Journal articles: 'Hemiplegia Rehabilitation'

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Shah, Surya. "Current Concepts and Controversies in Stroke Recovery: Rehabilitation Implications." British Journal of Occupational Therapy 61, no. 2 (February 1998): 83–88. http://dx.doi.org/10.1177/030802269806100208.

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This paper summarises the stroke incidence crude rate as 3.02 per 1000 people of 25 years and over and that of ‘mini-strokes’ as 2.89 per 1000 people. Many people with a mini-stroke may develop a full stroke within one year. Occupational therapists therefore need to shift their attention first to primary prevention to alter original organic pathology and then to restitution of hemiplegia. A number of issues in neurological recovery following hemiplegia are then highlighted. These include ‘penumbra’, a metabolic disorder, the understanding of which helps to know if a hemiplegic lesion is able to tolerate the loss of oxygen and whether it can adapt to the ischaemia, early mortality and implications of regional cerebral circulation changes for treatment of hemiplegia and for prognosis. In the treatment of hemiplegia, there is a need to understand the role of ipsilateral brain, that is, brain plasticity in stroke recovery, the role of uncrossed pyramidal fibres, the parallel versus hierarchical operation of the descending cortical influences, and the interactions of the pre-motor systems with the primary cortex. In treatment, the paper explains the implications of the use of Bobath-type therapeutic procedures, the use of unilateral or bilateral tasks in occupational therapy and the learned non-use of the hemiplegic side.

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Vismara, Luca, Veronica Cimolin, Francesca Buffone, Matteo Bigoni, Daniela Clerici, Serena Cerfoglio, Manuela Galli, and Alessandro Mauro. "Brain Asymmetry and Its Effects on Gait Strategies in Hemiplegic Patients: New Rehabilitative Conceptions." Brain Sciences 12, no. 6 (June 18, 2022): 798. http://dx.doi.org/10.3390/brainsci12060798.

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Brain asymmetry is connected with motor performance, suggesting that hemiparetic patients have different gait patterns depending on the side of the lesion. This retrospective cohort study aims to further investigate the difference between right and left hemiplegia in order to assess whether the injured side can influence the patient’s clinical characteristics concerning gait, thus providing insights for new personalized rehabilitation strategies. The data from 33 stroke patients (17 with left and 16 with right hemiplegia) were retrospectively compared with each other and with a control group composed of 20 unaffected age-matched individuals. The 3D gait analysis was used to assess kinematic data and spatio-temporal parameters. Compared to left hemiplegic patients, right hemiplegic patients showed worse spatio-temporal parameters (p < 0.05) and better kinematic parameters (p < 0.05). Both pathological groups were characterized by abnormal gait parameters in comparison with the control group (p < 0.05). These findings show an association between the side of the lesion—right or left—and the different stroke patients’ gait patterns: left hemiplegic patients show better spatio-temporal parameters, whereas right hemiplegic patients show better segmentary motor performances. Therefore, further studies may develop and assess new personalized rehabilitation strategies considering the injured hemisphere and brain asymmetry.

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Kakurai, S., and M. Akai. "Clinical experiences with a convertible thermoplastic knee-ankle-foot orthosis for post-stroke hemiplegic patients." Prosthetics and Orthotics International 20, no. 3 (December 1996): 191–94. http://dx.doi.org/10.3109/03093649609164442.

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As rehabilitation for post-stroke hemiplegic patients has become widely accepted practice, there has been an increase in patients who are more difficult to treat. In the prescription rationale of orthoses for hemiplegics, the knee-ankle-foot orthosis (KAFO) for the lower limb has generally been underestimated because of its inhibitory effect on the normal walking pattern and also its interference with gait training. The authors had an experience of 28 hemiplegics with severe physical impairments who were fitted with a convertible plastic KAFO. Among these patients, there were 11 cases in which the KAFO was replaced by an ankle-foot orthosis (AFO) within 1.5 to 8 months (average 4 months) following initial prescription when they were able to control their knee actively. Ambulatory capability in these patients was superior to that of the remaining KAFO group. The Barthel index of the AFO group patients was higher than the KAFO group (p<0.01). However neither age, sex, severity of hemiplegia, starting time of rehabilitation following onset of stroke, time of fitting with the orthosis, nor the functional recovery stage were critical factors between the two groups, only the incidence of major complications affected ambulatory capability.

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Mudie, M. Heather, and Thomas A. Matyas. "Responses of the Densely Hemiplegic Upper Extremity to Bilateral Training." Neurorehabilitation and Neural Repair 15, no. 2 (March 2001): 129–40. http://dx.doi.org/10.1177/154596830101500206.

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Objective: Recovery of movement in the densely hemiplegic upper extremity re mains a problem after stroke. This study aimed to determine whether movement recovery could be improved in the hemiplegic arm with bilateral isokinematic training. Methods: Within and between groups, planned comparisons investigated the effects of bilateral training on attempts at two movements by subjects with acute and chronic problems with one and two bilateral practice phases. Electromyographic (EMG) activity of mid dle deltoid and extensor carpi radialis longus in the hemiplegic arm was recorded dur ing unilateral and bilateral isometric shoulder abduction and wrist extension. Results: Small increases in muscle activity were demonstrated by both experimental and con trol subjects during most bilateral practices in both actions. However, these increases were not significantly different from the previous unilateral trial, and the bilateral ef fect failed to generalize to subsequent trials. Previous studies with less densely hemiplegic subjects had demonstrated generalization of improvements in movement patterns with bilateral training to unimanual actions of the densely hemiplegic arm. Conclusions: Extensive lesions may limit brain reorganization and recover of dense hemiplegia after stroke. Nonetheless, on the basis of findings from other studies in which functional im provements occurred in both acute and chronic severely stroke-affected subjects, out come forecasting for the hemiplegic upper extremity should only eventuate after provi sion of practice under optimal learning conditions. Key Words: Bilateral isokinematic training—Dense hemiplegia—Stroke—Treatment outcomes.

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Khoshbakht, Moloud, Parvin Raji, Noureddin Nakhostin Ansari, and Mahmoud Mahmodian. "Impact of somatosensory interventions on upper limb function in children with hemiplegic cerebral palsy: a single-subject design study." International Journal of Therapy and Rehabilitation 28, no. 1 (January 2, 2021): 1–13. http://dx.doi.org/10.12968/ijtr.2019.0122.

