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Hemiparesis

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229:, an examination of such scales helped determine the relevance, practical aspects and clinimetric properties of three specific scales existing today for lateropulsion. The three scales examined were the Clinical Scale of Contraversive Pushing, Modified Scale of Contraversive Pushing, and the Burke Lateropulsion Scale. The results of the study show that reliability for each scale is good; moreover, the Scale of Contraversive Pushing was determined to have acceptable clinimetric properties, and the other two scales addressed more functional positions that will help therapists with clinical decisions and research. 677:. The disability component assesses any changes in physical function including gross motor function and walking ability. The disability inventory can have a maximum score of 100 with 70 from the gross motor index and 30 from the walking index. Each task in this inventory has a maximum score of seven except for the 2 minute walk test which is out of two. The impairment component of the test evaluates the upper and lower extremities, postural control and pain. The impairment inventory focuses on the seven stages of recovery from stroke from 730:(MT) has also been used early in stroke rehabilitation and involves using the unaffected limb to stimulate motor function of the hemiparetic limb. Results from a study on patients with severe hemiparesis concluded that MT was successful in improving motor and sensory function of the distal hemiparetic upper limb. Active participation is critical to the motor learning and recovery process, therefore it's important to keep these individuals motivated so they can make continual improvements. 694:
movement part of the assessment is measured using a 3-point ordinal scale (unable to perform, partial performance, and complete performance) and the mobility part of the assessment uses a 4-point ordinal scale (unable, partial, complete with aid, complete no aid). The maximum score one can receive on the STREAM is a 70 (20 for each limb score and 30 for mobility score). The higher the score, the better movement and mobility is available for the individual being scored.
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patient’s use of the nonparetic extremities including abduction and extension of the extremities of the non-affected side, to help in the push toward the affected (paretic) side, resulting in an abnormal lateral tilt of the body axis. The third is that, when a care provider tries to realign the patient’s body to an upright posture, the patient spontaneously pushes back against the attempt, feeling this normal posture to be off balance.
820:. Supportive devices, such as braces or slings, can be used to help prevent or treat shoulder subluxation in the hopes to minimize disability and pain. Although many individuals with stroke experience both shoulder pain and shoulder subluxation, the two are mutually exclusive. A treatment method that can be implemented with the goal of helping to regain motor function in the affected limb is 192:, and the two terms are sometimes (incorrectly) used interchangeably. Some older theories suggested that hemispatial neglect is what leads to pusher syndrome. However, hemispatial neglect occurs mostly when there is a right-hemisphere lesion, and one study found that pusher syndrome is also present in patients with left hemisphere lesions (which generally also lead to 930:, the protagonist Mikazuki Augus is paralyzed in the entire right half of his body after a fierce battle with the Mobile Armor Hashmal. In order to defeat the Mobile Armor, he was forced to deactivate the safety limiter on his Gundam's neural interface and overloading the connection between him and the Mobile Suit for the necessary power. 836:
therapists actually make the splint; others may measure your child's hand and order a splint. OTs educate patients and family on compensatory techniques to continue participating in daily living, fostering independence for the individual - which may include, environmental modification, use of adaptive equipment, sensory integration, etc.
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of botulinum toxin A is to maintain the range of motion of affected joints and to prevent the occurrence of fixed joint contractures or stiffness. A randomized trial pointed out that individualized homeopathic medication in addition to the standard physiotherapy might have some effect in post-stroke hemiparesis.
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Individuals who present with pusher syndrome or lateropulsion, as defined by Davies, vary in their degree and severity of this condition and therefore appropriate measures need to be implemented in order to evaluate the level of "pushing". There has been a shift towards early diagnosis and evaluation
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seems to be normal. When they are sitting, the pushing presents as a strong lateral lean toward the affected side. When they stand up, the pushing creates a highly unstable situation as they are unable to support their body weight on the weakened lower extremity. The resulting increased risk of falls
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People with hemiparesis often have difficulties maintaining their balance due to limb paralysis, leading to an inability to properly shift body weight. This makes performing everyday activities, such as dressing, eating, grasping objects, or using the bathroom, more difficult. Hemiparesis with origin
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A is used to treat spasticity that is associated with hemiparesis both in cerebral palsy children and stroke in adults. It can be injected into a muscle or more commonly muscle groups of the upper or lower extremities. Botulinum toxin A induces temporary muscle paralysis or relaxation. The main goal
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strategies that reduce its ill effects, such as the use of verbal cues, consistent feedback, and practice correcting orientation and shifting weight, for example sitting with their stronger side next to a wall and repeatedly leaning towards the wall, thus gradually re-training the brain to recognize
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may specifically help with hemiplegia with tasks such as improving hand function, strengthening hand, shoulder and torso, and participating in activities of daily living (ADLs), such as eating and dressing. Therapists may also recommend a hand splint for active use or for stretching at night. Some
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A physical-therapy approach for patients with pusher syndrome debuted in 2003 suggests that the visual control of vertical upright orientation, which is undisturbed in these patients, is the most important intervention. In sequential order, treatment is designed to enable patients to realize their
