However, this strategy was clearly disrupted in hemiparetic participants with a higher fall risk (DGI [less than or equal to] 19), particularly for steps taken with the paretic
2009) Hemiparetic stroke alters vastus lateralis myosin heavy chain profiles between the paretic
and nonparetic muscles.
Demographic and clinical features of the patients such as age, sex, body mass index (BMI), paretic
side, time poststroke, and stroke type (thromboembolism/hemorrhage) were noted.
In patients with little or no volitional action at paretic
sites after 6 months or longer, contracture of the joints, loss of motor skills, and whole-body dysfunction may worsen.
Ausenda CD, Carnovali M (2011) Transfer of motor skill learning from the healthy hand to the paretic
hand in stroke patients: a randomized controlled trial.
Neuromuscular electrical stimulation to paralyzed muscles can be used to exercise paretic
muscles, but is typically clinically based due to the cost involved with home use (18).
The mis-location of the target is more dramatic when attempting to look in the direction of the paretic
Low TENS treatment on post-stroke paretic
arm: A three-year follow-up.
Linear kinematics of paretic
limb step length and paretic
limb foot clearance during mid swing; and angular kinematics of sagittal plane hip, knee and ankle joint angles and frontal plane pelvic level, hip abduction and trunk lateral flexion were measured.
A second died suddenly during subdural grid monitoring from a massive pulmonary embolus due to an asymptomatic DVT originating in a paretic
Although the loss of muscle mass, as well as the inability to activate paretic
muscle, clearly contribute to the loss of muscle strength, these variables alone cannot account for the proportionally greater loss of muscle power than strength following stroke .
In the literature, various studies report that afferent stimulation obtained by functional electrical stimulation increases nerve excitability arising from the paretic
area and provides neuroplasticity (17,18).