vidA deMArin Enhancement of stroke recovery
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چکیده
result in better outcomes for patients. Systematic MEDLINE search, search of the Cochrane database and of informal sources . .was .performed .for .the .motor .rehabilitation .of .the .upper .and .lower .extremity .function . .For .the .upper .extremity . 40 references were identified that evaluate training therapy or neuromuscular electrical stimulation for arm paresis after stroke and describe either a systematic review, meta-analysis, randomized controlled trial or controlled cohort study. The evidence was grouped into three areas of interest: comparison of physiotherapy schools, effects of intensity of training and efficacy of specific arm rehabilitation techniques. The only physiotherapy school with evidence of superior efficacy was the task-oriented “motor relearning program”. Higher intensities of motor rehabilitation can accelerate motor recovery. Various training techniques with demonstrated efficacy were available for specific patient subgroups: arm ability training, constrained induced movement therapy (Taub), repetitive sensorimotor training techniques, robot-assisted training with several different mechanical devices, emg-biofeedback and functional electrical stimulation. A similar approach was done for the lower extremity and for gait rehabilitation. In addition the EMBASE, PEDro (Physiotherapy Evidence Database) and COMPENDEX (engineering databases) were searched. Treadmill training, and training with electromechanical devices (i.e. “gait trainer”, LOCOMAT) were found to improve walking abilities. Music biofeedback .was .also .shown .to .restore .function . . .The .application .of .antispastic .medication .or .injection .of .botulinum .toxin . as well as orthotic devices were another interesting field of evidence based motor rehabilitation of the lower extremity. This spectrum of efficient motor strategies available today in rehabilitation will be presented.
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