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A diagnosis of pusher syndrome includes observation of three behaviours. The most obvious one is the patient’s regularly occurring (not just occasional) tendency to spontaneously hold a body posture in which the torso is longitudinally tilted toward the paretic side of the body. The second is the
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Hemiplegia is not a progressive disorder, except in progressive conditions like a growing brain tumour. Once the injury has occurred, the symptoms should not worsen. However, because of lack of mobility, other complications can occur. Complications may include muscle and joint stiffness, loss of
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Hemiplegia patients usually show a characteristic gait. The leg on the affected side is extended and internally rotated and is swung in a wide, lateral arc rather than lifted in order to move it forward. The upper limb on the same side is also adducted at the shoulder, flexed at the elbow, and
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and presenting with pusher syndrome in order to decrease the time spent as an in-patient at hospitals and promote the return to function as early as possible. Moreover, in order to assist therapists in the classification of pusher syndrome, specific scales have been developed with validity that
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Different types of hemiparesis can impair different bodily functions. Some effects, such as weaknesss or partial paralysis of a limb on the affected side, are generally always to be expected. Other impairments can appear, upon external examination, to be unrelated to the limb weakness, but are
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Sudden recovery from hemiplegia is very rare. Many of the individuals will have limited recovery, but the majority will improve from intensive, specialised rehabilitation. Potential to progress may differ in cerebral palsy, compared to adult acquired brain injury. It is vital to integrate the
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Orthotic devices are one type of intervention for relieving symptoms of hemiparesis. Commonly called braces, orthotics range from 'off the shelf' to custom fabricated solutions, but their main goal is alike, to supplement diminished or missing muscle function and joint laxity. A wide range of
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play a large role in assisting these patients in their recovery. Treatment is focused on improving sensation and motor abilities, allowing the patient to better manage their activities of daily living. Some strategies used for treatment include promoting the use of the hemiparetic limb during
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The STREAM consists of 30 test items involving upper-limb movements, lower-limb movements, and basic mobility items. It is a clinical measure of voluntary movements and general mobility (rolling, bridging, sit-to-stand, standing, stepping, walking and stairs) following a stroke. The voluntary
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Sleep paralysis, parasomnia, sleep apnea, sleep eat, parasomnias, paresthesias, dysesthesias, obstructive sleep apnea, REM, Stage 1, Sinemet narcolepsy, insomnia, cataplexy, benzodiazepines, opioids, sleepiness, sleep walking, daytime sleepiness, upper airway, CPAP, hypoxemia, UVVP, uvula,
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and relieve joint contractures. Individuals who are unable to swallow may have a tube inserted into the stomach. This allows food to be given directly into the stomach. The food is in liquid form and instilled at low rates. Some individuals with hemiplegia will benefit from some type of
816:(PT) can help improve muscle strength & coordination, mobility (such as standing and walking), and other physical function using different sensorimotor techniques. Physiotherapists can also help reduce shoulder pain by maintaining shoulder range of motion, as well as using 128:, a loss of both gross and fine motor skills, which often manifests as a staggering and stumbling gait. Pure motor hemiparesis, a form of hemiparesis characterized by one-sided weakness in the leg, arm, and face, is the most commonly diagnosed form of hemiparesis. 179:
in relation to gravity has been altered. They experience their body as oriented "upright" when the body is actually tilted to the side of the brain lesion. At the same time, their processing of visual and vestibular inputs when determining the
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Pedersen PM, Wandel A, Jørgensen HS, Nakayama H, Raaschou HO, Olsen TS (January 1996). "Ipsilateral pushing in stroke: incidence, relation to neuropsychological symptoms, and impact on rehabilitation. The Copenhagen Stroke Study".
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patients, who typically prefer to bear more weight on their nonhemiparetic side. Pusher syndrome can vary in severity and leads to a loss of postural balance. The lesion involved in this syndrome is thought to be in the posterior
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for use in the ongoing evaluation of the status of a patient's hemiplegia. The use of standardized assessment scales may help physiotherapists and other health care professionals during the course of their treatment plant to:
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brain. The authors hypothesize that brain reorganization after the initial injury led to more reliance on uncrossed motor pathways, and when these compensatory pathways were damaged by a second stroke, motor function worsened
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It measures sensory and motor impairment of the upper and lower extremities, balance in several positions, range of motion, and pain. This test is a reliable and valid measure in measuring post-stroke impairments related to
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altered perception of vertical, use visual aids for feedback about body orientation, learn the movements necessary to reach proper vertical position, and maintain vertical body position while performing other activities.
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Pusher syndrome is a clinical disorder following left- or right-sided brain damage, in which patients actively push their weight away from the non-hemiparetic side to the hemiparetic side. This is in contrast to most
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The pusher syndrome is present in 10.4% of patients with acute stroke and hemiparesis, and may increase the time needed for physical rehabilitation. The Copenhagen Stroke Study found that patients who presented with
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orthotic treatment can be designed by a Certified Orthotist (C.O.) or Certified Prosthetist Orthotist (C.P.O). Orthotics may be made of metal, plastic, or composite material (such as fiberglass, dyneema (
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Neglect and aphasia are not the cause of pusher syndrome, although both are highly correlated with it (possibly because the brain structures associated with these syndromes are close to each other).
