Useless. With no references to protocols or results this is just trying to justify the tyranny of low expectations.
Rehabilitation Strategies and Key Related Mechanisms Involved in Stroke Recovery
By Hideki Nakano
Submitted: May 31st 2019Reviewed: January 7th 2020Published: April 1st 2020
DOI: 10.5772/intechopen.91025
Abstract
Poststroke
rehabilitation requires a thorough understanding of the neural
mechanisms underlying motor function recovery. This chapter outlines
these mechanisms and also discusses the corresponding rehabilitation
strategies based on the functional characteristics of the brain. The
main topics we discuss are as follows: Although ipsilateral brain region
activity is inhibited when using the limbs under normal conditions, it
is thought (I don't give a shit what you think, WHAT DO YOU KNOW ABOUT STROKE RECOVERY?)that a decrease in this inhibition and the subsequent
increased ipsilateral brain area activity post-injury promote recovery
in the damaged contralateral neural network. For optimal poststroke
motor function recovery, it is important to normalize the resulting
imbalance in brain activity. Therefore, increased corticomotor
excitation in the injured hemisphere or decreased excitation in the
non-injured hemisphere must be promoted. Rehabilitation strategies
include reducing non-paretic limb somatosensory input to decrease
excitation in the non-injured hemisphere, increasing paretic limb
somatosensory input to increase excitation in the injured hemisphere,
increasing excitation in the injured hemisphere through movement
training of the paretic hand and anesthesia of the paretic upper arm,
increasing excitation in the injured hemisphere, or reducing excitation
in the non-injured hemisphere. Considering the functional
characteristics of the primary motor area, during the early stages after
stroke, it is important to increase the somatosensory input to the
paralyzed side and combine mental practices using motor imagery.
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