NeuroRehab Team
Friday, March 10th, 2023
NeuroRehab Team
Friday, January 13th, 2023
Arm and HandElectrical StimulationHand Function SplintsMental PracticeMirror TherapyNeuroplasticityStroke Statistics
Every 2.1 seconds, someone in the world suffers a stroke. Stroke is the #1 cause of long-term disability worldwide. Globally, there are over 15 million stroke survivors. With respect to the United States, there are approximately 5.1 million stroke survivors alive today in the US. It is the third leading cause of death in USA and the numbers are expected to double by 2030.
NeuroRehab Team
Tuesday, December 15th, 2020
A stroke occurs when the blood vessels in your brain bleed due to a rupture. It can also happen when the blood supply to your brain is blocked. When blood supply is blocked, or blood vessels rupture, blood, and oxygen do not reach the brain tissues, and without oxygen, these cells and tissues become damaged and start dying within a short time.
NeuroRehab Team
Wednesday, December 2nd, 2020
Adaptive EquipmentArm and HandGrip Aid
EazyHold is an innovative grip aid for children and adults who have limited grip abilities. The silicone universal cuffs adapt easily to hold eating utensils, grooming aids, crayons, sports, equip, musical instruments, and even toys! They gently hug the back of the hand and support the tool, relieving the need for grip and encouraging full arm movement. The one-piece soft silicone bands are easily washed, quick-drying, non-toxic, hypoallergenic, latex-free, and come in multiple sizes.
NeuroRehab Team
Wednesday, February 19th, 2020
Arm and HandContracture SplintElectrical StimulationHand Function SplintsMental PracticeMirror TherapyNeuroplasticityStretchingSubluxation Slings
You are eager to return to your normal life, so you are ready to learn more about the typical timeline for recovery after a stroke. Keep reading to get some answers to common questions:
NeuroRehab Team
Friday, October 11th, 2019
Winstein CJ, Wolf SL, Dromerick AW, et al. JAMA 2016;315(6):571-581.
This clinical trial recruited 361 participants, approximately 45 days post-stroke with mild to moderate impairments, for upper extremity retraining in order to improve functional use of the impaired upper extremity. Participants received either a new problem solving approach, Accelerated Skill Acquisition Program (ASAP) for 30, 1 hour sessions, Dose Equivalent Usual Customary Care (DEUCC), or Usual and Customary Care which varied from 0-46 hours. Findings demonstrated that all three groups improved in function (Wolf Motor Function Test) and quality of life (Stroke Impact Scale).
NeuroRehab Team
Wednesday, January 17th, 2018
Arm and HandElectrical StimulationNeuroplasticityOccupational TherapyRobotics
Intensive therapy can help people who have suffered a stroke recover motor function—even if the treatment begins a year or more after the stroke occurred. After a stroke, the brain and body can start recovering immediately and can show improvement up to six months afterward.
NeuroRehab Team
Monday, September 4th, 2017
Arm and HandBiofeedbackElectrical StimulationHand Function Splints
Activities of Daily Living (ADL) are impacted continuously for may stroke survivors that suffer from limited arm and hand function and movement. Research indicates that Biofeedback and Electrical Stimulation can result in improved mobility and functional use. Biofeedback combined with electrical stimulation (NMES or FES) can be an effective tool in reducing the symptoms of stroke, such as increasing strength and function.
NeuroRehab Team
Thursday, June 1st, 2017
Arm and HandCIMTHand Function Splints
It is not uncommon for individuals to experience decreased hand function and strength following a neurological injury such as stroke. Sadly, even after 6 months following stroke, over 60% of clients are still struggling to achieve full arm and hand recovery (Kwakkel et al., 2003). Moreover, the inability to actively open the hand for pre-grasp activities is a severe limitation for many stroke survivors. The impaired movements lead to decreased independence in leisure and self-care tasks (activities of daily living). Because this limited function is a difficult challenge, traditionally, clients were required to relearn new compensatory movement patterns and one-handed strategies so functional activities could be achieved.
NeuroRehab Team
Thursday, April 27th, 2017
Arm and HandBalanceCognitionDysphagiaFoot Drop BraceLegNeuroplasticitySubluxation SlingsVision
Listed below are various clinical product categories that you may have learned while in therapy. Feel free to click on any category to see a list of products that may be appropriate for your needs.
NeuroRehab Team
Monday, April 3rd, 2017
Arm and HandCognitionCommunicationFoot Drop BraceLegMobilityNeuroplasticityVision
It is true that recovering from a stroke will be an uphill battle for many, however, it is also accurate that the latest research findings regarding neuro recovery are more promising than ever before. How serious are you with embracing evidence into your practice? As a clinician, are you stuck using numerous theoretical-based treatment concepts that have not scientifically been proven to be effective?