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Background/aims Hemiplegia is one of the most common types of cerebral palsy. Upper limb dysfunction in these children can affect their quality of life. The aim of this study was to investigate the effects of somatosensory interventions on upper extremity sensory and motor functions in spastic hemiplegic children. Methods This single-subject study was performed in the occupational therapy clinic of Tehran University of Medical Sciences. Three participants (two boys and one girl) aged 8–12 years with spastic hemiplegia were assessed during baseline, treatment and follow-up phases. During the treatment phase, the children received 12 tactile and proprioceptive stimulation (active, passive and playful) sessions over 4 weeks. Four sensory measures (tactile localisation, stereognosis, two-point discrimination, proprioception) and one motor measure (Box and Block Test) were assessed during each phase. Results Improvement in function was seen in all three children based on visual analysis, with significant differences between the baseline and treatment scores in the majority of measures for all participants. Changes were sustained at follow up for most tests. The effect size was large for all three children. Conclusions Despite the small number of participants, sensory intervention with a focus on sensory deficits could help to improve upper extremity sensory and motor function in children with spastic hemiplegia.

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Chen, Sicheng, and Yunlong Yang. "Multi-mode Controller for Hemiplegia Rehabilitation." Journal of Physics: Conference Series 1992, no. 4 (August 1, 2021): 042038. http://dx.doi.org/10.1088/1742-6596/1992/4/042038.

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Bohannon, Richard W., A. Williams Andrews, and Melissa B. Smith. "Rehabilitation goals of patients with hemiplegia." International Journal of Rehabilitation Research 11, no. 2 (June 1988): 181–84. http://dx.doi.org/10.1097/00004356-198806000-00012.

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Hartman-Maeir, Adina, Nachum Soroker, and Noomi Katz. "Anosognosia for Hemiplegia in Stroke Rehabilitation." Neurorehabilitation and Neural Repair 15, no. 3 (September 2001): 213–22. http://dx.doi.org/10.1177/154596830101500309.

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Objective: The purpose of this study was to investigate anosognosia for hemiple gia (AHP) in the rehabilitation phase after onset of stroke. Methods: Forty-six hemi plegic stroke patients, 29 with right hemisphere damage (RHD) and 17 with left hemi sphere damage (LHD) were evaluated ∼1 month after onset of stroke. Anosognosia was evaluated with an implicit measure designed to assess anosognosic behaviors (choosing between unimanual and bimanual tasks), in addition to a traditional ex plicit verbal measure. Results: AHP was found m 28% of the RHD and 24% of the LHD group. The majority of patients with AHP in the RHD group had large lesions involving the frontal, parietal, or temporal lobes and had coexisting sensory deficits and unilateral spatial neglect, whereas the LHD patients with AHP had predominantly small subcortical lesions and no sensory or attentional deficits. The functional out comes of AHP patients in both hemisphere groups revealed their inability to retain safety measures at discharge from rehabilitation (p < 0.036) and their need for assis tance in basic and instrumental activities of daily living at follow-up. Conclusions: AHP presents a significant risk for negative functional outcome in stroke rehabilita tion. The underlying mechanisms of AHP may be different for left and right hemi sphere patients, therefore requiring different intervention approaches. Key Words: Anosognosia—Cerebrovascular accident—Rehabilitation outcome.

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Beretta, Elena, Ambra Cesareo, Emilia Biffi, Carolyn Schafer, Sara Galbiati, and Sandra Strazzer. "Rehabilitation of Upper Limb in Children with Acquired Brain Injury: A Preliminary Comparative Study." Journal of Healthcare Engineering 2018 (2018): 1–12. http://dx.doi.org/10.1155/2018/4208492.

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Acquired brain injuries (ABIs) can lead to a wide range of impairments, including weakness or paralysis on one side of the body known as hemiplegia. In hemiplegic patients, the rehabilitation of the upper limb skills is crucial, because the recovery has an immediate impact on patient quality of life. For this reason, several treatments were developed to flank physical therapy (PT) and improve functional recovery of the upper limbs. Among them, Constraint-Induced Movement Therapy (CIMT) and robot-aided therapy have shown interesting potentialities in the rehabilitation of the hemiplegic upper limb. Nevertheless, there is a lack of quantitative evaluations of effectiveness in a standard clinical setting, especially in children, as well as a lack of direct comparative studies between these therapeutic techniques. In this study, a group of 18 children and adolescents with hemiplegia was enrolled and underwent intensive rehabilitation treatment including PT and CIMT or Armeo®Spring therapy. The effects of the treatments were assessed using clinical functional scales and upper limb kinematic analysis during horizontal and vertical motor tasks. Results showed CIMT to be the most effective in terms of improved functional scales, while PT seemed to be the most significant in terms of kinematic variations. Specifically, PT resulted to have positive influence on distal movements while CIMT conveyed more changes in the proximal kinematics. Armeo treatment delivered improvements mainly in the vertical motor task, showing trends of progresses of the movement efficiency and reduction of compensatory movements of the shoulder with respect to other treatments. Therefore, every treatment gave advantages in a specific and different upper limb district. Therefore, results of this preliminary study may be of help to define the best rehabilitation treatment for each patient, depending on the goal, and may thus support clinical decision.

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Olivieri, Ivana, Matteo Chiappedi, Paolo Meriggi, Marcella Mazzola, Attilia Grandi, and Lucia Angelini. "Rehabilitation of Children with Hemiparesis: A Pilot Study on the Use of Virtual Reality." BioMed Research International 2013 (2013): 1–5. http://dx.doi.org/10.1155/2013/695935.

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Background. A wide range of treatments have been used to improve upper arm motor performances in children with congenital hemiplegia. Recent findings are suggesting that virtual reality based intervention could be a promising tool also in pediatric rehabilitation.Methods. Six patients with congenital hemiplegia (age: 4–16 years) were recruited among those treated in the Child Neuropsychiatry and Rehabilitation Unit of the IRCCS “Santa Maria Nascente” (Milan, Italy), for a preliminary investigation about using nonimmersive virtual reality for upper limb rehabilitation. Ten sessions using VRRS system (Khymeia, Padova, Italy) were weekly administered as a part of the rehabilitative treatment. Melbourne Assessment of Unilateral Limb Movement, Ashworth Scale, and Arm’s PROM were selected as main outcome measures. At the end of treatment, participants filled in an ad hoc satisfaction questionnaire.Results. All subjects completed the proposed treatment, and they also gave a positive judgment regarding this rehabilitative method. Melbourne score increased in all patients.Conclusion. Our findings seem to support the evidence that VR treatment could be a promising and engaging tool for pediatric rehabilitation. However, the limited size of the population and the small number of sessions require further investigations and RCTs to confirm our positive results.

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Ning, Min, Fang Chen, Hui Wu, Haihua Zheng, Chunmei Zheng, and Shufen Li. "Effect of Early Rehabilitation and Nursing Intervention on the Rehabilitation Prognosis of Elderly Stroke Hemiplegia Patients in the Department of Neurology." Applied Bionics and Biomechanics 2022 (March 15, 2022): 1–5. http://dx.doi.org/10.1155/2022/4958044.

