The purpose of the article is to analyze recommendations for physical therapy methods after acute cerebrovascular accident. Most often, complications function upper limb occur, this causes difficulties in everyday and professional life. In most cases, arm restored worse than leg. case insufficient restoration hand function, an occupational therapist teaches patient basic skills self-care: eatin...

A 21-year-old man presented with a recent onset history of tingling and numbness of his left upper limb. He also had a 3 year history of anhydrosis affecting the left half of his face and left upper limb. Clinical and Doppler assessment did not reveal any vascular cause for his symptoms. However, a chest roentgenogram revealed a smooth mediastinal-based shadow in the left upper zone. Further im...

background: the cardioprotective effect of ischemic preconditioning has been known for many years. since the temporary ischemia in the heart may cause lethal cardiac effects, the idea of creating ischemia in organs far from the heart such as limbs was raised as remote ischemic preconditioning (ripc). we hypothesized that the extension of ripc has more cardioprotective effect in patients undergo...

background: this study evaluated the efficacy of focal intramuscular injection of botulinum (bont) toxin type a in comparison with oral tizanidine (tzd) in treatment of post-stroke upper limb spasticity. methods: this was a double-blinded randomized clinical trial that recruited 68 patients with post-stroke upper limb spasticity. thirty-four patients received bont (dysport(®)) injections in aff...

Three cases of unilateral dystonia of vascular origin are presented and compared with those in the literature. Damage in the region of the lenticulostriate arteries accounted for ischaemic lesions of the putamino-capsulo-caudate region, the external pallidum probably also being involved. This syndrome appears if the ischaemic accident took place during childhood. The functions of each of these ...

BACKGROUND AND PURPOSE After stroke, maximal voluntary force is reduced in the arm and hand muscles, and upper-limb strength training is 1 intervention with the potential to improve function. METHODS We performed a meta-analysis of randomized controlled trials. Electronic databases were searched from 1950 through April 2009. Strength training articles were assessed according to outcomes: stre...

plexus injury. Few studies report the rate of revision surgeries following free functional muscle transfers. We examinedthe reoperation rate and indication for reoperation after primary reconstruction of upper extremity function with a freegracilis transfer after brachial plexus injury.Methods: From 2003-2016, we identified 25 patients who underwent a free functional gracilis ...

Cathodal transcranial direct current stimulation (c-tDCS) can reduce excitability of neurons in primary motor cortex (M1) and may facilitate motor recovery after stroke. However, little is known about the neurophysiological effects of tDCS on proximal upper limb function. We hypothesized that suppression of contralesional M1 (cM1) excitability would produce neurophysiological effects that depen...