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Gowland C, Stratford P, Ward M, Moreland J, Torresin W, Van Hullenaar S, et al. (January 1993). "Measuring physical impairment and disability with the Chedoke-McMaster Stroke Assessment".
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Babyar SR, Peterson MG, Bohannon R, Pérennou D, Reding M (July 2009). "Clinical examination tools for lateropulsion or pusher syndrome following stroke: a systematic review of the literature".
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Valach L, Signer S, Hartmeier A, Hofer K, Steck GC (June 2003). "Chedoke-McMaster stroke assessment and modified Barthel Index self-assessment in patients with vascular brain damage".
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Rehabilitation is the main treatment of individuals with hemiplegia. In all cases, the major aim of rehabilitation is to regain maximum function and quality of life. Both physical and
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Somnoplasty, obesity, airway obstruction, EEG, electroencephalogram, Klonopine, night terrors, bruxism, parasomnias, EMG, Epworth Sleepiness Scale, BiPAP, sleep efficiency
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or those who smoke have a higher chance of developing a stroke. Weakness on one side of the face may occur and may be due to a viral infection, stroke or a cancer.
743:. Muscles with severe motor impairment including weakness need these therapists to assist them with specific exercise, and are likely to require help to do this. 638: 2876: 102:
of one entire side of the body. Either hemiparesis or hemiplegia can result from a variety of medical causes, including congenital conditions, trauma, tumors,
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of the brain should be used to confirm injury in the brain and spinal cord, but alone cannot be used to identify movement disorders. Individuals who develop
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A case report describes a patient with a congenitally uncrossed pyramidal tract, who developed right-sided hemiparesis after a hemorrhage in the right brain.
1523:, Yamaguchi T (2007). "Deterioration of hemiparesis after recurrent stroke in the unaffected hemisphere: Three further cases with possible interpretation". 3642: 626:
Create appropriate short- and long-term goals for treatment based on the outcome of the scales, their professional expertise and the desires of the patient
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Price CI, Pandyan AD (February 2001). "Electrical stimulation for preventing and treating post-stroke shoulder pain: a systematic Cochrane review".
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Patten C, Lexell J, Brown HE (May 2004). "Weakness and strength training in persons with poststroke hemiplegia: rationale, method, and efficacy".
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could be used as a relaxant. Drugs are also given to individuals who have recurrent seizures, which may be a separate but related problem after
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Zorowitz RD, Hughes MB, Idank D, Ikai T, Johnston MV (March 1996). "Shoulder pain and subluxation after stroke: correlation or coincidence?".
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Karnath HO, Ferber S, Dichgans J (November 2000). "The origin of contraversive pushing: evidence for a second graviceptive system in humans".
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hemiplegic child into society and encourage them in their daily living activities. With time, some individuals may make remarkable progress.
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Treatment for hemiparesis is the same treatment given to those recovering from strokes or brain injuries. Health care professionals such as
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Lagerqvist, J.; Skargren, E. (2006). "Pusher syndrome: reliability, validity, and sensitivity to change of a classification instrument".
1714:"Fugl-Meyer assessment of sensorimotor function after stroke: standardized training procedure for clinical practice and clinical trials" 821: 723: 2229: 1378: 793:
device. There are many types of braces and splints available to stabilize a joint, assist with walking and keep the upper body erect.
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to normal motor functioning. A training workshop is recommended if the measure is being utilized for the purpose of data collection.
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The incidence of hemiplegia is much higher in premature babies than term babies. There is also a high incidence of hemiplegia during
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Sterr A, Freivogel S (September 2003). "Motor-improvement following intensive training in low-functioning chronic hemiparesis".
3486: 440: 265:. A permanent brain injury that occurs during the intrauterine life, during delivery or early in life can lead to hemiplegic 543:(weakness on the opposite side as the injury). Injuries at the lower medulla, spinal cord, and peripheral nerves result in 666: 530: 274: 824:. This consists of constraining the unaffected limb, forcing the affected limb to accomplish tasks of daily living. 591: 529:
that control each muscle. In addition to this main pathway, there are smaller contributing pathways (including the
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Dutta, Abhijit; Singh, Subhas; Saha, Subhranil; Rath, Prasanta; Sehrawat, Nisha; Singh, Navin Kumar (2022-08-29).
3386: 3381: 1321: 917:), developed in part due to the distinct speech patterns of her mother, caused by her hemiplegia due to a stroke. 615: 482: 254: 2162: 2851: 646: 2354:"Efficacy of individualized homeopathic medicines in treatment of post-stroke hemiparesis: A randomized trial" 1208:
Steps to follow: A guide to the treatment of adult hemiplegia : Based on the concept of K. and B. Bobath
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Evaluate the potential burden of care and monitor any changes based on either improving or declining scores
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brain injury subsequently experienced worsening of their hemiparesis when hit with a second stroke in the
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that results in hemiplegia occurs in the brain or spinal cord, hemiplegic muscles display features of the
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Wittenberg GF, Schaechter JD (December 2009). "The neural basis of constraint-induced movement therapy".
