If you had any brains at all you would realize this quantifying nonuse doesn't get survivors recovered at all. Create protocols for 100% recovery and nonuse wouldn't exist. SOLVE THE CORRECT PROBLEM!
And use of the good side recovers the bad side, or don't you know about that research?
Exercising the good side to recover the 'bad' side. December 2012)
The latest here:
Quantifying Nonuse in Chronic Stroke Patients: A Study Into Paretic, Nonparetic, and Bimanual Upper-Limb Use in Daily Life
Published:March 29, 2012DOI:https://doi.org/10.1016/j.apmr.2012.03.016
Abstract
Michielsen ME, Selles RW, Stam HJ, Ribbers GM, Bussmann JB. Quantifying nonuse in
chronic stroke patients: a study into paretic, nonparetic, and bimanual upper-limb
use in daily life.
Objective
To quantify uni- and bimanual upper-limb use in patients with chronic stroke in daily
life compared with healthy controls.
Design
Cross-sectional observational study.
Setting
Outpatient rehabilitation center.
Participants
Patients with chronic stroke (n=38) and healthy controls (n=18).
Intervention
Not applicable.
Main Outcome Measures
Upper-limb use in daily life was measured with an accelerometry-based upper-limb activity
monitor, an accelerometer based measurement device. Unimanual use of the paretic and
the nonparetic side and bimanual upper-limb use were measured for a period of 24 hours.
Outcomes were expressed in terms of both duration and intensity.
Results
Patients used their unaffected limb much more than their affected limb (5.3h vs 2.4h),
while controls used both limbs a more equal amount of time (5.4h vs 5.1h). Patients
used their paretic side less than controls used their nondominant side and their nonparetic
side more than controls their dominant side. The intensity with which patients used
their paretic side was lower than that with which controls used their nondominant
side, while that of the nonparetic side was higher than that of the dominant side
of controls. Finally, patients used their paretic side almost exclusively in bimanual
activities. During bimanual activities, the intensity with which they used their affected
side was much lower than that of the nonaffected side.
Conclusion
Our data show considerable nonuse of the paretic side, both in duration and in intensity,
and both during unimanual and bimanual activities in patients with chronic stroke.
Patients do compensate for this with increased use of the nonparetic side.
Key Words
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