Monday, August 29th, 2016
Occupational therapists advise and counsel clients on strategies to increase functional independence and improve quality of life. Many occupational therapists struggle with knowing how to demonstrate adaptive strategies to clients who have suffered loss of one hand or loss of function of one hand to complete functional activities.
Wednesday, August 24th, 2016
Now more than ever, occupational, physical and speech therapists are relying on evidence-based treatment to provide maximum outcomes for clients suffering from stroke and other neurological injuries. Get up-to-date with the latest advances in stroke/neuro treatment by enhancing your skills through continuing education courses.
Listed below are links to online training categorized into key groups. Feel free to click on the link to learn more about available courses.
Saturday, August 20th, 2016
Individuals suffering from stroke may have difficulty with activities of daily living (ADL) such as grooming, dressing, managing a household, and with performing familiar roles (e.g., parent, spouse, employee). According to the American Occupational Therapy Association (AOTA), occupational therapy practitioners address the physical, cognitive, and emotional challenges brought on by a stroke, and they can help stroke survivors engage in the things they want and need to do. The following tips are from occupational therapy practitioners who work with people recovering from a stroke.
Monday, August 15th, 2016
Most people who have decreased vision or double vision after a stroke do not fully recover. Some recovery is possible and it usually happens in the first few months after a stroke.
Sunday, August 7th, 2016
Help patients, families, and clinicians make the best decisions based on your feedback.
Excitement is building with new web-based platform, neurorehabdirectory.com, a free online resource dedicated to assisting stroke patients, families and health professionals with identifying appropriate stroke therapy products and programs. Traditional online medical websites are either out-of-date, difficult to navigate or sponsored by manufacturers. Neurorehabdirectory.com free web-based platform was developed to help individuals seamlessly search for total body stroke rehab treatment solutions and programs in an impartial way.
Saturday, July 23rd, 2016
Friday, July 15th, 2016
The National Institute of Neurological Disorders defines foot drop, also known as dropped foot or drop foot, as “the inability to raise the front part of the foot due to weakness or paralysis of the muscles that lift the foot.” Consequentially, people who have foot drop scuff their toes along the ground; they may also bend their knees to lift their foot higher than usual to avoid the scuffing, which causes what is called a “steppage” gait.
Monday, July 11th, 2016
Amit Kumar, Occupational Therapist, LS Life Skills Therapy Services Inc., Surrey, BC
Every stroke survivor’s impairment is unique. By doing regular functional activities and exercises, you can increase your quality of movement and independence in all stages following stroke. Activity may be too easy or too hard depending on the extent of impairment and function. Your occupational therapist can help you develop a daily activity and exercise program appropriate for you. Activities and exercises to improve your hand function should be simple and done at home at any time.
Tuesday, July 5th, 2016
Electrical stimulation, also referred to as e-stim, NMES, or FES, can be an effective tool in reducing the symptoms of stroke, such as increasing strength and function. The success of one’s recovery using electrical stimulation will rely heavily on proper electrode placement.
Listed below are some key video examples of upper limb electrode positioning by Axelgaard. Click on the thumbnail below to visit the video link.
Friday, June 24th, 2016
It is true that recovering from a stroke will be an uphill battle for many, however, it is also accurate that the latest research findings regarding neuro recovery are more promising than ever before. How serious are you with embracing evidence into your practice? As a clinician, are you stuck using numerous theoretical-based treatment concepts that have not scientifically been proven to be effective?
Listed below are some of the common interventions supported by research that have shown positive results. How many of the below techniques are in your current therapy toolbox? If just a few, then why?
Thursday, June 16th, 2016
The latest research shows that the brain is capable of reorganizing after a stroke. Therefore, arm and hand recovery is more possible than previously thought. However, in order to improve function in the upper extremity, the client must be willing to incorporate the affected side purposefully, functionally, and repeatedly.
Listed below are 2 good videos that review simple ways to stretch and exercise the affected hand and fingers.
Thursday, June 9th, 2016
A stroke is a “brain attack”. It occurs when blood flow to an area of brain is cut off. When this happens, brain cells are deprived of oxygen and begin to die. When brain cells die during a stroke, abilities controlled by that area of the brain such as memory and muscle control are lost.
Stroke can be caused either by a clot obstructing the flow of blood to the brain (called an ischemic stroke) or by a blood vessel rupturing and preventing blood flow to the brain (called a hemorrhagic stroke). A TIA(transient ischemic attack), or “mini stroke”, is caused by a temporary clot.
Wednesday, June 8th, 2016
By Ira Rashbaum, MD, Special to Everyday Health
Strokes occur in more than 795,000 in the United States each year, killing about 130,000. Survivors have an increased risk for long-term disability and face challenges completing daily activities.
Rehabilitation is a crucial component of care following a stroke. At top stroke centers some form of rehabilitation begins virtually immediately after a patient is admitted to the hospital — to get them on the right path to the best possible outcomes.
However, there are several things patients can do to ensure they are maximizing their recovery starting the second they suspect a stroke.
Friday, June 3rd, 2016
Evaluating the impact of stroke rehabilitation requires the use of reliable, valid, and objective outcome measures. Despite consensus among nationally published guidelines recommending the use of valid and reliable assessment tools, the scientific community lacks direction regarding what outcome measures should be selected for particular evaluative needs. One measure that appears to have general acceptance and embraced by many neurorehabilitation specialists is the Action Research Arm Test (ARAT).
Monday, May 30th, 2016
Recovering from a stroke can be quite challenging from both a psychological and physical perspective. In addition to completely experiencing a life-changing event, staying motivated with a daily intensive home exercise program can be a struggle. Once a client is discharged from the hospital, it will be important to maintain or improve their recovery by beginning an aggressive home exercise program immediately.