1480:"Ipsilateral hemiparesis caused by a corona radiata infarct after a previous stroke on the opposite side" 168:
pushing took an average of 3.6 additional weeks to reach the same functional outcome, as measured by the
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or some event which causes brain injury. There is tentative evidence of an association with undiagnosed
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must be addressed with therapy aimed at correcting their altered proprioceptive perception of vertical.
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coincides with the criteria set out by Davies' definition of "pusher syndrome". In a study by Babyar
1620: 3596: 3498: 3421: 2868: 2832: 1404: 955: 950: 945: 703: 459: 344: 246: 241:. Strokes can cause a variety of movement disorders, depending on the location and severity of the 189: 153: 2717: 2305:"Botulinum toxin type A in the treatment of lower limb spasticity in children with cerebral palsy" 1379:"What is hemiplegia? | HemiHelp: for children and young people with hemiplegia (hemiparesis)" 991: 448:: local anaesthetic injections given intra-arterially rapidly, instead of given in a nerve branch. 3333: 3323: 3318: 3227: 3092: 2990: 2899: 2616: 2538: 2481: 2438: 2389: 2211: 2132: 2083: 1694: 1598: 1548: 1303: 1253: 1090: 876: 407: 398: 250: 172:, compared with acute-stroke and hemiparesis patients who did not engage in ipsilateral pushing. 60: 31: 1343:
Shapiro M, Blanco DA (February 2017). "Neurological Complications of Gastrointestinal Disease".
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This test is a reliable measure of two separate components evaluating both motor impairment and
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Sullivan KJ, Tilson JK, Cen SY, Rose DK, Hershberg J, Correa A, et al. (February 2011).
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Prioritize treatment interventions based on specific identifiable motor and sensory deficits
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pronated at the wrist with the thumb tucked into the palm and the fingers curled around it.
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Because of this anatomy, injuries to the pyramidal tract above the medulla generally cause
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Ago T, Kitazono T, Ooboshi H, Takada J, Yoshiura T, Mihara F, et al. (August 2003).
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Drugs can be used to treat issues related to the Upper Motor Neuron Syndrome. Drugs like
1665:"The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance" 1125: 735:
Treatment should be based on assessment by the relevant health professionals, including
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Knutson, Jayme S.; Fu, Michael J.; Sheffler, Lynne R.; Chae, John (November 26, 2015).
1455: 1430: 849:,) carbon fiber; etc.) and design may be changed to address many different conditions. 468: 436: 373: 352: 297: 266: 203: 176: 2845: 2837: 1649: 1184: 3631: 3616: 3559: 3157: 3047: 3007: 2960: 2945: 2393: 1841: 1568:"Ipsilateral hemiparesis after putaminal hemorrhage due to uncrossed pyramidal tract" 1257: 1144: 1109: 578:
Hemiplegia is identified by clinical examination by a health professional, such as a
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Also speech pathologists may work to increase function for people with hemiparesis.
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The FMA is often used as a measure of functional or physical impairment following a
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In a few cases, lesions above the medulla have resulted in ipsilateral hemiparesis:
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and experts believe that this may be related to either a traumatic delivery, use of
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may undergo tests to determine where the focus of excess electrical activity is.
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Proceedings of the National Academy of Sciences of the United States of America
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Terakawa H, Abe K, Nakamura M, Okazaki T, Obashi J, Yanagihara T (May 2000).
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Pushing behaviour demonstrates that these patients’ perception of their body
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Farag SM, Mohammed MO, El-Sobky TA, ElKadery NA, ElZohiery AK (March 2020).
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Administration of the FMA should be done after reviewing a training manual.
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Some of the most commonly used scales in the assessment of hemiplegia are:
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O'Sullivan S (2007). "Ch. 12: Stroke". In O'Sullivan S, Schmitz T (eds.).
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nevertheless also caused by damage to the affected side of the brain.
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Surgery may be used if the individual develops a secondary issue of
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Physical therapists treating patients with pusher syndrome focus on
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Sullivan SB (2007). "Stroke". In O'Sullivan SB, Schmitz TJ (eds.).
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There are a variety of standardized assessment scales available to
277:. Features other than weakness include decreased movement control, 3262: 3252: 921: 262: 2149: 557:
In several reported cases, patients with hemiparesis from an old
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Ada L, Foongchomcheay A, Canning C (January 2005). Ada L (ed.).
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Fugl-Meyer AR, Jääskö L, Leyman I, Olsson S, Steglind S (1975).
780:, from a severe imbalance of muscle activity. In such cases the 2872: 2101:
Dohle C, Püllen J, Nakaten A, Küst J, Rietz C, Karbe H (2009).
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aerobic fitness, muscle spasms, bed sores, pressure ulcers and
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in the lower section of the brain creates a condition known as
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Blumetti FC, Belloti JC, Tamaoki MJ, Pinto JA (October 2019).