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Objective. To explore the influence of rehabilitation outcomes in older patients with stroke hemiplegia from the neurology department by early rehabilitation nursing. Methods. 70 cases of old patients with stroke hemiplegia from 2020/01 to 2021/01 were randomly divided into observation group (35 cases) and control group (35 cases). The control group was nursed by usual care. The observation group was nursed by early rehabilitation nursing. Nursing efficacy was observed. Results. The scores of active demand, resistance, and rehabilitation nursing cooperation degree after the nursing for the observation group were higher than the control group ( P < 005 ). The score of NIHSS after the nursing for the observation group was lower than that for the control group ( P < 005 ). The scores of BI, BBS, and Fugl-Meyer after the nursing for the observation group were higher than those for the control group ( P < 005 ). The total rate of nursing satisfaction for the observation group was higher than the control group ( P < 005 ). Conclusion. Early rehabilitation nursing can improve rehabilitation initiatives, rehabilitation outcomes, and nursing satisfaction in older patients with stroke hemiplegia from the neurology department.

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Yu, Gang, Jin Wu Qian, Lin Yong Shen, and Ya Nan Zhang. "Control System Design of Upper Limb Rehabilitation Robot." Applied Mechanics and Materials 310 (February 2013): 477–80. http://dx.doi.org/10.4028/www.scientific.net/amm.310.477.

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In traditional iatrical method, the patients with hemiplegia were assisted mainly by medical personnel to complete rehabilitation training. To make the medical personnel work easily and improve the effect of rehabilitation training, the rehabilitation robot was adopted. And the control system of a four DOF upper limb rehabilitation robot was designed based on impedance control to assist the patients with hemiplegia to complete rehabilitation training after the kinematic and kinetic analysis was finished. Then finished the analysis, simulation, and experiment of monarticular movement and multiarticulate movement after the analyzing the algorithm to tested the control system. The control system based on impedance control of the upper limb rehabilitation robot can realize the passive training which followed the planning trajectory, and active training which followed patients’ awareness of movement.

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Park, Eo Jin. "Effects of Compression Stockings on Body Balance in Hemiplegic Patients with Subacute Stroke." International Journal of Environmental Research and Public Health 19, no. 23 (December 4, 2022): 16212. http://dx.doi.org/10.3390/ijerph192316212.

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(1) Background: Stroke patients with hemiplegia have an increased risk of developing deep vein thrombosis (DVT). DVT increases the risk of life-threatening pulmonary embolism and is associated with poor prognosis. The early wearing of compression stockings can help prevent DVT. This study aimed to assess the impact of compression stockings on body balance in stroke patients with unilateral lower extremity muscle weakness; (2) Methods: Hemiplegic stroke patients in the subacute phase who were able to walk with assistance were recruited. The patients were divided into two groups: one group received rehabilitation treatment with compression stockings, and the other received treatment without compression stockings. The rehabilitation treatment involved hospitalization for 4 weeks, the Trunk Control Test (TCT), the Trunk Impairment Scale (TIS), and the Berg Balance Scale (BBS). The patients were evaluated before and 4 weeks after the start of treatment. The differences in BBS, TCT, and TIS before and after treatment between the two groups were compared; (3) Results: Altogether, 236 hemiplegic stroke patients were recruited. There was an improvement in body balance after treatment in both groups, and BBS, TCT, and TIS scores significantly increased in the group that received rehabilitation treatment with compression stockings; (4) Conclusions: In patients with hemiplegic stroke in the subacute period, rehabilitation while wearing compression stockings appears to improve body balance.

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Sun, Xiaowei, Ke Xu, Yuqing Shi, Hongtao Li, Ruobing Li, Siyu Yang, Hong Jin, et al. "Discussion on the Rehabilitation of Stroke Hemiplegia Based on Interdisciplinary Combination of Medicine and Engineering." Evidence-Based Complementary and Alternative Medicine 2021 (March 17, 2021): 1–11. http://dx.doi.org/10.1155/2021/6631835.

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Interdisciplinary combinations of medicine and engineering are part of the strategic plan of many universities aiming to be world-class institutions. One area in which these interactions have been prominent is rehabilitation of stroke hemiplegia. This article reviews advances in the last five years of stroke hemiplegia rehabilitation via interdisciplinary combination of medicine and engineering. Examples of these technologies include VR, RT, mHealth, BCI, tDCS, rTMS, and TCM rehabilitation. In this article, we will summarize the latest research in these areas and discuss the advantages and disadvantages of each to examine the frontiers of interdisciplinary medicine and engineering advances.

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Nolan, Karen J., and Mathew Yarossi. "Weight transfer analysis in adults with hemiplegia using ankle foot orthosis." Prosthetics and Orthotics International 35, no. 1 (March 2011): 45–53. http://dx.doi.org/10.1177/0309364610393061.

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Background: Identifying and understanding the changes in transfer of momentum that are directly affected by orthotic intervention are significant factors related to the improvement of mobility in individuals with hemiplegia. Objectives: The purpose of this investigation was to use a novel analysis technique to objectively measure weight transfer during double support (DS) in healthy individuals and individuals with hemiplegia secondary to stroke with and without an ankle foot orthosis. Study design: Prospective, Repeated measures, case-controlled trial. Methods: Participants included 25 adults with stroke-related hemiplegia >6 months using a prescribed ankle foot orthosis and 12 age-matched healthy controls. Main outcome measures included the weight transfer point timing (WTP, %DS), maximum total force timing (MTF, %DS), timing difference between WTP and MTF (MTF-WTP, %DS) and the linearity of loading (LOL, R2) during the DS phase of the gait cycle. Results: The WTP and LOL were significantly different between conditions with and without the ankle foot orthosis for the affected and unaffected limb in post-stroke individuals, p ≤ 0.01. The MTF and difference in timing between MTF-WTP were significantly different during affected limb loading with and without the ankle foot orthosis in the stroke group, p ≤ 0.0001 and p = 0.03, respectively. MTF, MTF-WTP and LOL were significantly different between individuals with stroke (during affected limb loading) and healthy controls (during right limb loading). Conclusions: This research established a systematic method for analysing weight transfer during walking to evaluate the effect of an ankle foot orthosis on loading during double support in hemiplegic gait. This novel method can be used to elucidate biomechanical mechanisms behind orthosis-mediated changes in gait patterns and quantify functional mobility outcomes in rehabilitation. Clinical relevance This novel approach to orthotic assessment will provide the clinician with needed objective evidence to select the most effective orthotic intervention to maximize functional recovery for individuals with hemiplegia secondary to stroke.

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Zhang, Xiangli, and Haiyu Mao. "Clinical effectiveness of a combination of oxiracetam and traditional Chinese medicine rehabilitation program in the treatment of early stroke patients with hemiplegia." Tropical Journal of Pharmaceutical Research 21, no. 7 (August 22, 2022): 1565–69. http://dx.doi.org/10.4314/tjpr.v21i7.29.