Tuesday, May 24th, 2016
Stroke is one of the main causes of disability throughout the world. Due to hemorrhagic or ischemic damage to brain, many clients will suffer from impaired strength leading to poor gross motor movements and motor planning. In order to perform every day tasks such as grooming, eating, typing on a computer, or writing, adequate proximal strength (shoulder/elbow) is required to allow for normal distal control (hand/wrist).
Monday, May 16th, 2016
A stroke is the rapid loss of brain function(s) due to disturbance in the blood supply to the brain. When you have an ischemic stroke, there is an interruption, or reduction, of the blood supply. Eighty percent of all strokes occur due to ischemia. With a hemorrhagic stroke, there is bleeding in the brain. After about 4 minutes without blood and oxygen, brain cells become damaged and may die. When brain cells are damaged or die, the body parts controlled by those cells cannot function. The loss of function may be mild or severe and temporary or permanent. This depends on where and how much of the brain is damaged and how fast the blood supply can be returned to the affected cells.
Tuesday, April 26th, 2016
It is not uncommon for individuals to experience decreased hand function and strength following a neurological injury such as stroke. Sadly, even after 6 months following stroke, over 60% of clients are still struggling to achieve full arm and hand recovery (Kwakkel et al., 2003). Moreover, the inability to actively open the hand for pre-grasp activities is a severe limitation for many stroke survivors. The impaired movements lead to decreased independence in leisure and self-care tasks (activities of daily living). Because this limited function is a difficult challenge, traditionally, clients were required to relearn new compensatory movement patterns and one-handed strategies so functional activities could be achieved.
Thursday, April 21st, 2016
Mirror therapy, a treatment technique first described by V.S. Ramachandran for phantom limb pain following amputation, is a form of motor imagery in which a mirror is used to process visual feedback about motor performance of the unaffected body part as it performs various movements. It is primarily used to speed up and improve motor function after stroke and other neurological disorders.
Thursday, April 7th, 2016
Stroke is a major cause of disability in the world. Significant impairment in the affected arm can be seen roughly between 30 and 70% of individuals suffering from stroke (Kwakkel et al., Lancet, 1999). One of the most common areas often affected by a neurological injury is the glenohumeral joint (i.e., shoulder). The shoulder complex is a very sophisticated and complicated joint in the body. It consists of 20 muscles, 3 bones, 3 joints, and 1 articulation. It has the greatest ROM of any joint in the body but at the expense of stability.
Monday, March 28th, 2016
As if learning to adjust to a new life following a stroke or neurological injury is not difficult enough, finding a home exercise program and appropriate stroke/neuro therapy equipment can be equally daunting. Assuming a therapist is up-to-date with current stroke research and latest technology available (could be a big assumption), there is a good chance that he or she will recommend exercises and products that will be meaningful to the client.
Tuesday, March 22nd, 2016
Shoulder pain is a common complication after stroke. Up to 72% of stroke patients develop hemiplegic shoulder pain. It may occur in up to 80% of stroke patients who have little or no voluntary movement of the affected upper limb. Painful stroke shoulder can negatively affect rehab outcomes as adequate shoulder function is a prerequisite for hand function, ADL’s, and functional mobility.
Thursday, March 17th, 2016
Approximately 30% of all stroke patients suffer from post-stroke visual impairment (Sand KM. Acta Neurol Scand Suppl. 2013). Following a stroke or other neurological injuries, various types of vision deficits can occur including the inability to recognize objects, color vision deficits and difficulty with perceiving various types of motion. Approximately 20% experience permanent visual deficits (Romano JG. J of Neurol Sci. 2008). According to the National Stroke Association, homonymous hemianopia, which is the loss of one half of the visual field in each eye, is the most common visual disorder.
Monday, March 7th, 2016
Driving is often a major concern following a neurological injury. Movements, sensations, alertness, judgement, coordination, and vision can be adversely affected which may impair the ability to drive a car. Due to these impairments, there is cause for concern regarding increased risk of crashes post stroke and other neurological injuries (Perrier et al., 2010).
Friday, February 26th, 2016
The latest research shows that the brain is capable of rewiring and adapting after stroke. Therefore, arm and hand recovery is more possible than previously thought. However, in order to improve function in the upper limb, the client must be willing to incorporate the affected side purposefully, functionally, and repeatedly. In addition to functional training, other beneficial strategies include strength training, mental imagery, robotics, and gravity compensation.
Below are the key takeaway’s that highlight the current thinking from the scientific community.
Thursday, February 25th, 2016
What is a Stroke?
A stroke, or cerebrovascular accident (CVA), is the rapid loss of brain function(s) due to disturbance in the blood supply to the brain. When you have an ischemic stroke, there is an interruption, or reduction, of the blood supply. Eighty percent of all strokes occur due to ischemia. With a hemorrhagic stroke, there is bleeding in the brain. After about 4 minutes without blood and oxygen, brain cells become damaged and may die. When brain cells are damaged or die, the body parts controlled by those cells cannot function. The loss of function may be mild or severe and temporary or permanent. This depends on where and how much of the brain is damaged and how fast the blood supply can be returned to the affected cells.
Wednesday, February 24th, 2016
New online directory collects reviews from users so people can make decisions based on real feedback.
NeuroRehab Directory announces today the official launch of www.neurorehabdirectory.com, a new non-biased website dedicated to assisting patients, families and health professionals with identifying appropriate neurorehab solutions and resources.
Tuesday, February 23rd, 2016
Our free online website connects patients, families and health professionals with neurological rehabilitation products programs. We make it easy to find NeuroRehab solutions in an impartial way. Viewers can drill down their choices by selecting impairment, product category, price, and/or body part. To keep product companies honest, we collect reviews from actual users so individuals can make the best decision based on real feedback.