Listed below are some of the common interventions supported by research that have shown positive results. How many of the below techniques are in your current therapy toolbox? If just a few, then why?
NeuroRehab Team
Monday, January 23rd, 2017
Arm and HandCIMTNeuroplasticity
What is it?
Constraint-induced movement therapy (CI, CIT, or CIMT) is a form of rehabilitation therapy that improves upper extremity function in stroke and other neurological injuries by increasing the use of their affected upper limb. The focus of CIMT is to combine restraint of the unaffected limb and intensive use of the affected limb. Types of restraints include a sling, a splint, a sling combined with a resting hand splint, a half glove, and a mitt. Determination of the type of restraint used for therapy depends on the required level of safety vs. intensity of therapy.
NeuroRehab Team
Wednesday, December 21st, 2016
The latest research shows that the brain is capable of rewiring and adapting after stroke. Therefore, arm and hand recovery is more possible than previously thought. However, in order to improve function in the upper limb, the client must be willing to incorporate the affected side purposefully and repeatedly.
NeuroRehab Team
Friday, November 25th, 2016
Arm and HandCognitionLegVision
Listed below are various clinical product categories that you may have learned while in therapy. Feel free to click on any category to see a list of products that may be appropriate for your needs.
NeuroRehab Team
Wednesday, November 23rd, 2016
Evaluating the impact of stroke rehabilitation requires the use of reliable, valid, and objective outcome measures. Despite consensus among nationally published guidelines recommending the use of valid and reliable assessment tools, the scientific community lacks direction regarding what outcome measures should be selected for particular evaluative needs. One measure that appears to have general acceptance and embraced by many neurorehabilitation specialists is the Action Research Arm Test (ARAT).
NeuroRehab Team
Friday, October 21st, 2016
AppsArm and HandNeuroplasticity
It is true that recovering from a stroke will be an uphill battle for many, however, it is also accurate that the latest research findings regarding neuro recovery are more promising than ever before. How serious are you with embracing evidence into your practice?
NeuroRehab Team
Tuesday, October 11th, 2016
Arm and HandElectrical Stimulation
According to new research published in the American Heart Association journal Stroke, researchers at the MetroHealth System, Case Western Reserve University, and the Cleveland Functional Electrical Stimulation Center have developed a glove that allows patients be in control of the stimulation to their weak hand.
NeuroRehab Team
Wednesday, September 7th, 2016
Arm and HandCommunicationLegNeuroplasticityVision
Following an extensive search of 100’s of stroke rehabilitation products and programs, we have summarized the best available products currently on the market for stroke recovery. The products are organized into relevant categories list below. Feel free to click on any category to see a list of products that may be appropriate for your needs.
NeuroRehab Team
Monday, August 29th, 2016
Arm and hand recovery continues to be a major problem following neurological injury. According to scientific data, fifty-percent of stroke survivors are likely to regain some functional use of the upper limb (Broeks JG et al. Disabl and Rehabil, 1999).
Find Arm and Hand NeuroRehab Courses
Forty-one percent of all patients had limited hand use at 3 months and 45% at 18 months after stroke (Welmer AK et al. J Rehabil Med, 2008). At 6 months post stroke, some dexterity was found in 38% and complete functional recovery was seen in 11.6% of patients (Kwakkel G et al. Stroke, 2003).
The latest research shows that the brain is capable of rewiring and adapting after stroke. To improve function in the upper limb, the client must be willing to incorporate the affected side purposefully, functionally, and repeatedly. In addition to functional training, other evidence-based strategies include strength training, mental imagery, robotics, and gravity compensation.
The American Occupational Therapy Association's (AOTA's) Approved Provider Program (APP) assists occupational therapy practitioners (OTPs) and state licensing boards to ensure professional development activities reflect evidence-informed, occupation-centered practice. AOTA Approved Providers demonstrate they have the systems, policies, procedures and educational practices in place to adhere to the APP Guidelines and Criteria.
The above courses are evidence-based courses that review the latest information when it comes to stroke recovery. To search for stroke rehab exercise tools, visit here get started.
NeuroRehab Team
Wednesday, August 24th, 2016
Arm and HandCEU'sCognitionCommunicationDysphagiaLegVision
Now more than ever, occupational, physical and speech therapists are relying on evidence-based treatment to provide maximum outcomes for clients suffering from stroke and other neurological injuries. Get up-to-date with the latest advances in stroke/neuro treatment by enhancing your skills through continuing education courses.
Listed below are links to online training categorized into key groups. Feel free to click on the link to learn more about available courses.
NeuroRehab Team
Monday, July 11th, 2016
Amit Kumar, Occupational Therapist, LS Life Skills Therapy Services Inc., Surrey, BC
Every stroke survivor’s impairment is unique. By doing regular functional activities and exercises, you can increase your quality of movement and independence in all stages following stroke. Activity may be too easy or too hard depending on the extent of impairment and function. Your occupational therapist can help you develop a daily activity and exercise program appropriate for you. Activities and exercises to improve your hand function should be simple and done at home at any time.
