Why is the range of motion and important parameter in the context of hemiparesis rehabiliation post-stroke?
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Range of motion (ROM) is a crucial parameter in hemiparesis rehabilitation post-stroke due to its impact on muscle strength, gait adaptability, and overall functional recovery. Restricted hip ROM, common in stroke patients, hinders walking performance and speed. ROM exercises can enhance muscle strength, leading to improved physical mobility and independence in activities of daily living. Determining the minimal clinically important differences (MCID) in hip ROM post-stroke aids in assessing intervention effects and designing effective rehabilitation programs. Additionally, gait adaptability training focusing on ROM normalization can significantly benefit patients by improving gait parameters and maintaining positive outcomes over time. Therefore, monitoring and improving ROM play a vital role in optimizing hemiparesis rehabilitation outcomes post-stroke.
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| Papers (5) | Insight |
|---|---|
| Assessing range of motion is crucial in hemiparesis rehab post-stroke to monitor improvements in mobility and flexibility, aiding in evaluating the effectiveness of gait adaptability training interventions. | |
| Range of motion is crucial in hemiparesis rehabilitation post-stroke as optimizing it through tailored settings in exergames enhances patient progress, with a maximum average percentage achieved at specific parameters. | |
| Range of motion (ROM) exercises post-stroke help maintain/improve joint mobility, increase muscle strength, and enhance motor function, crucial for hemiparesis rehabilitation and preventing complications like contractures. | |
5 Citations | Range of motion is crucial in hemiparesis rehabilitation post-stroke as it affects walking performance; determining Minimal Clinically Important Differences aids in assessing interventions and designing effective gait reeducation programs. |
| Range of motion is crucial in hemiparesis rehab post-stroke as robotic mirror therapy assists impaired limbs to mimic healthy limb movements, stimulating muscle activation and enhancing rehabilitation outcomes. |
Related Questions
Why is the range of motion important for stroke rehabiltation?5 answersRange of motion (ROM) exercises play a crucial role in stroke rehabilitation by improving muscle strength and mobility. Stroke often leads to movement disorders and muscle weakness, making ROM exercises essential for enhancing extremity motor skills and increasing muscle strength. These exercises, typically performed multiple times a day for a specific duration, help prevent permanent disability by promoting muscle tone and mass. ROM exercises not only increase muscle strength but also aid in overcoming physical mobility impairments commonly seen in stroke patients. Through consistent and structured ROM exercises, stroke patients can experience improved muscle strength, joint flexibility, and overall functional abilities, contributing significantly to their rehabilitation process.
What are the symptoms of a hemiparesis after stroke?5 answersHemiparesis after a stroke presents as weakness and loss of motor control (dexterity) alongside spasticity, abnormal resting posture, and intrusive movement synergies. These symptoms reflect the negative and positive motor signs of hemiparesis, respectively. Additionally, spatial visual hemineglect, tilt of subjective visual vertical, and pusher phenomenon can manifest due to lesions affecting specific brain regions, such as the right superior temporal cortex and insula. Hemiparesis can lead to difficulties in walking, standing, and balance, along with numbness or tingling on the affected side. In rare cases, hemiparesis can be associated with acute encephalopathy following high-dose methotrexate treatment, leading to transient symptoms like hemiparesis, dysphasia, and central facial paralysis.
What are the effects of mental training on mobility in stroke survivors?4 answersMental training has been shown to have positive effects on mobility in stroke survivors. A systematic review found that different types of physical fitness training, including cardiorespiratory, resistance, and mixed training, can improve balance and mobility in stroke survivors. Another study compared the effectiveness of conventional therapy alone versus conventional therapy combined with visual and verbal cues in balance training during stroke recovery. The group that received additional visual and verbal feedback showed a greater improvement in balance compared to the control group. Additionally, a community-based exercise program at lower cardiovascular and muscular load resulted in more mobility benefits compared to a higher-intensity program in chronic stroke survivors. These findings suggest that incorporating mental training, such as visual and verbal cues, into rehabilitation programs can enhance mobility outcomes in stroke survivors.
How does range of motion impact muscle hypertrophy?5 answersRange of motion (ROM) in resistance training has been studied in relation to muscle hypertrophy. The literature suggests that using a greater ROM in strength training exercises generally leads to more substantial muscle hypertrophy outcomes. However, the relationship between ROM and hypertrophy is not consistently supported in the literature, and there is no sufficient explanation for this phenomenon. Some studies have found that muscles active on the descending limb of the length-tension curve experience greater hypertrophy with larger ranges of motion, while muscles not active on the descending limb exhibit similar adaptations regardless of ROM. A systematic review indicates that full ROM and partial ROM performed in the initial part of the ROM elicit greater muscle hypertrophy in certain muscles, while pROM performed in the final part of the ROM may be less effective. It is suggested that the use of pROM in the initial part of the movement in combination with fROM training may be beneficial for hypertrophy-oriented resistance training programs.
What's the best range of motion for hypertrophy?5 answersThe optimal range of motion (ROM) for hypertrophy remains elusive, but evidence suggests that using a greater ROM, particularly in the initial part of the movement, may lead to greater muscle hypertrophy. Studies have shown that performing resistance exercises with full ROM (fROM) or partial ROM (pROM) in the initial portion of the ROM can elicit greater muscle growth in various muscles, such as the rectus femoris, vastus lateralis, biceps brachii, and brachialis distal sites. Additionally, muscles that are active on the descending limb of their length-tension curve tend to experience optimal growth with larger ranges of motion, while muscles not active on the descending limb exhibit similar adaptations regardless of ROM. Therefore, a combination of pROM in the initial part of the movement and fROM training may be beneficial for hypertrophy-oriented resistance training programs.
Which physical therapy methods are used after stroke for gait rehabilitation?5 answersPhysical therapy methods used after stroke for gait rehabilitation include virtual reality-based rehabilitation, robotic-assisted gait training (RAGT) with exoskeletons or end-effectors, and robotic neurorehabilitation using robot system devices. These methods aim to improve gait ability and walking function in stroke patients. Virtual reality-based gait physiotherapy, combined with conventional physiotherapy, has shown positive effects on gait ability, particularly in the chronic stage of stroke. RAGT with exoskeletons or end-effectors has been found to improve functional tests/scales related to walking function, although further research is needed to compare the clinical results, side effects, contraindications, and cost effectiveness of these different types of RAGT. Robotic neurorehabilitation using robot system devices has the potential to reduce gait impairments and improve the quality of life for post-stroke individuals.