a sense of being able to live using only the non-paretic hand,” “an attempt to consciously use the paretic hand,” and “being conscious of being watched by other persons,” while “living in a paralyzed body.” These results suggest that when occupational therapists encourage the use of a paretic hand among stroke patients, it is Important to consider the personal meaning of using one’s paretic hand in relation to the characteristics of the engaged occupation(s).
Descriptor Terms: Heart disorders, Rehabilitation workshops, Treatment, Brain.
Language: Japanese
Geographic Location(s): Japan, East & Southeast Asia.

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Get this Document: https://www.jstage.jst.go.jp/article/jotr/38/1/38_45/_pdf/-char/en.

Citation: Reiko Miyamoto, Shin Kitamura. (2019). The process leading to the use or non-use of the paretic hand in daily life in persons with post-stroke hemiplegia.  脳卒中後片麻痺の人の日常生活における麻痺した手の使用または不使用につながるプロセス.  Japanese Occupational Therapy Research , 38(1), Pgs. 45-53. Retrieved 6/23/2022, from REHABDATA database.