\Hi.
@ areas of research in chronic CVA: Forced-use (work of Taub, Wolfe and
others; APTA journal; APM&R). un-weighing: a suspension system which
un-weighs the subject (with or without a treadmill) (the best lit review is
Lite-Gate web site). A note of caution both have rather specific guideline
for patient recruitment and treatment duration in the forced use is
lengthily. An esoteric approach is that of Mirror use (Rchamadran), again
note guide lines and exclusion criteria. Aside from that I strongly
recommend the studies on recovery/prognosis re regions. Names elude me at
present. (individuals do present unique recovery, but stats help emphasize
potential vs. adaptation). In terms of treatment, repeat, repeat, repeat,
force use, overload, overload within tolerance. These words do not ring well
in England the home of the Bobaths, but some of their notions are obsolete.
Joe
> Subject: Chronic CVA patients
>
> Dear all
>
> We frequently have the problem of CVA patients being referred again and
> again several years after their stroke for Outpatient Physiotherapy not
> because of any deterioration but simply because they have not yet made a
> full recovery - e.g. their arm hasn't started working yet!
>
> I wonder if anyone has been involved in setting up any strategies for
> dealing with these sorts of patients, their relatives and referrers. e.g.
> education programmes, treatment programmes, support groups etc, etc, etc.
>
> I'd be interested in any information regarding this difficult area.
>
> Thanks
>
> Angela Hutton
>
>
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|