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Purpose: To evaluate the efficacy of a combination of oxiracetam and traditional Chinese medicine rehabilitation program on early stroke patients with hemiplegia. Methods: 120 patients with early stroke hemiplegia admitted to Wuhu Fifth People's Hospital from March 2019 to July 2020 were recruited. They were equally and randomly assigned to either a control group or a study group, using the random number table method. The control group received oxiracetam, while the study group received oxiracetam plus a traditional Chinese medicine (TCM) rehabilitation program. Outcome measures included treatment effectiveness, motor function, neurological function, TCM symptom scores, and patient satisfaction. Results: There was significantly higher treatment effectiveness in the study group versus the control group (p < 0.05). The Fugl-Meyer score of the control group was lower than that of the study group (52.49 ± 4.73 vs 74.73 ± 5.92; p < 0.001). After treatment, patients in the study group showed lower neurological function and TCM scores than those in the control group (p < 0.05). Furthermore, the study group showed higher satisfaction than the control group (p < 0.05). Conclusion: The combination of oxiracetam and TCM rehabilitation program produce good treatment effectiveness in early stroke hemiplegia patients, and also boosts motor and neurological functions when compared to the use of oxiracetam alone. However, the combination treatment should be subjected to further clinical trials prior to application in clinical practice. Keywords: Chinese medicine rehabilitation program; Early stroke hemiplegia; Oxiracetam; Motor function; Nerve function

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Yang, Fen, Yihu Tan, and Ming Xiao. "EFFECT OF EXERCISE ON EARLY REHABILITATION OF PATIENTS WITH NEUROLOGICAL DISORDERS." Revista Brasileira de Medicina do Esporte 28, no. 1 (March 2022): 56–58. http://dx.doi.org/10.1590/1517-8692202228012021_0452.

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ABSTRACT Introduction: Acute cerebral infarction refers to the deficiency of the blood supply to the brain and the damage of tissue function. Objective: To study the effect of exercise training in early rehabilitation of patients with hemiplegia treated in the neurology department. Methods: Ninety-six patients with acute cerebral infarction hemiplegia were studied. According to the order of admission, 96 patients were divided into a control group and an early recovery group, with 48 patients in each group. Results: Before early rehabilitation, there was no statistical significance in NIHSS and FUGL-Meyer scores between the two groups (P > 0.05). After early rehabilitation,the NIHSS score of early rehabilitation group was lower than both its pre-early-rehab score and the control group score, while the FUGL-Meyer score was higher than both its pre-early-rehab and the control group score (P<0.05). Before early rehabilitation, there was no significant difference in the GQOLI-74 score between the two groups (P > 0.05). After early rehabilitation, the GQOLI-74 score was higher in the early rehabilitation group than both its pre-early-rehab score and the control group score (P<0.05). Conclusions: The clinical effect of early rehabilitation training in acute cerebral infarction patients with hemiplegia is significant and can further improve the clinical treatment of patients and their quality of life. Level of evidence II; Therapeutic studies - investigation of treatment results.

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NARAIN, S., and T. PUCKREE. "Pulmonary function in hemiplegia." International Journal of Rehabilitation Research 25, no. 1 (March 2002): 57–59. http://dx.doi.org/10.1097/00004356-200203000-00008.

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Kumar, Rajeswari, E. Jeffrey Metter, Arun J. Mehta, and Tammy Chew. "Shoulder Pain in Hemiplegia." American Journal of Physical Medicine & Rehabilitation 69, no. 4 (August 1990): 205–8. http://dx.doi.org/10.1097/00002060-199008000-00007.

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Aras, Meltem Dalyan, Nilufer Kutay Ordu Gokkaya, Didem Comert, Ayse Kaya, and Aytul Cakci. "Shoulder Pain in Hemiplegia." American Journal of Physical Medicine & Rehabilitation 83, no. 9 (September 2004): 713–19. http://dx.doi.org/10.1097/01.phm.0000138739.18844.88.

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Yu, David. "Shoulder pain in hemiplegia." Physical Medicine and Rehabilitation Clinics of North America 15, no. 3 (August 2004): 683–97. http://dx.doi.org/10.1016/s1047-9651(03)00130-x.

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Nithyaa, A. N., R. Premkumar, M. Gokul, and C. Geetha Aanandhi. "EMG based Exoskeleton for Left Hemiplegia patients." Journal of University of Shanghai for Science and Technology 23, no. 05 (May 22, 2021): 471–78. http://dx.doi.org/10.51201/jusst/21/05171.

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Paralysis is a condition in which the muscle function is lost in a part of the body. Paralysis is mainly caused as a result of severe stroke, where in the blood supply to a part of the brain is cut off. Hemiplegiais a type of paralysis which affects half of the body includes one arm and one leg on the same side of the body. The case of left Hemiplegia is taken into account, which is caused by the absence of blood supply to the righthemisphere of the brain. Stationary systems like Lokomat, used in the rehabilitation centres to assist training, provide highly repetitive action and just assistance to the patient’s capabilities while walking on a treadmill. However these systems are not portable and cannot be used for home or daily activities. To overcome this, this paper presents the rehabilitation system, which comprises of an exoskeleton that aids the movement of the left upper limb. The entire system is driven by a motor through a microcontroller system which assists patient’s flexion and extension movements. Meanwhile, EMG signal can be recorded by placing surface electrodes to know the recovery of physiological motor function.

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Nithyaa, A. N., R. Premkumar, M. Gokul, and C. Geetha Aanandhi. "EMG based Exoskeleton for Left Hemiplegia patients." Journal of University of Shanghai for Science and Technology 23, no. 05 (May 22, 2021): 471–78. http://dx.doi.org/10.51201/jusst/21/05173.

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Paralysis is a condition in which the muscle function is lost in a part of the body. Paralysis is mainly caused as a result of severe stroke, where in the blood supply to a part of the brain is cut off. Hemiplegiais a type of paralysis which affects half of the body includes one arm and one leg on the same side of the body. The case of left Hemiplegia is taken into account, which is caused by the absence of blood supply to the righthemisphere of the brain. Stationary systems like Lokomat, used in the rehabilitation centres to assist training, provide highly repetitive action and just assistance to the patient’s capabilities while walking on a treadmill. However these systems are not portable and cannot be used for home or daily activities. To overcome this, this paper presents the rehabilitation system, which comprises of an exoskeleton that aids the movement of the left upper limb. The entire system is driven by a motor through a microcontroller system which assists patient’s flexion and extension movements. Meanwhile, EMG signal can be recorded by placing surface electrodes to know the recovery of physiological motor function.

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Rossetto-Guzzo, Regina Aparecida, Rubens José Gagliardi, Sérgio Lianza, Fernando Tondi Guzzo, Danielle Dos Santos Cutrim Garros, and Claudio Gomes. "Comprehensive and synthetic occupational therapy protocol for post-stroke hemiplegic patients / Protocolo terapia ocupacional abrangente e sintético para pacientes hemiplégicos após o acidente vascular cerebral." Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo 61, no. 2 (July 17, 2018): 77. http://dx.doi.org/10.26432/1809-3019.2016.61.2.77.

