What is the role of active repetition in the treatment of hemiplegic shoulder pain?

Updated: Feb 08, 2019
  • Author: Robert Gould, DO; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Chae and colleagues reported that active repetition can maximize motor relearning when used in the appropriate candidate. [8, 9] Parry and coworkers found that stroke patients who were less severely impaired (ie, possessed some early volitional arm movement) prior to treatment benefited from the use of early additional therapies that involved repetitive movements and functional tasks. [66] However, patients with severe arm impairment showed very little improvement in function irrespective of receiving additional therapies.

These data support previous clinical trials that suggest there is no current physical therapy approach that results in sustained improvements of upper limb function in patients who are severely impaired. In patients who are severely impaired, the use of adaptive techniques and equipment may be an appropriate rehabilitation strategy.


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