Träning av hemiparetisk skuldra efter stroke i sluten kinetisk kedja i kombination med instabilt underlag enligt Neuracmetoden. Experimentella single-case studier.
Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Training of the hemiplegic shoulder after stroke in a closed kinetic chain combined with an unstable position according to the Neurac method. Experimentel single-case studies.
Purpose: The purpose of the study was to examine whether training of the hemiplegic shoulder, in a closed kinetic chain combined with an unstable position could affect the arm and hand function and the possible presence of pain in the hemiplegic shoulder, in people suffering from stroke.Method: Four people, with weakness in one arm after stroke, were included in the single-case study. The format was a 6-week period of training twice a week, of the hemiplegic shoulder in a closed kinetic chain combined with an unstable position according to the Neurac method, during a two week treatment period with a 2 week baseline period before and after. Arm and hand function, shoulder pain, passive joint mobility in shoulder flexion, abduction and external rotation, and spasticity of the hemiplegic arm were measured.Results: The function of the hand and arm changed for one of the patients during the period of the study. Shoulder pain decreased among all of the study participants, both during the initial baseline period (A1) and during the treatment period (B). For one of the patients the pain increased again during the last baseline period (A2). A more positive trend was seen during the treatment period than during the baseline period, regarding passive movement in shoulder flexion and abduction. Spasticity decreased during the treatment period for three of the patients, although it had increased during A1 for two of them. The spasticity remained at the lower rate during A2.Conclusion: The passive joint mobility improved and pain and spasticity decreased during a period of two weeks in which patients, in addition to the regular treatment, were treated with shoulder training according to the Neurac method in a closed kinetic chain, combined with an unstable position.Key words: stroke, rehabilitation, shoulder dysfunction, Neurac methodAuthor: Sofia Sandén
Place, publisher, year, edition, pages
2010. , 30 p.
stroke, rehabilitation, shoulder dysfunction, Neurac method
IdentifiersURN: urn:nbn:se:uu:diva-133407OAI: oai:DiVA.org:uu-133407DiVA: diva2:368781
Johansson, Ulla, Med Doktor, Leg arbetsterapeut
Lindmark, Birgitta, prof emer