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Objective. The aim of this study was to devise an Occupational Therapy protocol for post-stroke patients and to measure the functional evolution of the group. Methods: The study included 210 post-stroke hemiplegic patients, undergoing treatment at the Occupational Therapy Sector of the Rehabilitation Center of the Irmandade da Santa Casa de Misericórdia de São Paulo, and was conducted between March 2008 and December 2010. The protocol comprised twenty 60 minute therapy sessions once a week, during five months, and was split into five phases: Warm-up, Guided activities in standing position, Guided activities using functional electrical stimulation, Training on Activities of Daily Living (ADL) and specific free activities. Results: The pre and post therapeutic intervention results were compared and analyzed. A statistically significant improvement was found for all assessments, FIM (<0.01) and Box and Blocks Hand Dexterity Test (p<0.01). Conclusions: On the study, the Comprehensive and Synthetic Occupational Therapy protocol was able to improve functionality hemiplegic post-stroke patients.Key words: Stroke, Activities of daily living, Rehabilitation; Hemiplegia, Occupational therapy,

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Shah, S. K., S. J. Harasymiw, and P. L. Stahl. "Stroke Rehabilitation: Outcome Based on Brunnstrom Recovery Stages." Occupational Therapy Journal of Research 6, no. 6 (November 1986): 365–76. http://dx.doi.org/10.1177/153944928600600604.

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Rehabilitation outcome based on Brunnstrom recovery stages following comprehensive rehabilitation was examined for a sample of 98 inpatients with cerebrovascular accident and resulting hemiplegia or hemiparesis. Using admission and discharge dates retrieved from a computer-based patient information system, frequency distributions, cross-tabulations, and Spearman's correlations were computed. Regardless of severity of paralysis, length of stay, and time of admission from onset, patients tended to improve at all levels of recovery stages. The stage of recovery at admission seemed to set the probable upper limit on how far patients were likely to progress. The strong positive correlations between recovery at admission and discharge on all measures for arm, hand, and leg recovery, with or without proprioception, seem to indicate that recovery in hemiplegia is a global phenomenon.

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Kraft, George H. "Hemiplegia: Evaluation and Rehabilitation of Motor Control Disorders." Physical Medicine and Rehabilitation Clinics of North America 4, no. 4 (November 1993): 687–705. http://dx.doi.org/10.1016/s1047-9651(18)30554-0.

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Marque, P., D. Gasq, E. Castel-Lacanal, X. De Boissezon, and I. Loubinoux. "Post-stroke hemiplegia rehabilitation: Evolution of the concepts." Annals of Physical and Rehabilitation Medicine 57, no. 8 (November 2014): 520–29. http://dx.doi.org/10.1016/j.rehab.2014.08.004.

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OConnell, Paul G., and Steven Gnatz. "Hemiplegia and amputation: Rehabilitation in the dual disability." Archives of Physical Medicine and Rehabilitation 70, no. 6 (June 1989): 451–54. http://dx.doi.org/10.1016/0003-9993(89)90005-1.

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Zinnatullina, E. S., F. V. Takhavieva, and E. I. Bogdanov. "Clinical characteristics of myofascial pain-disfunction syndrome in patients with cerebral hemiparesis." Neurology Bulletin XXXIV, no. 1-2 (April 15, 2002): 21–23. http://dx.doi.org/10.17816/nb87512.

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Myofascial pain-disfunction (MPDS) syndrome, proceeding in patients with cerebral hemiparesis hinder rehabilitation therapy. Revealed peculiarities in formation and localization of MPDS can be used in rehabilitation programmes development for patients with postinsult hemiparesis and hemiplegia.

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Paci, Matteo, Luca Nannetti, and Lucio A. Rinaldi. "Glenohumeral subluxation in hemiplegia: An overview." Journal of Rehabilitation Research and Development 42, no. 4 (2005): 557. http://dx.doi.org/10.1682/jrrd.2004.08.0112.

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Li, Pengbo, Can Wang, Bailin He, Jiaqing Liu, and Xinyu Wu. "Kinematics analysis and gait planning for a hemiplegic exoskeleton robot." Cobot 1 (January 12, 2022): 1. http://dx.doi.org/10.12688/cobot.17434.1.

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Background: As the world's aging population increases, the number of hemiplegic patients is increasing year by year. At present, in many countries with low medical level, there are not enough rehabilitation specialists. Due to the different condition of patients, the current rehabilitation training system cannot be applied to all patients. so that patients with hemiplegia cannot get effective rehabilitation training. Methods: Through a motion capture experiment, the mechanical design of the hip joint, knee joint and ankle joint was rationally optimized based on the movement data. Through the kinematic analysis of each joint of the hemiplegic exoskeleton robot, the kinematic relationship of each joint mechanism was obtained, and the kinematics analysis of the exoskeleton robot was performed using the Denavit-Hartenberg (D-H) method. The kinematics simulation of the robot was carried out in automatic dynamic analysis of mechanical systems (ADAMS), and the theoretical calculation results were compared with the simulation results to verify the correctness of the kinematics relationship. According to the exoskeleton kinematics model, a mirror teaching method of gait planning was proposed, allowing the affected leg to imitate the movement of the healthy leg with the help of an exoskeleton robot. Conclusions: A new hemiplegic exoskeleton robot designed by Shenzhen Institute of Advanced Technology (SIAT-H) is proposed, which is lightweight, modular and anthropomorphic. The kinematics of the robot have been analyzed, and a mirror training gait is proposed to enable the patient to form a natural walking posture. Finally, the wearable walking experiment further proves the feasibility of the structure and gait planning of the hemiplegic exoskeleton robot.

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Le Ngoc, Thanh, Tan Nguyen Thi, and Loc Huynh Nguyen. "EVALUATING EFFICIENCY OF TREATMENT MOTOR REHABILITATION AFTER ISCHEMIC STROKE WITH A COMBINATION OF&NBSP; “HUYET PHU TRUC U” DECOCTION AND&NBSP; ELECTRONIC ACUPUNCTURE." Volume 8 Issue 6 8, no. 6 (December 2018): 157–63. http://dx.doi.org/10.34071/jmp.2018.6.21.

