Research

Question 1

A Very Early Rehabilitation Trial, April 2015

Answer 1

higher dose, very early out of bed mobilisation protocol was associated with a reduction in the likelihood of a favourable outcome for patients 3 months after their stroke.

Question 2

Botulinum Toxin

Answer 2

Botulinum Toxin for the UL after Stroke Trial, 2011

improved basic UL function such as hygiene although unlikely to be useful for improving active UL function

Question 3

Mirror Therapy

Answer 3

Studies have not been performed on its with visual field defects and neglect
visual illusions make the patient feel as though they are moving both hands simultaneously
visual illusions are activated in the cerebral hemisphere

Question 4

Constraint Induced Movement Therapy

Answer 4

Dr Hebb recognised neurological regrowth when an activity or thought process is repeated diligently

Question 5

Why is internal focus important?

Answer 5

ensures that the brain is fully present and supported for neuroplasticity
motivating and keeps the patient motivated
when each day is challenging the brain stays engaged in ways more conductive to synaptic rehabilitation

Question 6

FES research

Answer 6

significant benefit within 2 months although could be argued that this is the optimum therapeutic window

Question 7

LL improvement

Answer 7

C. Bunt Cochrane in repetitive task training for improved functional ability stated that LL function was better with repetitive task training than with control

Question 8

Splint Research

Answer 8

Evidence base of stroke and hand splinting, Prabhjot Kaur internal journal of science and research 2014
no evidence that leaving splint on helped to reduce tone and contractures or functional use
sensory stimulation of the palmar surface of the hand, increasing spasticity