gaining finger extension post-stroke

[Nabarun]

shreeyanshi

I feel your Pt has a more of flexor tone/synergy then it's counterpart(the extensor). I hope you need to go for INHIBITION of flexor the finger.

Once you can control this you should also concentrate in facilitation of the wrist and the finger extensor's...

Good luck.. bye

[shreeyanshi]

can u tell me how2 do inhibition of flexors?

[Nabarun]

shreeyanshi

For Inhibition of hypertonocity there are many technique. All are based on basics of neurophysiology.

to name a few: Reflex Inhibition posture, Reciprocal inhibition. etc are wonderful.

k Best of Luck

[oc1dean]

Since I am just a survivor you don't have to listen to me but has anyone looked at the diagnosis, ie. is the area controlling finger extension dead, if so then neuroplastical modification is required first. Otherwise the assumption you all are making is that all the motor control you are expecting to recover is in the penumbra, which will spontaneously recover in 6-12 months anyway.
Dean

[Nabarun]

Hi oc1dean

i'll definetlly agree with you about the assumption that the area controlling finger extension is dead ( but it might have not been damaged, in case the site of injury may be away from the point).

usually a considerable amount of molecular and cellular changes take place in surrounding area of infarct. Such changes occur at a greater than normal level, persist chronically, and in many cases have been interpreted as important to poststroke recovery.

Neuroplasticity is the changing of neurons, the organization of their networks, and their function via new experiences. (also referred to as brain plasticity, cortical plasticity or cortical re-mapping).
Thus if neuroplasticity needs to take place it requires NEW EXPERIENCES which has to be provided through rehabilitation measures to the patient. No one should sit back for spontaneous recovery, which may or may not take place in 6-12 months.

"Motor Learning" is very much important. thus rehabilitation measures always tries to get the very best for maximal recovery after any brain insult.

Unless we try we never succeed. i always tried to be optimist.
anyway thank you.

Nabaroon