Case Report

Arm function after stroke - can we make a difference?

L. Fearnhead, C. J. Eales, V. U. Fritz
South African Journal of Physiotherapy | Vol 55, No 2 | a559 | DOI: https://doi.org/10.4102/sajp.v55i2.559 | © 2018 L. Fearnhead, C. J. Eales, V. U. Fritz | This work is licensed under CC Attribution 4.0
Submitted: 12 September 2018 | Published: 31 May 1999

About the author(s)

L. Fearnhead, Department of Physiotherapy, University of the Witwatersrand, South Africa
C. J. Eales, Department of Physiotherapy, University of the Witwatersrand, South Africa
V. U. Fritz, Department of Neurology, University of the Witwatersrand, South Africa

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Abstract

Impairment of upper limb function is a significant cause of functional disability after stroke. Based on a review of the literature this paper defines upper limb function and highlights some of the relevant recent developments in neuropathology. The effects of changes in sensation, muscle recruitment and tone are described. Reliable and valid outcome measures of upper limb impairment and disability are listed. The principles of rehabilitation are described in terms of timing of rehabilitation, sensory reeducation, motor control and functional use. Questions are raised regarding the need for counselling for the loss of fine discriminative hand function and for research into this behavioural aspect of upper limb rehabilitation.


Keywords

stroke; upper limb function; rehabilitation

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Crossref Citations

1. Force control deficits in chronic stroke: grip formation and release phases
Sagar K. Naik, Carolynn Patten, Neha Lodha, Stephen A. Coombes, James H. Cauraugh
Experimental Brain Research  vol: 211  issue: 1  first page: 1  year: 2011  
doi: 10.1007/s00221-011-2637-8