[REVIEW] Mobility and the Lower Extremity | EBRSR – Evidence-Based Review of Stroke Rehabilitation – Full Text PDF

Chapter 9

Mobility and the Lower Extremity

Rehabilitation techniques of sensorimotor complications post stroke fall loosely into one of two categories; the compensatory approach or the restorative approach. While some overlap exists, the underlying philosophies of care are what set them apart. The goal of the compensatory approach towards treatment is not necessarily on improving motor recovery or reducing impairments but rather on teaching patients a new skill, even if it only involves pragmatically using the non-involved side (Gresham et al. 1995). The restorative approach focuses on traditional physical therapy exercises and neuromuscular facilitation, which involves sensorimotor stimulation, exercises and resistance training, designed to enhance motor recovery and maximize brain recovery of the neurological impairment (Gresham et al. 1995).In this review, rehabilitation of mobility and lower extremity complications is assessed. An overview of literature pertaining to the compensatory approach and the restorative approach is provided. Treatment targets discussed include balance retraining, gait retraining, strength training, cardiovascular conditioning and treatment of contractures in the lower extremities. Technologies used to aid rehabilitation include assistive devices, electrical stimulation, and splints.

For evidence tables, please click here.

Keywords:

compensatory, restorative, task-specific, intensity, treadmill, strength training, balance, gait, strength, cardiovascular conditioning, wheelchair, canes, walking aids, robotics, electrical stimulation, EMG, splinting, botulinum toxin, ultrasound, physical therapy, orthoses

Authors:

Norine Foley MSc, Shelialah Peireira MSc PT, Andreea Cotoi MSc, Jonathan Serrato MSc, Sean Dukelow MD, Keith Sequeira MD, Robert Teasell MD

Source: Mobility and the Lower Extremity | EBRSR – Evidence-Based Review of Stroke Rehabilitation

[REVIEW] Mobility and the Lower Extremity | EBRSR – Evidence-Based Review of Stroke Rehabilitation – Full Text PDF

Abstract

Rehabilitation techniques of sensorimotor complications post stroke fall loosely into one of two categories; the compensatory approach or the restorative approach. While some overlap exists, the underlying philosophies of care are what set them apart. The goal of the compensatory approach towards treatment is not necessarily on improving motor recovery or reducing impairments but rather on teaching patients a new skill, even if it only involves pragmatically using the non-involved side (Gresham et al. 1995). The restorative approach focuses on traditional physical therapy exercises and neuromuscular facilitation, which involves sensorimotor stimulation, exercises and resistance training, designed to enhance motor recovery and maximize brain recovery of the neurological impairment (Gresham et al. 1995). In this review, rehabilitation of mobility and lower extremity complications is assessed. An overview of literature pertaining to the compensatory approach and the restorative approach is provided. Treatment targets discussed include balance retraining, gait retraining, strength training, cardiovascular conditioning and treatment of contractures in the lower extremities. Technologies used to aid rehabilitation include assistive devices, electrical stimulation, and splints.

Get Full Text PDF

via Mobility and the Lower Extremity | EBRSR – Evidence-Based Review of Stroke Rehabilitation.

[REVIEW] The Elements of Stroke Rehabilitation | EBRSR – Evidence-Based Review of Stroke Rehabilitation – Full Text PDF

 

Abstract

The primary concern of stroke rehabilitation is to foster functional improvement and neurological recovery. Intensity, duration and timing of therapy are important factors during stroke rehabilitation to maximize effectiveness. As well, identifying and employing the most applicable treatments for each stroke patient’s specific deficits is also necessary. This review examines the role of intensity in occupational, physical and speech therapy. Elements of stroke rehabilitation that have evidence-based results for improved outcomes are also reviewed.

Get Full Text PDF

via The Elements of Stroke Rehabilitation | EBRSR – Evidence-Based Review of Stroke Rehabilitation.