additional components of treatment in neurologic rehabilitation

UE considerations

bilateral use

safety and joint health

ROM

If a pt is subluxed or flaccid what range of motion should we avoid

>90 degrees flex

What can be used to help protect the UE

resting night splints

resting surfaces on wheel chairs

Why is it important to incorporate the involved side as much as possible

to prevent learned “non-use”

How do we prevent non-use in LEs

transfer both ways

challenge involved limb just as much OR more than intact limb

How do we prevent non-use in UEs

weight bearing

bimanual tasks

What are some interventions for neglect

• encourage movement and attention to the neglected side

• set up environment appropriately

• monitor head position and encourage neutral

• use mirror

• pt engagement

• cueing from therapist

What are some points for family education and involve them in therapy

positioning

orientation

stretching programs

hands on practice with caregiver(s)

Main intervention for spasticity

prioritize early mobilization and daily stretching HEP

What are some considerations for early mobilization

• positioned in lengthened position if able

• weightbearing

• medications

What are some other methods that may help with spasticity

slow, rhythmical movements

cold

FES

massage

interventions for apraxia

part to whole practice

interventions for sensory impairments

• move

• change positions

• practice

• safety/protection

What are the general guidelines for stroke rehab