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Introduction: Stroke is still an urgent problem because of an increase in morbidity, mortality and many neurological sequelae. In Vietnam, studies using traditional medicine combined with acupuncture in the treatment of motor rehabilitation after stroke are still less compared to acupuncture studies. This study evaluates the efficacy of “Huyet phu truc u” decoction and electronic acupuncture combination therapy in motor rehabilitation in patients with hemiplegia after ischemic stroke. Subjects and methods: 40 patients with hemiplegia after ischemic stroke, eligible for study, were treated with “Huyet phu truc u” decoction combined electronic acupuncture. Research Methods: Longitudinal study with pre- and post-treatment follow-up. Result: Barthel points at the end of the study increased 1.73 times, Barthel points are ranked from the average or higher 97.5%, good + fairly 55%. Muscle strength from the 2/5 or higher 100%, from the 3/5 or higher 70%. Conclusions: The method treated with “Huyet phu truc u” decoction and electronic acupuncture combination has effected for treatment motor rehabilitation in patients with hemiplegia after ischemic stroke. Key words: “Huyet phu truc u” decoction, “Huyet phu truc u” decoction and electronic acupuncture, The Barthel index

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Totta, Michael, and Stephen Beneck. "Shoulder Dysfunction in Stroke Hemiplegia." Physical Medicine and Rehabilitation Clinics of North America 2, no. 3 (August 1991): 627–41. http://dx.doi.org/10.1016/s1047-9651(18)30705-8.

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Ordu Gokkaya, Nilufer Kutay, Meltem Aras, Elcin Yesiltepe, and Fusun Koseoglu. "Reflex sympathetic dystrophy in hemiplegia." International Journal of Rehabilitation Research 29, no. 4 (December 2006): 275–79. http://dx.doi.org/10.1097/mrr.0b013e328010b961.

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Gou, Xiaoxia, Xian Zhang, Xiaxia Zheng, Yaozhong Zhang, and Hongxiang Ma. "Effect of Hand Intensive Training on Upper Limb Function of Stroke Patients with Hemiplegia." Computational and Mathematical Methods in Medicine 2022 (March 25, 2022): 1–6. http://dx.doi.org/10.1155/2022/6844680.

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Objective. To analyze the effect of hand intensive training on upper limb function of stroke patients with hemiplegia, Methods. 110 stroke patients were randomly divided into two groups: the reference group and the observation group. 55 patients in the reference group were treated with routine rehabilitation treatment, including routine joint activity training, bed training, exercise therapy, and ADL ability training; 55 cases in the observation group received intensive hand training on the basis of routine rehabilitation treatment, including inducing the patient’s five finger extension, forcibly pulling the fingers and wrist joints, and suddenly opening his fist after clenching his fist. Results. The treatment period of the two groups was 5 weeks. In the comparison results of Fugl-Meyer (FMA), the exercise effect of the observation group with increased hand intensive training was significantly better than that of the control group with stroke hemiplegia treated with conventional methods. The difference was statistically significant, t < 10.000 , P < 0.05 ; In the comparative analysis of upper limb function test (UEFT), the effect of the observation group was significantly higher than that of the reference group treated with routine rehabilitation nursing (all P < 0.05 ); In the comprehensive comparison of exercise ability results, the observation group was higher than the reference group in the flexibility, fineness, and fineness of activity behavior after treatment. Conclusion. Strengthening hand intensive training can further improve the upper limb motor function of stroke patients with hemiplegia, reduce the severity of hemiplegia, and improve the recovery effect of stroke patients. It is worthy of clinical promotion and application.

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Annoni, J. M., D. Ackermann, and J. Kesselring. "Respiratory function in chronic hemiplegia." International Disability Studies 12, no. 2 (January 1990): 78–80. http://dx.doi.org/10.3109/03790799009166256.

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Jiang, Guixia. "Early Rehabilitation Nursing for Stroke Patients with Hemiplegia in Neurology Department." Journal of Clinical and Nursing Research 5, no. 6 (November 30, 2021): 79–83. http://dx.doi.org/10.26689/jcnr.v5i6.2701.

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Objective: To study the clinical nursing effect of early rehabilitation nursing on stroke patients with hemiplegia in neurology department. Methods: Stroke patients with hemiplegia treated in our hospital from March 2018 to March 2020 were selected for the present study. Twenty patients in each group were divided into two groups by random number table method, either in experimental group or control group. Routine nursing was used in the control group, while early rehabilitation nursing was carried out in the experimental group. The clinical nursing effect of the two groups of patients was compared. Results: After nursing, the neurological function of the patients was significantly improved (P < 0.05), the improvement of the experimental group was better than that of the control group (P < 0.01), the daily activities of the patients in the experimental group were significantly improved, and the score of the experimental group was higher than that of the control group (P < 0.05). After nursing, anxiety and depression scores in the experimental group were significantly lower than those in the control group (P < 0.05), and the recovery of limb function in the experimental group was better than that in the control group (P < 0.05). Conclusion: The implementation of early rehabilitation nursing measures plays an important role in the recovery of stroke patients with hemiplegia by promoting the recovery of neurological function, improving the psychological state of patients, and promoting the recovery of limbs.

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Kirby, R. Lee, Corey D. Adams, Angela H. MacPhee, Anna L. Coolen, Edmund R. Harrison, Gail A. Eskes, Cher Smith, Donald A. MacLeod, and Debbie J. Dupuis. "Wheelchair-skill performance: Controlled comparison between people with hemiplegia and able-bodied people simulating hemiplegia." Archives of Physical Medicine and Rehabilitation 86, no. 3 (March 2005): 387–93. http://dx.doi.org/10.1016/j.apmr.2004.05.020.

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SAKUMA, Tatsuya, Toshihiko SHIMIZU, and Takeshi MIYAMOTO. "Prototype of Rehabilitation Walker for Hemiplegia with Directional Control." Proceedings of JSME annual Conference on Robotics and Mechatronics (Robomec) 2016 (2016): 2A2–02b4. http://dx.doi.org/10.1299/jsmermd.2016.2a2-02b4.

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Shimodozono, Megumi. "Repetitive Facilitative Exercise and Rehabilitation Robot for Poststroke Hemiplegia." Japanese Journal of Neurosurgery 31, no. 12 (2022): 771–76. http://dx.doi.org/10.7887/jcns.31.771.

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Guedin, Nolwenn, Joel Fluss, and Catherine Thevenot. "Dexterity and Finger Sense: A Possible Dissociation in Children With Cerebral Palsy." Perceptual and Motor Skills 125, no. 4 (June 3, 2018): 718–31. http://dx.doi.org/10.1177/0031512518779473.

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Both hand and finger sensory perception and motor abilities are essential for the development of skilled gestures and efficient bimanual coordination. While finger dexterity and finger sensory perception can be impaired in children with cerebral palsy (CP), the relationship between these two functions in this population is not clearly established. The common assumption that CP children with better sensory function also demonstrate better motor outcomes has been recently challenged. To study these questions further, we assessed both finger dexterity and finger gnosia, the ability to perceive one’s own fingers by touch, in groups of 11 children with unilateral (i.e., hemiplegic CP) and 11 children with bilateral spastic CP (i.e., diplegic CP) and compared them with typical children. In our sample, children with hemiplegia exhibited finger dexterity deficit in both hands and finger gnosia deficit only in their paretic hand. In contrast, children with diplegia exhibited finger gnosia deficits in both hands and finger dexterity deficit only in their dominant hand. Thus, our results indicated that children with spastic hemiplegia and diplegia present different sensory and motor profiles and suggest that these two subgroups of CP should be considered separately in future experimental and clinical research. We discuss the implications of our results for rehabilitation.

