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VarSaucouch
 | Sabato 20 Luglio 2013 - 17:47
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Muscle Retraining ToolsWhen a person has weakness on one side of the body after a stroke, their muscles can be retrained to move and function. This is when OTs use their skills with muscle reeducation, usually in the muscles of the hands, arms and shoulders. OTs may use positioning and movement as a tool to reduce muscle spasms, encourage bearing weight on that arm or simply to practice isolated movements for muscle control. For instance, a person with poor shoulder strength after a stroke may need to lie sideways on a mat and practice moving their arm forward and back, to "relearn" this movement. After this, they can try to use the arm during a functional task. Occupational Therapy Tools For Stroke Patients Electrical StimulationAnother method of muscle retraining is called neuromuscular electrical stimulation, or NMES. NMES involves sending a current into the nerve through electrodes placed on the skin, to trigger a muscle contraction. Placed strategically, an OT can use NMES to help a stroke patient perform such movements as making a fist or bending their elbow. NMES can also be used to retrain a dislocated shoulder to remain in its socket, a common problem in stroke patients. Other forms of NMES use specially fitted devices for the arm that can be timed, so the arm or hand can function with assistance during tasks and routines. Activities of Daily LivingOccupational therapists (OTs) focus extensively on practicing ADLs , or activities of daily living. During ADLs OTs help patients dress and bathe themselves, though this process is more complex than it sounds. Often a patient has difficulty moving one side of their body, so therapists teach them hemiplegic, or onesided, dressing skills to increase their independence. OTs can also use this ADL practice to work on other skills at the same time, such as coordination, reaching, planning and problem solving. After a stroke, many people benefit from therapy to increase their ability to walk, talk and complete their daily routine. Rowland and colleagues in a 2008 article in the "Annals of Indian Academy of Neurology," there is a growing emphasis on the multidisciplinary approach to stroke rehabilitation. In other words, stroke patients benefit from receiving several different types of therapy care in order to address all of their needs. Steultjens and colleagues in a 2003 article in "Stroke" add that even in limited trial studies, occupational therapy is significantly beneficial for stroke patients.
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