Brain Neurorehabil.  2014 Mar;7(1):21-29. 10.12786/bn.2014.7.1.21.

Optimal Strategies of Upper Limb Motor Rehabilitation after Stroke

• Shin MJ
• Kim SH
• Lee CH
• Shin YI

• KMID: 1914556
• DOI: http://doi.org/10.12786/bn.2014.7.1.21

Abstract

The purpose of this review is to provide a comprehensive approach for optimal strategies of upper limb motor rehabilitation after stroke. Stroke is a common, serious, and disabling global health-care problem. Optimal organization of rehabilitation for stroke patients has been extensively documented. However, between 30% and 66% of individuals with stroke do not obtain satisfactory motor recovery of the affected upper limb with rehabilitative interventions. The recovery of the affected upper extremity depends on intensity, task progression, and repetition to neural plasticity, namely, the ability of central nervous system cells to modify their structure and function in response to external stimuli. Recently, constraint-induced movement therapy, motor imagery, action observation, or mirror therapy has emerged as interesting options as add-on interventions to standard physical therapies. In this review, we will discuss to establish a framework by which several promising interventions for neural plasticity.

Keyword

neuroplasticity; rehabilitation; stroke; upper extremity

MeSH Terms

Central Nervous System
Humans
Neuronal Plasticity
Plastics
Rehabilitation*
Stroke*
Upper Extremity*
Plastics

Figure

• 

  Fig. 1 Strategies of neuromodulation for stroke recovery. ↑= Facilitation or activation. ↓= Inhibition or inactivation.

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