NeuroRehab Team
Friday, June 24th, 2016
Arm and HandFoot Drop BraceLegVision
It is true that recovering from a stroke will be an uphill battle for many, however, it is also accurate that the latest research findings regarding neuro recovery are more promising than ever before. How serious are you with embracing evidence into your practice? As a clinician, are you stuck using numerous theoretical-based treatment concepts that have not scientifically been proven to be effective?
Listed below are some of the common interventions supported by research that have shown positive results. How many of the below techniques are in your current therapy toolbox? If just a few, then why?
NeuroRehab Team
Thursday, June 16th, 2016
Arm and HandContracture SplintElectrical StimulationExercise AidsHand Function SplintsNeuroplasticity
The latest research shows that the brain is capable of reorganizing after a stroke. Therefore, arm and hand recovery is more possible than previously thought. However, in order to improve function in the upper extremity, the client must be willing to incorporate the affected side purposefully, functionally, and repeatedly.
Listed below are 2 good videos that review simple ways to stretch and exercise the affected hand and fingers.
NeuroRehab Team
Friday, June 3rd, 2016
Evaluating the impact of stroke rehabilitation requires the use of reliable, valid, and objective outcome measures. Despite consensus among nationally published guidelines recommending the use of valid and reliable assessment tools, the scientific community lacks direction regarding what outcome measures should be selected for particular evaluative needs. One measure that appears to have general acceptance and embraced by many neurorehabilitation specialists is the Action Research Arm Test (ARAT).
NeuroRehab Team
Monday, May 30th, 2016
Arm and HandBalanceExercise AidsLegNeuroplasticity
Recovering from a stroke can be quite challenging from both a psychological and physical perspective. In addition to completely experiencing a life-changing event, staying motivated with a daily intensive home exercise program can be a struggle. Once a client is discharged from the hospital, it will be important to maintain or improve their recovery by beginning an aggressive home exercise program immediately.
NeuroRehab Team
Tuesday, May 24th, 2016
Arm and HandMobile Arm SupportsNeuroplasticity
Stroke is one of the main causes of disability throughout the world. Due to hemorrhagic or ischemic damage to brain, many clients will suffer from impaired strength leading to poor gross motor movements and motor planning. In order to perform every day tasks such as grooming, eating, typing on a computer, or writing, adequate proximal strength (shoulder/elbow) is required to allow for normal distal control (hand/wrist).
NeuroRehab Team
Tuesday, April 26th, 2016
Arm and HandHand Function SplintsStroke Statistics
It is not uncommon for individuals to experience decreased hand function and strength following a neurological injury such as stroke. Sadly, even after 6 months following stroke, over 60% of clients are still struggling to achieve full arm and hand recovery (Kwakkel et al., 2003). Moreover, the inability to actively open the hand for pre-grasp activities is a severe limitation for many stroke survivors. The impaired movements lead to decreased independence in leisure and self-care tasks (activities of daily living). Because this limited function is a difficult challenge, traditionally, clients were required to relearn new compensatory movement patterns and one-handed strategies so functional activities could be achieved.
NeuroRehab Team
Thursday, April 21st, 2016
Arm and HandMental PracticeMirror TherapyNeuroplasticity
Mirror therapy, a treatment technique first described by V.S. Ramachandran for phantom limb pain following amputation, is a form of motor imagery in which a mirror is used to process visual feedback about motor performance of the unaffected body part as it performs various movements. It is primarily used to speed up and improve motor function after stroke and other neurological disorders.
NeuroRehab Team
Tuesday, March 22nd, 2016
Arm and HandshoulderStroke StatisticsSubluxation Slings
Shoulder pain is a common complication after stroke. Up to 72% of stroke patients develop hemiplegic shoulder pain. It may occur in up to 80% of stroke patients who have little or no voluntary movement of the affected upper limb. Painful stroke shoulder can negatively affect rehab outcomes as adequate shoulder function is a prerequisite for hand function, ADL’s, and functional mobility.
NeuroRehab Team
Friday, February 26th, 2016
Arm and HandArm BikeBiofeedbackElectrical StimulationExercise AidsHand Function SplintsMirror TherapyMobile Arm SupportsNeuroplasticityRoboticsSubluxation SlingsVirtual Reality
The latest research shows that the brain is capable of rewiring and adapting after stroke. Therefore, arm and hand recovery is more possible than previously thought. However, in order to improve function in the upper limb, the client must be willing to incorporate the affected side purposefully, functionally, and repeatedly. In addition to functional training, other beneficial strategies include strength training, mental imagery, robotics, and gravity compensation.
Below are the key takeaway’s that highlight the current thinking from the scientific community.