T Platz1, L Schmuck2. 1. BDH-Klinik Greifswald, Neurologisches Rehabilitationszentrum und Querschnittgelähmtenzentrum, An-Institut der Ernst-Moritz-Arndt Universität Greifswald, Karl-Liebknecht-Ring 26a, 17491, Greifswald, Deutschland. t.platz@bdh-klinik-greifswald.de. 2. BDH-Klinik Greifswald, Neurologisches Rehabilitationszentrum und Querschnittgelähmtenzentrum, An-Institut der Ernst-Moritz-Arndt Universität Greifswald, Karl-Liebknecht-Ring 26a, 17491, Greifswald, Deutschland.
Abstract
BACKGROUND: Arm paralysis after a stroke is a major cause of impairment. OBJECTIVE: Presentation of therapeutic options and the efficacy in arm rehabilitation after stroke. MATERIAL AND METHODS: Based on a systematic critical appraisal of randomized controlled trials (RCT) the therapeutic procedures for arm paralysis after stroke in the context of their effectiveness are introduced, including robotic therapy, mirror therapy, constraint-induced movement therapy (CIMT), arm basis training, arm ability training, neuromuscular electrical stimulation, bilateral and task-specific training, mental training and transcranial stimulation techniques, such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS). RESULTS AND DISCUSSION: Several therapeutic procedures with proven efficacy are currently available for arm rehabilitation after stroke. Their differential indications are presented and associated with conclusions for clinical practice.
BACKGROUND: Arm paralysis after a stroke is a major cause of impairment. OBJECTIVE: Presentation of therapeutic options and the efficacy in arm rehabilitation after stroke. MATERIAL AND METHODS: Based on a systematic critical appraisal of randomized controlled trials (RCT) the therapeutic procedures for arm paralysis after stroke in the context of their effectiveness are introduced, including robotic therapy, mirror therapy, constraint-induced movement therapy (CIMT), arm basis training, arm ability training, neuromuscular electrical stimulation, bilateral and task-specific training, mental training and transcranial stimulation techniques, such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS). RESULTS AND DISCUSSION: Several therapeutic procedures with proven efficacy are currently available for arm rehabilitation after stroke. Their differential indications are presented and associated with conclusions for clinical practice.
Entities:
Keywords:
Movement therapy; Neurorehabilitation; Randomized controlled trials; Robotics; Transcranial stimulation
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