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will encourage overall function and use of the affected limb.
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Physical Medicine and Rehabilitation Clinics of North America
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functional tasks, maintaining range of motion, and using
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The most common cause of hemiparesis and hemiplegia is
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Beebe, Justin A.; Lang, Catherine E. (March 5, 2009).
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Song YM, Lee JY, Park JM, Yoon BW, Roh JK (May 2005).
281:(a series of involuntary rapid muscle contractions), 2776: 1326:
Children's Hemiplegia and Stroke Association (CHASA)
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Movement of the body is primarily controlled by the
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of functional status for individuals who have had a
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Hemiplegia is common when the stroke affects the 69: 59: 47: 42: 2188:Journal of Rehabilitation Research and Development 1888:Daley K, Mayo N, Wood-Dauphinée S (January 1999). 1435:Journal of Neurology, Neurosurgery, and Psychiatry 1108:Karnath HO, Ferber S, Dichgans J (December 2000). 152:on either side, or in multiple areas of the right 88:, is the weakness of one entire side of the body ( 2718:"Kingsolver, Barbara : The Poisonwood Bible" 1830:International Journal of Rehabilitation Research 1173:Archives of Physical Medicine and Rehabilitation 2691: 2689: 1769:"Fugl-Meyer Assessment of Motor Recovery after" 1669:Scandinavian Journal of Rehabilitation Medicine 805:can significantly improve the quality of life. 2634:Choo, Yoo Jin; Chang, Min Cheol (2021-08-13). 1026:"Understanding and treating "pusher syndrome"" 639:Fugl-Meyer Assessment of sensorimotor function 2884: 525:, then travels down the spinal cord into the 307:Other causes of hemiplegia in adults include 8: 3638:Cerebral palsy and other paralytic syndromes 2558:The American Journal of Occupational Therapy 2167:American Speech-Language-Hearing Association 1864:"Chedoke-McMaster Stroke Assessment Measure" 1757:(5th ed.). Philadelphia PA: F.A. Davis. 1619:. OriginsOfCerebralPalsy.com. Archived from 1165: 1163: 687:Stroke Rehabilitation Assessment of Movement 2505:The Cochrane Database of Systematic Reviews 2309:The Cochrane Database of Systematic Reviews 1019: 1017: 1015: 1013: 1011: 1009: 1007: 987: 985: 983: 981: 188:Pusher syndrome is sometimes confused with 98:, in its most severe form, is the complete 2891: 2877: 2869: 2777: 1617:"Spastic Hemiplegia : Cerebral Palsy" 1273: 1271: 1269: 1267: 506:, a pathway of neurons that begins in the 39: 2669: 2651: 2524: 2424: 2328: 2279: 2118: 2034: 1977: 1905: 1729: 1680: 1495: 1454: 1143: 1133: 1041: 927:Mobile Suit Gundam: Iron-Blooded Orphans 65:Loss of motor skills on one side of body 977: 518:, decussates (or cross midline) at the 27:Weakness of one entire side of the body 2150:Stroke in Physical Rehabilitation 2007 1024:Karnath HO, Broetz D (December 2003). 2413:Neurorehabilitation and Neural Repair 2107:Neurorehabilitation and Neural Repair 249:. Other causes of hemiplegia include 7: 1519:Yamamoto S, Takasawa M, Kajiyama K, 1405:"I was awake -- and could not move!" 719:and increase awareness of the limb. 713:neuromuscular electrical stimulation 323:. Individuals who have uncontrolled 300:and improvement after withdrawal of 822:constraint-induced movement therapy 724:constraint-induced movement therapy 3643:Symptoms and signs: Nervous system 2941:Festinating gait/Parkinsonian gait 992:Detailed article about hemiparesis 722:At the more advanced level, using 667:Chedoke-McMaster Stroke Assessment 504:pyramidal (or corticospinal) tract 25: 818:Functional electrical stimulation 215:Classification of pusher syndrome 3535:Overpronation/Flexible flat feet 2720:. Litmed.med.nyu.edu. 2000-05-17 1929:O'sullivan S, Schmitz T (2007). 