Diagonals part four: Stroke 2. Transfers in bed and the chain rules

Article English OPEN
van de Rakt, Jan ; McCarthy-Grunwald, Steven (2016)
  • Publisher: Societa Scientifica Riabilitazione e Posturologia dello Sport
  • Subject: Z721 | Z722 | Z723

An individual's diagonals tend to be severely affected following a stroke. Therefore training needs to focus on restoring the diagonals and if possible the homo- lateral structure on the affected side. Maintaining overall movement in bed is extremely important promoting the individual's independence. In part 4 we must consider the whole process of rehabilitation especially considering their home environment. Exercises lying in a sideways position are the most effective form of task specific strengthening exercises that have a greater impact on the potential re-establishment of movement in bed for individuals, along with developing greater coordination in the homo-lateral structure, which could eventually lead to the possibility of balance control and walking. Exercises are structured to consider the need to relearn the movements themselves, then progress towards making them more practical activities of daily living (A.D.L.) movements, where the movements will be required throughout the day (with some assistance initially), removing this support over time as the skills develop towards independence for the individual. Training/learning requires repetition by variation of which there are a wide range of exercises to choose from, which require load bearing movements which help develop better coordination and muscle power. To provide a complete package of recovery, every movement will be discussed and analyzed, to identify the best movements with the least level of assistance as a starting place, to increase the overall potential of reducing this assistance towards independence in the future. The appendix provides information on the training of limbs (Especially the arms) using the chain rules. Too often we start with an ‘open chain’ which can sometimes be too strenuous for the individual and can sometimes be very challenging affecting the individuals performance and overall motivation to achieve their full potential. Training using the variety of method of the chains enable the tasks to be more achievable, so by using these learning/training rules can promote better recovery.
  • References (61)
    61 references, page 1 of 7

    1. Klein Vogelbach S. Functional kinetics Springer Verlag 1990 ISBN 3-540-15350-0

    2. Klein- Vogelbach S. Therapeutische übungen zur Functionellen bewegungslehre Springer Verlag 1994 ISBN 3-540-54648-0 17.

    3. Nasher L. Horak F. Central programming of postural movements J.Neurophysiol.1986;55;1369-1381

    4. Goldspink G, Tabary C, Tabary JC, Tardieu C, Tardieu G. Effect of denervation on the adaptation of sarcomere number and muscle extensibility to the functional length of the muscle , J. Physiol 236, 733- 742 (1974) 5. Functional Movement Reeducation S Ryerson & K.Levit ISBN 0-443-08913-2 6.Pat Davies Right in the Middle ISBN 3-540-51242-X 7.Pat.Davies Steps to follow. The comprehensive treatment of patients with hemiplegie. Second edition. Completely revised and updated.Springer-Verlag ISBN 3-540-60720-X 1999 8. Pat Davies Starting Again. J.van Dieën Early rehabilitation after traumatic brain injury or other severe brain lesion Spinger Verlag, Berlin Heidelberg 1994ISBN: 3-540-55934-5 9.Balans en diagonalen j.v.d.Rakt NPI Longstay cursus www.vanderakt.nl 10.Learning to balance on one leg: Jaap van Diëen Motor strategy and sensory weighting ARTICLE in Journal of Neurophysiology · September 2015 2.89 · DOI: 10.1152/jn.00434.2015 11.The metabolic cost of human running: is swinging the arms worth it? Christopher J. Arellano1,2,* and Rodger Kram1 © 2014. Published by The Company of Biologists Ltd | The Journal of Experimental Biology 217, 2456-2461 doi:10.1242/jeb.100420

    12. Arm swing in human walking: What is their drive? Marije Goudriaan , Ilse Jonkers , Jaap H. van Dieen , Sjoerd M. Bruijn ,Gait & Posture (2014)

    13. Journal of Physiology (1994), 475.2 Evidence for bilateral innervation of certain homologous motoneurone pools in man L. J. Carr, Linda M. Harrison and J. A. Stephens

    14. Muscle activity during different styles of deep water running and comparison to treadmill running at matched stride frequency. 23 December 2014 Ita. J.Sports Reh.Po. Movement Analysis

    15. Effects of handrail hold and light touch on energetics, step parameters, and neuromuscular activity during walking after stroke Claudine Lamoth article in Journal of Neuroengineering and Rehabilitation · August 2015 2.74 · DOI: 10.1186/s12984-015-0051-3

    16. The energy cost of walking in stroke survivors: (How) does holding a handrail work? Andreas Daffertshofer September 2015 DOI:10.1016/j.gaitpost.2015.06.018

    17. Motor system activation after subcortical stroke depends on corticospinal system integrity Nick S. Ward, Jennifer M. Newton, Orlando B. C. Swayne, Lucy Lee, Alan J. Thompson, Richard J. Greenwood, John C. Rothwell, and Richard S. J. FrackowiakBrain. 2006 March ; 129(0 3): 809-819. doi:10.1093

  • Related Research Results (2)
  • Metrics
    0
    views in OpenAIRE
    0
    views in local repository
    14
    downloads in local repository

    The information is available from the following content providers:

    From Number Of Views Number Of Downloads
    Insight - IRUS-UK 0 14
Share - Bookmark