Optimal Strategies of Upper Limb Motor Rehabilitation after Stroke

Well I the guess the strategies to recover upper limb function are out there.  Everyone else in the world is too dumb to find them. I think whatever is in the paper really doesn't work because there is no defined way to recover functionality that was in a dead brain area. But have your doctor get the paper because your doctor never knows what useful tidbits are found there.
http://synapse.koreamed.org/DOIx.php?id=10.12786/bn.2014.7.1.21

Myung Jun Shin, M.D., Sang Hun Kim, M.D., Chang-Hyung Lee, M.D., Ph.D.,1 and Yong-Il Shin, M.D., Ph.D.1

Department of Rehabilitation Medicine, Pusan National University Hospital, Korea.

1Department of Rehabilitation Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Korea.

Correspondence to: Yong-Il Shin, Department of Rehabilitation Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, 20, Geumo-ro, Mulgeum-eup, Yangsan 626-770, Korea. Tel: 055-360-2872, Fax: 055-360-4251, Email: rmshin@pusan.ac.kr

Go to: Abstract

The purpose of this review is to provide a comprehensive approach for optimal strategies of upper limb motor rehabilitation after stroke. Stroke is a common, serious, and disabling global health-care problem. Optimal organization of rehabilitation for stroke patients has been extensively documented.  (Bullshit) However, between 30% and 66% of individuals with stroke do not obtain satisfactory motor recovery of the affected upper limb with rehabilitative interventions. The recovery of the affected upper extremity depends on intensity, task progression, and repetition to neural plasticity, namely, the ability of central nervous system cells to modify their structure and function in response to external stimuli. Recently, constraint-induced movement therapy, motor imagery, action observation, or mirror therapy has emerged as interesting options as add-on interventions to standard physical therapies. In this review, we will discuss to establish a framework by which several promising interventions for neural plasticity.