1866:. Rehab Measures. Archived from 1842:10.1097/00004356-200306000-00003 1771:. Rehab Measures. Archived from 2762:. broadwayworld.com. 2013-08-08 1345:Seminars in Pediatric Neurology 2699:. Healthopedia.com. 2009-04-06 2517:10.1002/14651858.CD003863.pub2 2321:10.1002/14651858.CD001408.pub2 763:. Intra-muscular injection of 441:vertebral compression fracture 1: 2370:10.1016/j.explore.2022.08.017 1185:10.1016/s0003-9993(96)90215-4 2986:Myopathic gait/Waddling gait 2697:"Hemiplegia (Hemiparalysis)" 2605:10.1097/WCO.0b013e3283320229 2593:Current Opinion in Neurology 2364:(2): S1550–8307(22)00160–4. 2019:10.1161/STROKEAHA.108.536763 1731:10.1161/STROKEAHA.110.592766 1210:. New York: Springer-Verlag. 531:anterior corticospinal tract 510:, projects down through the 275:upper motor neuron syndrome 261:, or disease affecting the 3659: 2470:10.1191/026921501670667822 1381:. HemiHelp. Archived from 1357:10.1016/j.spen.2017.02.001 592:magnetic resonance imaging 182:subjective visual vertical 135: 29: 3387:Lower motor neuron lesion 3382:Upper motor neuron lesion 3187:Myotonia / Pseudomyotonia 2902:relating to movement and 2653:10.3390/healthcare9081046 2272:10.2106/JBJS.RVW.19.00119 2200:10.1682/JRRD.2004.03.0293 2163:"Right Hemisphere Damage" 1962:10.1016/j.pmr.2015.06.002 1497:10.1001/archneur.62.5.809 1250:10.1080/14038190600806596 1238:Advances in Physiotherapy 616:health care professionals 483:corticobasal degeneration 84:, also called unilateral 2426:10.1177/0888439003259415 2230:"Hemiplegia/Hemiparesis" 2120:10.1177/1545968308324786 1525:Cerebrovascular Diseases 1322:"hemiplegia in children" 1292:10.1177/0269215509104172 647:cerebrovascular accident 514:, continues through the 508:motor areas of the brain 427:: cerebral lacerations, 30:Not to be confused with 2458:Clinical Rehabilitation 1931:Physical Rehabilitation 1755:Physical Rehabilitation 1280:Clinical Rehabilitation 1223:Physical Rehabilitation 833:Occupational therapists 741:occupational therapists 708:occupational therapists 378:spinal epidural abscess 1900:(1): 8–19, quiz 20–3. 1807:10.1161/01.STR.24.1.58 1447:10.1136/jnnp.74.8.1152 1135:10.1073/pnas.240279997 1043:10.1093/ptj/83.12.1119 941:Alternating hemiplegia 892:released an EP called 412:disseminated sclerosis 259:traumatic brain injury 255:Brown-Séquard syndrome 104:traumatic brain injury 3494:Boutonniere deformity 2570:10.5014/ajot.50.3.194 1682:10.2340/1650197771331 1587:10.1212/WNL.54.9.1801 1484:Archives of Neurology 1079:10.1212/wnl.55.9.1298 1001:at Disabled-World.com 840:Orthotic Intervention 3565:Clasp-knife response 2072:10.1212/wnl.61.6.842 1652:on October 11, 2010. 1642:"Gait Abnormalities" 1332:on February 4, 2012. 882:The Poisonwood Bible 828:Occupational therapy 803:occupational therapy 420:neuromyelitis optica 119:Loss of motor skills 3597:Conversion disorder 3499:Swan neck deformity 3422:Locomotive syndrome 1407:. Lakesidepress.com 1126:2000PNAS...9713931K 956:Laryngeal paralysis 951:Hemiplegic migraine 946:Brunnstrom Approach 704:physical therapists 345:cerebral hemorrhage 247:corticospinal tract 190:hemispatial neglect 154:cerebral hemisphere 3334:Spastic paraplegia 3324:Spastic paraplegia 3319:Periodic paralysis 3228:Abnormal posturing 3093:Dysdiadochokinesia 3029:Asynchronous gait 2991:Trendelenburg gait 2951:Marche à petit pas 2900:Signs and symptoms 1907:10.1093/ptj/79.1.8 1206:Davies PM (1985). 