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PINZUR, MICHAEL S., RICHARD SHERMAN, PHYLLIS DIMONTE-LEVINE, and JOHN TRIMBLE. "GAIT CHANGES IN ADULT ONSET HEMIPLEGIA." American Journal of Physical Medicine & Rehabilitation 66, no. 5 (October 1987): 228???237. http://dx.doi.org/10.1097/00002060-198710000-00003.

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Tsunoda, Tetsuya, Shinichiro Maeshima, Makoto Watanabe, Ayako Nagai, Yoshiya Ueno, Yasunori Ozeki, Sayaka Okamoto, Shiho Mizuno, Shigeru Sonoda, and Shinichiro Maeshima. "Rehabilitation for a Patient with Hemiplegia, Ataxia, and Cognitive Dysfunction Caused by Pontine Hemorrhage." Case Reports in Neurology 7, no. 3 (October 27, 2015): 213–20. http://dx.doi.org/10.1159/000441617.

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Patients with pontine hemorrhage usually experience severe disturbances of consciousness, pupillary abnormalities, quadriparesis, and respiratory failure. However, little is known regarding cognitive dysfunction in patients with pontine hemorrhage. We report the case of a rehabilitation patient presenting with hemiplegia, ataxia, and cognitive dysfunction caused by a pontine hemorrhage. A 55-year-old, right-handed male suffered sudden onset of vertigo, dysarthria, and hemiplegia on the right side. He was diagnosed with brain stem hemorrhage, and conservative treatment was administered. The vertigo improved, but dysarthria, ataxia, hemiplegia, and gait disorder persisted. He was disoriented with respect to time and place and showed a poor attention span, impaired executive function, and reduced volition. A computed tomography revealed hematomas across the pons on both sides, but no lesions were obvious in the cerebellum and cerebrum. Single-photon emission tomography showed decreased perfusion in the brain stem, bilateral basal ganglia, and frontal and parietal lobes in the left hemisphere. The patient received exercise therapy and cognitive rehabilitation, and home modifications were performed to allow him to continue living at home under the supervision of his family. His symptoms improved, along with enhanced regional cerebral blood flow to the frontal and temporal lobes. These findings suggest that the pontine hemorrhage caused diaschisis resulting in secondary reduction of activity in the cerebral hemisphere and the occurrence of cortical symptoms. Therefore, rehabilitation is necessary, along with active instructions for the family members of patients with severe neurological deficits.

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Seo, Minseok, Myung-Jun Shin, Tae Sung Park, and Jong-Hwan Park. "Clinometric Gait Analysis Using Smart Insoles in Patients With Hemiplegia After Stroke: Pilot Study." JMIR mHealth and uHealth 8, no. 9 (September 10, 2020): e22208. http://dx.doi.org/10.2196/22208.

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Background For effective rehabilitation after stroke, it is essential to conduct an objective assessment of the patient’s functional status. Several stroke severity scales have been used for this purpose, but such scales have various limitations. Objective Gait analysis using smart insole technology can be applied continuously, objectively, and quantitatively, thereby overcoming the shortcomings of other assessment tools. Methods To confirm the reliability of gait analysis using smart insole technology, normal healthy controls wore insoles in their shoes during the Timed Up and Go (TUG) test. The gait parameters were compared with the manually collected data. To determine the gait characteristics of patients with hemiplegia due to stroke, they were asked to wear insoles and take the TUG test; gait parameters were calculated and compared with those of control subjects. To investigate whether the gait analysis accurately reflected the patients’ clinical condition, we analyzed the relationships of 22 gait parameters on 4 stroke severity scales. Results The smart insole gait parameter data were similar to those calculated manually. Among the 18 gait parameters tested, 14 were significantly effective at distinguishing patients from healthy controls. The smart insole data revealed that the stance duration on both sides was longer in patients than controls, which has proven difficult to show using other methods. Furthermore, the sound side in patients showed a markedly longer stance duration. Regarding swing duration, that of the sound side was shorter in patients than controls, whereas that of the hemiplegic side was longer. We identified 10 significantly correlated gait parameters on the stroke severity scales. Notably, the difference in stance duration between the sound and hemiplegic sides was significantly correlated with the Fugl-Meyer Assessment (FMA) lower extremity score. Conclusions This study confirmed the feasibility and applicability of the smart insole as a device to assess the gait of patients with hemiplegia due to stroke. In addition, we demonstrated that the FMA score was significantly correlated with the smart insole data. Providing an environment where stroke patients can easily measure walking ability helps to maintain chronic functions as well as acute rehabilitation. Trial Registration UMIN Clinical Trials Registry UMIN000041646, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047538

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Cailliet, Rene. "The painful shoulder in hemiplegia." Topics in Geriatric Rehabilitation 2, no. 4 (July 1987): 52–58. http://dx.doi.org/10.1097/00013614-198707000-00008.

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Arumugam, Kalaiarasi, and Ashok Kumar Loganthan. "Fugl Meyer Assessment for Paralytic Glove with Micro Motor Configurations to Assist Post Stroke Therapy." International Journal of Computer Communication and Informatics 2, no. 2 (October 30, 2020): 82–94. http://dx.doi.org/10.34256/ijcci2027.

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Today, brain attack disorders are one of the most life-threatening areas in the medical era, which the mankind is facing nowadays. Globally, more than 10, 00,000people are subjected to brain attack disorders like hemiplegia and tremor, every year, where two-thirds of them survive. Among the survival community, more than 80 per cent of them are subjected to long-term impairment of their upper extremity. In order to treat the impairment, the survival group is subjected to medications and rehabilitation in order to improve their daily living. But the facilities are very limited in fast- developing countries like India when compared to western standards. The rehabilitation given in corresponding with medications during the treatment period in hospitals does not give a complete recovery from disability. People from rural background could not meet their rehabilitation requirements even in the hospital during treatment and also when they are discharged to home after treatment from hospitals due to financial constraints and reachability. In order to motivate the survival group to fulfill their daily living and improve their lifestyle, this paper is focused on intelligent home-based rehabilitation system at low cost, reliability, and affordability. One major movement disorder namely Upper Arm Hemiplegia was taken into account and visited few major hospitals around Coimbatore and Chennai for literature and case study. The facilities available in various hospitals and their drawbacks were analyzed. Based on the studies conducted at hospitals and taking advice from therapists, an innovative low-cost home- based rehabilitation device using Electro-Mechanical systems has been developed to support samples who were used to impaired living even after treatments. To support Upper Arm Hemiplegia patients, the devices which were developed and experimented with Fugl Meyer Assessment to analyse the improvements in different functionalities are discussed in this paper.

