hemiplegia rehabilitation (Full Version)

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ramanbehl -> hemiplegia rehabilitation (August 24, 2002 6:28:00 AM)

kindly let me know any online resources for treating hemi pts. in an effective way
thanks



gilbertthomson -> Re: hemiplegia rehabilitation (August 24, 2002 6:44:00 AM)

search for "constraint induced movement therapy"



Mark Hirsch -> Re: hemiplegia rehabilitation (August 27, 2002 5:49:00 AM)

I'd have to agree with Gilbert on that one...how would you define effective though? Probably wont spark any discussion but its worth a try. Mark



gilbertthomson -> Re: hemiplegia rehabilitation (August 27, 2002 7:31:00 AM)

Hi Mark

My own definition for "effective" interventions in this case would be those leading to a measurable improvement in functional motor ability; improvement in skills that are important to the patient.

I'd like to hear what others think.

- Gilbert



yankeept -> Re: hemiplegia rehabilitation (August 27, 2002 6:28:00 PM)

This is certainly a loaded question. The literature & the insurance companies may say different, but I feel that functional improvements that the patient is aware of( and understands) means that what I am doing is at least somewhat effective.

Although this may open up a large can of worms, most of the most skilled therapists I have met were NDT instructors. The website for some more info is NDTA.org

Gilbert, nice to see there are some more Stony Brook grads out there. Drop me a line & let me know what you're up to these days.

Brian Rosenberg
yankeept@mailexcite.com



Mark Hirsch -> Re: hemiplegia rehabilitation (August 29, 2002 3:17:00 AM)

I understand that it is a loaded question. Are you saying that an effective treatment is one which yields a measurable result? And it has to have a measurable and beneficial functional component for the patient? A measurable reduction in muscle tone would then be an effective rehab measure if it improves physical function (i.e. gait speed)in the person so afflicted? How about long term results...i.e. effectivity meaning long term improvement (months or years) following discharge from inpatient rehabilitation?

Mark



manoonbun -> Re: hemiplegia rehabilitation (October 7, 2002 9:54:00 PM)

dear ramanbehl
Recovery of the stroke are not the same in every patients,there are many factors that was considered to predict the prognosis(initial fingers or toes extension and some mvt.of shoulder predicts good prognosis)
you can read some discussion in this forum
"rood's approaches"
you may get some ideas from this topic.

manoonbun



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