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Upper Extremity Rehabilitation in Hemiplegia

Intensive training program for the functional recovery of the paretic arm after stroke.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Upper Extremity Rehabilitation in Hemiplegia?

Upper extremity recovery after stroke is more challenging than lower extremity recovery; only 30–40% of stroke patients achieve independent hand function. Motor recovery is usually rapid in the first 3 months and plateaus after 6 months. The Brunnstrom stages describe the phases of motor recovery.

CIMT (Constraint-Induced Movement Therapy) requires restraining the unaffected limb with a sling and intensive use of the paretic arm 6 hours/day for 2 weeks. In selected patients, motor function and use increase significantly. Modified CIMT protocols are more practical.

Mirror therapy, bilateral training, mental practice, FES (functional electrical stimulation), virtual reality and robotics (Armeo, InMotion) are other evidence-based approaches. Task-specific training is always a priority.

Symptoms

Paretic arm after stroke
Muscle weakness
Spasticity
Coordination disorder
Loss of gross and fine motor function
Dependence in ADLs

Risk Factors

Severe initial deficit
Older age
Cortical/subcortical localization
Coexisting aphasia
Sensory loss
Late start of rehabilitation

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • In the early period after stroke (24–48 hours)
  • For intensive rehabilitation in the subacute phase
  • When motor recovery plateaus
  • In dependence in activities of daily living
  • When advanced technology-assisted rehabilitation is requested

Treatment Methods

01
CIMT protocol (in selected patients)
02
Mirror therapy
03
Bilateral training
04
Mental practice (motor imagery)
05
FES applications
06
Robotic rehabilitation
07
Virtual reality
08
Task-specific training

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.