- Title
- Movement
- Creator
- Stinear, Cathy; Hubbard, Isobel J.
- Relation
- Stroke Rehabilitation: Insights from Neuroscience and Imaging p. 143-156
- Relation
- https://global.oup.com/academic/product/stroke-rehabilitation-9780199797882?cc=au&lang=en&
- Publisher
- Oxford University Press
- Resource Type
- book chapter
- Date
- 2012
- Description
- The ability to live independently after stroke critically depends on the recovery of motor function (Schiemanck, Kwakkel, Post, Kappelle, & Prevo, 2006). About one-third of people diagnosed with stroke go home with minimal residual disability, but one-third to one-half must rely on others to manage their everyday activities (Schaechter, 2004). Motor rehabilitation is aimed at overcoming the impact of stroke on motor function. Stroke can cause a range of motor symptoms, including weakness, slowness, tremor, lack of coordination, and a loss of precision and dexterity, in isolation or combination (Pomeroy et al., 2011). Currently, most studies investigating the neural mechanisms underlying improvements in motor function use functional magnetic resonance imaging (fMRI) and transcranial magnetic stimulation (TMS). Upper limb recovery receives more research attention, possibly because there are more technical challenges when applying TMS and fMRI to studying neural plasticity in the control of the lower limbs. There is also a bias toward studies investigating patients at the chronic stage of recovery, but this is beginning to change with more studies recruiting in the acute and subacute stages. This chapter will review the behavioral effects and neural mechanisms of a selection of motor rehabilitation techniques. These techniques belong to the targeted/ facilitated practice component of the learning-based rehabilitation model presented in Chapter 2. They have been selected based on the evidence for their effectiveness from systematic reviews and meta-analyses of the literature, and the extent to which they are used in clinical practice.
- Subject
- stroke; movement; motor function; motor rehabilitation; stroke recovery
- Identifier
- http://hdl.handle.net/1959.13/1340653
- Identifier
- uon:28540
- Identifier
- ISBN:9780199797882
- Language
- eng
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