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Sohn, Won J., and Terence D. Sanger. "Constraint-induced intervention as an emergent phenomenon from synaptic competition in biological systems." Journal of Computational Neuroscience 49, no. 2 (April 6, 2021): 175–88. http://dx.doi.org/10.1007/s10827-021-00782-9.

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AbstractThe principle of constraint-induced therapy is widely practiced in rehabilitation. In hemiplegic cerebral palsy (CP) with impaired contralateral corticospinal projection due to unilateral injury, function improves after imposing a temporary constraint on limbs from the less affected hemisphere. This type of partially-reversible impairment in motor control by early brain injury bears a resemblance to the experience-dependent plastic acquisition and modification of neuronal response selectivity in the visual cortex. Previously, such mechanism was modeled within the framework of BCM (Bienenstock-Cooper-Munro) theory, a rate-based synaptic modification theory. Here, we demonstrate a minimally complex yet sufficient neural network model which provides a fundamental explanation for inter-hemispheric competition using a simplified spike-based model of information transmission and plasticity. We emulate the restoration of function in hemiplegic CP by simulating the competition between cells of the ipsilateral and contralateral corticospinal tracts. We use a high-speed hardware neural simulation to provide realistic numbers of spikes and realistic magnitudes of synaptic modification. We demonstrate that the phenomenon of constraint-induced partial reversal of hemiplegia can be modeled by simplified neural descending tracts with 2 layers of spiking neurons and synapses with spike-timing-dependent plasticity (STDP). We further demonstrate that persistent hemiplegia following unilateral cortical inactivation or deprivation is predicted by the STDP-based model but is inconsistent with BCM model. Although our model is a highly simplified and limited representation of the corticospinal system, it offers an explanation of how constraint as an intervention can help the system to escape from a suboptimal solution. This is a display of an emergent phenomenon from the synaptic competition.

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NIRLU, Luminița, Laura Georgiana POPESCU, Ana Carmen ALBEȘTEANU, Ali-Osman SAGLAM, Alexandru G. STAVRICĂ, and Gelu ONOSE. "Diagnostic particularities and multimodal therapeutic and rehabilitation approches to a complex case of post ischemic stroke with dyshphagia and dysphonia, associating Millard-Gubler and Wallenberg syndromes- case report." Balneo Research Journal 10, Vol 10 No. 4 (December 10, 2019): 535–40. http://dx.doi.org/10.12680/balneo.2019.295.

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Introduction. Millard-Gubler syndrome (MGS), also known as the ventral pontine syndrome or hemiplegic syndrome, is one of the classical crossed syndromes characterized by a unilateral lesion of the basal portion of the caudal part of the pons. MGS manifests as ipsilateral palsy of CN VI and VII with contralateral hemiplegia. Wallenberg syndrome or lateral medullary syndrome, is characterized by the triad of Horner's syndrome, ipsilateral ataxia and contralateral hypoalgesia. Other clinical symptoms may include difficult swallowing, slurred speech, vertigo, nausea, vomiting, dyspnea, tachycardia, headaches and muscular hypertonia. Materials and Methods Having the patient’s consent and The Teaching Emergency Hospital “Bagdasar-Arseni” Ethics Committee N.O 20270 from the 26th of June 2019, the current case report presents a 67-year-old male patient from rural area with left hemiplegia (complete brachial and crural motor deficit), right eye abduction paresis, dysphagia, dysphonia, central facial palsy - all post acute ischemic stroke. The patient was also diagnosed with ischemic cardiomyopathy, atherosclerosis, alcoholism, type 2 diabetes with Insulin therapy and oral antidiabetic agent. The patient was admitted in the Neurorehabilitation Clinic of the Teaching Emergency Hospital „Bagdasar-Arseni” (TEHBA) Bucharest, Romania, associating severe alteration in self-care abilities, locomotor dysfunction, memory disorders, slurred speech, for specialized rehabilitation treatment and nursing. Results. A case of rare pathology for which, unfortunately, there is a discrepancy between functional improvement and the poor motor control in the in the lower limbs (muscle force was 0-1 out of 5 on the Medicale Research Council scale), within an overall favorable evolution, including elements of the clinical status afferent to the two above mentioned syndromes. Conclusions. Approaching such a clinical case has been a complex and extensive challenge for the entire neuromuscular recovery team and remains similar for any other squad. This pathology remains an issue that demands our earnest attention. Key words: Millard-Gubler syndrome (MGS), Wallenberg syndrome, crossed syndromes, hemiplegia, neurorehabilitation, stroke

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D'Ascanio, L., L. Cappiello, and F. Piazza. "Unilateral hemiplegia: a unique complication of septoplasty." Journal of Laryngology & Otology 127, no. 8 (July 9, 2013): 809–10. http://dx.doi.org/10.1017/s0022215113001436.

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AbstractBackground:Septoplasty is one of the most common otolaryngological operations. It is often dismissed as a simple procedure, despite the wide range of potential complications. We describe the first reported case of unilateral hemiplegia as a complication of septoplasty.Methods and results:A 51-year-old man presented with right hemiplegia following a septoplasty and turbinoplasty procedure carried out elsewhere. Cranial imaging showed a breakthrough fracture of the left sphenoid sinus anterior wall and clivus, with a haemorrhagic area in the left paramedian pons, which was responsible for the patient's right hemiplegia. Despite neurological and physiotherapeutic rehabilitation, the patient gained only partial recovery from his right hemiplegia.Conclusion:Good intra-operative visualisation and appropriate surgical technique are essential to prevent complications and achieve a functional nasal airway. The importance of the presented case to the pre-operative informed consent process is underlined.

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Gümrük Aslan, Sefa, Kutay Tezel, Ebru Yıldız, and Nilüfer Kutay Ordu-Gökkaya. "The unilateral hemispatial neglect phenomenon in right hemiplegia." Turkish Journal of Physical Medicine and Rehabilitation 68, no. 3 (August 25, 2022): 426–29. http://dx.doi.org/10.5606/tftrd.2022.6618.

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One of the most important perceptual function disorders following a cerebrovascular accident (CVA) is the unilateral hemispatial neglect phenomenon (UHNP). In this case report, we present a 73-year-old male patient with UHNP accompanying right hemiplegia, which was identified with detailed examination. Clinical picture was characterized by right-sided hemiparesis in the upper right shoulder and relative weakness in the right leg. Patient was tested on hemineglect (HN) with star cancellation test and detailed neuropsychological evaluation. This article highlight the latest findings regarding the cognitive–behavioral syndrome of neglect for hemiplegia that occur following left hemisphere stroke.

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Journal articles on the topic 'Hemiplegia Rehabilitation'

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