997:2022-02-02 at the 877:Barbara Kingsolver 408:multiple sclerosis 399:spinal cord tumors 251:spinal cord injury 110:Signs and symptoms 32:Spastic hemiplegia 3625: 3624: 3314:Flaccid paralysis 3135:Abnormal movement 3125:Hemimotor neglect 3083:Cerebellar ataxia 3033:Gunslinger's gait 2931:Cerebellar ataxia 2866: 2865: 1537:10.1159/000095756 1403:Martin L (2009). 679:flaccid paralysis 433:epidural hematoma 429:subdural hematoma 79: 78: 37:Medical condition 16:(Redirected from 3650: 3329:Spastic diplegia 3296:Tonic immobility 3288:Waxy flexibility 3232:Stooped posture 3038:Hemiparetic gait 3019:Asymmetric gait 2918:Gait abnormality 2893: 2886: 2879: 2870: 2778: 2771: 2770: 2768: 2767: 2756: 2750: 2749: 2747: 2746: 2735: 2729: 2728: 2726: 2725: 2714: 2708: 2707: 2705: 2704: 2693: 2684: 2683: 2673: 2655: 2631: 2625: 2624: 2588: 2582: 2581: 2553: 2547: 2546: 2528: 2496: 2490: 2489: 2453: 2447: 2446: 2428: 2404: 2398: 2397: 2349: 2343: 2342: 2332: 2315:(10): CD001408. 2300: 2294: 2293: 2283: 2251: 2245: 2244: 2242: 2241: 2232:. Archived from 2226: 2220: 2219: 2183: 2177: 2176: 2174: 2173: 2159: 2153: 2147: 2141: 2140: 2122: 2098: 2092: 2091: 2055: 2049: 2048: 2038: 2013:(5): 1772–1779. 1998: 1992: 1991: 1981: 1941: 1935: 1934: 1926: 1920: 1919: 1909: 1894:Physical Therapy 1885: 1879: 1878: 1876: 1875: 1860: 1854: 1853: 1825: 1819: 1818: 1790: 1784: 1783: 1781: 1780: 1765: 1759: 1758: 1750: 1744: 1743: 1733: 1709: 1703: 1702: 1684: 1660: 1654: 1653: 1648:. Archived from 1638: 1632: 1631: 1629: 1628: 1613: 1607: 1606: 1572: 1563: 1557: 1556: 1516: 1510: 1509: 1499: 1475: 1469: 1468: 1458: 1426: 1420: 1419: 1413: 1412: 1400: 1394: 1393: 1391: 1390: 1375: 1369: 1368: 1340: 1334: 1333: 1328:. Archived from 1318: 1312: 1311: 1275: 1262: 1261: 1233: 1227: 1226: 1218: 1212: 1211: 1203: 1197: 1196: 1167: 1158: 1157: 1147: 1137: 1105: 1099: 1098: 1062: 1056: 1055: 1045: 1021: 1002: 989: 898:Columbia Records 814:Physical therapy 809:Physical therapy 737:physiotherapists 612:physiotherapists 606:Assessment tools 512:internal capsule 460:Todd's paralysis 40: 21: 3658: 3657: 3653: 3652: 3651: 3649: 3648: 3647: 3628: 3627: 3626: 3621: 3592:Motion sickness 3525:Rachitic rosary 3513: 3462:Joint stiffness 3437:Range of motion 3431: 3398: 3394:Sleep paralysis 3378:General causes 3300: 3216: 3129: 3064: 2976:Vestibular gait 2956:Propulsive gait 2906: 2897: 2867: 2862: 2861: 2789: 2775: 2774: 2765: 2763: 2758: 2757: 2753: 2744: 2742: 2737: 2736: 2732: 2723: 2721: 2716: 2715: 2711: 2702: 2700: 2695: 2694: 2687: 2633: 2632: 2628: 2590: 2589: 2585: 2555: 2554: 2550: 2511:(1): CD003863. 2498: 2497: 2493: 2455: 2454: 2450: 2406: 2405: 2401: 2351: 2350: 2346: 2302: 2301: 2297: 2253: 2252: 2248: 2239: 2237: 2228: 2227: 2223: 2194:(3A): 293–312. 2185: 2184: 2180: 2171: 2169: 2161: 2160: 2156: 2148: 2144: 2100: 2099: 2095: 2057: 2056: 2052: 2000: 1999: 1995: 1943: 1942: 1938: 1928: 1927: 1923: 1887: 1886: 1882: 1873: 1871: 1862: 1861: 1857: 1827: 1826: 1822: 1792: 1791: 1787: 1778: 1776: 1767: 1766: 1762: 1752: 1751: 1747: 1711: 1710: 1706: 1662: 1661: 1657: 1646:The Stanford 25 1640: 1639: 1635: 1626: 1624: 1615: 1614: 1610: 1570: 1565: 1564: 1560: 1518: 1517: 1513: 1477: 1476: 1472: 1428: 1427: 1423: 1410: 1408: 1402: 1401: 1397: 1388: 1386: 1377: 1376: 1372: 1342: 1341: 1337: 1320: 1319: 1315: 1277: 1276: 1265: 1235: 1234: 1230: 1220: 1219: 1215: 1205: 1204: 1200: 1169: 1168: 1161: 1120:(25): 13931–6. 1107: 1106: 1102: 1073:(9): 1298–304. 1064: 1063: 1059: 1036:(12): 1119–25. 1023: 1022: 1005: 999:Wayback Machine 990: 979: 974: 937: 872: 870:Popular culture 855: 842: 830: 811: 799: 774: 765:botulinum toxin 749: 731: 700: 655:stroke recovery 608: 586:studies like a 580:physiotherapist 576: 500: 492:sleep paralysis 337: 304:from the diet. 253:, specifically 235: 217: 207:true vertical. 