BACKGROUND AND PURPOSE A principle of poststroke rehabilitation is that effort should be avoided since it leads to increased spasticity and produces widespread associated abnormal reactions. Although weakness also contributes to movement dysfunction after a stroke, it has been feared that heightened activity levels during strength training will further exacerbate the abnormal tone imbalance pre...

[Purpose] This study investigated and compared the discomfort experienced during car egress with the car door opened at different angles and muscle activation in drivers with hemiplegia following stroke and non-disabled drivers. [Subjects and Methods] The participants were five drivers with hemiplegia and five non-disabled drivers. The discomfort experienced during car egress was measured using...

Osteoporosis in Hemiplegia • Localized osteoporosis in 25 long-term stroke patients was evaluated by means of measuring the combined cortical thickness in the humerus, radius and third metacarpal bones of both involved and noninvolved upper extremities. The combined cortical thickness was found to be consistently smaller on the involved side. Since the factors of weight bearing and calcium home...

In a series of 57 hemiplegic patients who subsequently fractured their hips, it was found that hip fracture occurred significantly more often on the hemiplegic side. Hip fracture was equally common in right- and left-sided hemiplegia, and often occurred within one year of the stroke. Two factors seem to be important in the genesis of hip fractures in hemiplegic patients: the tendency of stroke ...

This case illustrates an uncommon form of symptomatic startle-induced epilepsy associated with infantile hemiplegia. Seizure semiology, neuroimaging and neurophysiological findings support involvement of the supplementary motor area in the generation of this seizure type. We present the case of an 11-year-old girl with an uncommon form of startle-induced seizures, illustrated on video-EEG, agai...

Hemiplegic Syndrome of the Posterior Cerebral Artery • An unusual syndrome is described consisting of right hemiplegia, right hemisensory loss, mild naming disturbance, and severe alexia coupled with normal expressive language and ability to write. The clinical syndrome of alexia without agraphia strongly suggests involvement of the left posterior cerebral artery. A study of the territory of di...

Paul M. Jenkinson, Nicola M. J. Edelstyn, Justine L. Drakeford, Christine Roffe and Simon J. Ellis School of Psychology, University of Hertfordshire, Hatfield, UK School of Psychology, Keele University, Keele, UK Research Institute for Life Course Studies, Keele University, Keele, UK School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK Department of Neurology, Unive...

objectives: hemiplegia is a non-progressive damage in premature growing brain which causes movement disorders in one side of the body. the objective of present research is to study the method of modified constraints induced movement therapy (cimt) which can be appropriate on unimanual and bimanual functions of children with hemiplegia. methods: this single-blinded, randomized, control trial stu...

results in the control group, barthel and fugl-meyer indices showed significant improvement (p = 0.01, p = 0.00), while in the experimental group, significant improvement in barthel and fugl-meyer indices and dynamometers has been observed (p = 0.01, p = 0.00, p = 0.007). conclusions rtms can improve hand muscle force and functions of patients with chronic hemiplegia, while conventional treatme...

Anosognosia for hemiplegia (AHP) is relatively common among patients who suffer from a stroke. It is characterized as a denial of bodily paralysis and the complexity of studying it is evident. Anosognosia is a neuropsychological deficit of self-awareness and most frequently associated with both cortical and subcortical lesions distributed within the right hemisphere, resulting in a left hemiple...