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Published on: March 1, 2024
[Arm rehabilitation : Current concepts and therapeutic options]
1BDH-Klinik Greifswald, Neurologisches Rehabilitationszentrum und Querschnittgelähmtenzentrum, An-Institut der Ernst-Moritz-Arndt Universität Greifswald, Karl-Liebknecht-Ring 26a, 17491, Greifswald, Deutschland. t.platz@bdh-klinik-greifswald.de.
Background:
Arm paralysis after a stroke is a major cause of impairment.
Objective:
Presentation of therapeutic options and the efficacy in arm rehabilitation after stroke.
Material And Methods:
Based on a systematic critical appraisal of randomized controlled trials (RCT) the therapeutic procedures for arm paralysis after stroke in the context of their effectiveness are introduced, including robotic therapy, mirror therapy, constraint-induced movement therapy (CIMT), arm basis training, arm ability training, neuromuscular electrical stimulation, bilateral and task-specific training, mental training and transcranial stimulation techniques, such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS).
Results And Discussion:
Several therapeutic procedures with proven efficacy are currently available for arm rehabilitation after stroke. Their differential indications are presented and associated with conclusions for clinical practice.
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