140: 138:Pusher syndrome 134: 132:Pusher syndrome 121: 112: 94:means "half"). 38: 35: 28: 23: 22: 15: 12: 11: 5: 3656: 3654: 3646: 3645: 3640: 3630: 3629: 3623: 3622: 3620: 3619: 3614: 3609: 3604: 3599: 3594: 3589: 3584: 3582:Astasia-abasia 3579: 3574: 3569: 3568: 3567: 3557: 3552: 3547: 3545:Bow-leggedness 3542: 3537: 3532: 3527: 3521: 3519: 3515: 3514: 3512: 3511: 3506: 3501: 3496: 3491: 3490: 3489: 3484: 3479: 3469: 3464: 3459: 3458: 3457: 3452: 3441: 3439: 3433: 3432: 3430: 3429: 3424: 3419: 3414: 3408: 3406: 3400: 3399: 3397: 3396: 3391: 3390: 3389: 3384: 3376: 3375: 3374: 3365: 3360: 3355: 3346: 3338: 3337: 3336: 3331: 3321: 3316: 3310: 3308: 3302: 3301: 3299: 3298: 3293: 3290: 3285: 3280: 3275: 3270: 3265: 3260: 3255: 3250: 3245: 3244: 3243: 3238: 3230: 3224: 3222: 3218: 3217: 3215: 3214: 3209: 3204: 3199: 3194: 3189: 3184: 3175: 3170: 3165: 3160: 3155: 3150: 3145: 3139: 3137: 3131: 3130: 3128: 3127: 3122: 3117: 3112: 3110:Sensory ataxia 3107: 3106: 3105: 3100: 3098:Pronator drift 3095: 3090: 3080: 3074: 3072: 3066: 3065: 3063: 3062: 3061: 3060: 3052: 3051: 3050: 3045: 3040: 3035: 3027: 3026: 3025: 3017: 3016: 3015: 3010: 3000: 2999: 2998: 2993: 2988: 2980: 2979: 2978: 2973: 2971:Truncal ataxia 2968: 2963: 2958: 2953: 2948: 2943: 2938: 2933: 2928: 2920: 2914: 2912: 2908: 2907: 2898: 2896: 2895: 2888: 2881: 2873: 2864: 2863: 2860: 2859: 2848: 2825: 2810: 2790: 2785: 2784: 2782: 2781:Classification 2773: 2772: 2751: 2730: 2709: 2685: 2626: 2583: 2564:(3): 194–201. 2548: 2491: 2448: 2399: 2344: 2295: 2246: 2221: 2178: 2154: 2142: 2093: 2050: 1993: 1956:(4): 729–745. 1936: 1921: 1880: 1855: 1820: 1785: 1760: 1745: 1704: 1655: 1633: 1608: 1558: 1511: 1470: 1421: 1395: 1370: 1335: 1313: 1263: 1244:(4): 154–160. 1228: 1213: 1198: 1159: 1100: 1057: 1003: 976: 975: 973: 970: 969: 968: 963: 958: 953: 948: 943: 936: 933: 932: 931: 918: 901: 886: 871: 868: 854: 851: 841: 838: 829: 826: 810: 807: 798: 797:Rehabilitation 795: 773: 770: 748: 745: 739:, doctors and 728:Mirror Therapy 699: 696: 691: 690: 671: 670: 643: 642: 631: 630: 627: 624: 607: 604: 575: 572: 571: 570: 567: 499: 496: 495: 494: 485: 472: 469:cerebral palsy 462: 449: 443: 437:cerebral palsy 422: 401: 380: 374:cerebral palsy 355: 353:cerebral palsy 336: 333: 298:celiac disease 267:cerebral palsy 234: 231: 216: 213: 204:motor learning 136:Main article: 133: 130: 120: 117: 111: 108: 77: 76: 71: 67: 66: 63: 57: 56: 51: 45: 44: 36: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 3655: 3644: 3641: 3639: 3636: 3635: 3633: 3618: 3617:Dancing mania 3615: 3613: 3610: 3608: 3605: 3603: 3600: 3598: 3595: 3593: 3590: 3588: 3585: 3583: 3580: 3578: 3575: 3573: 3570: 3566: 3563: 3562: 3561: 3560:Hyperreflexia 3558: 3556: 3553: 3551: 3548: 3546: 3543: 3541: 3538: 3536: 3533: 3531: 3528: 3526: 3523: 3522: 3520: 3516: 3510: 3507: 3505: 3502: 3500: 3497: 3495: 3492: 3488: 3485: 3483: 3480: 3478: 3475: 3474: 3473: 3472:Hypermobility 3470: 3468: 3465: 3463: 3460: 3456: 3453: 3451: 3448: 3447: 3446: 3443: 3442: 3440: 3438: 3434: 3428: 3425: 3423: 3420: 3418: 3415: 3413: 3410: 3409: 3407: 3405: 3401: 3395: 3392: 3388: 3385: 3383: 3380: 3379: 3377: 3373: 3369: 3366: 3364: 3361: 3359: 3356: 3354: 3350: 3347: 3345: 3342: 3341: 3339: 3335: 3332: 3330: 3327: 3326: 3325: 3322: 3320: 3317: 3315: 3312: 3311: 3309: 3307: 3303: 3297: 3294: 3291: 3289: 3286: 3284: 3281: 3279: 3278:Joint locking 3276: 3274: 3271: 3269: 3266: 3264: 3261: 3259: 3256: 3254: 3251: 3249: 3246: 3242: 3239: 3237: 3234: 3233: 3231: 3229: 3226: 3225: 3223: 3219: 3213: 3210: 3208: 3205: 3203: 3200: 3198: 3195: 3193: 3190: 3188: 3185: 3183: 3179: 3176: 3174: 3171: 3169: 3166: 3164: 3161: 3159: 3158:Fasciculation 3156: 3154: 3151: 3149: 3146: 3144: 3141: 3140: 3138: 3136: 3132: 3126: 3123: 3121: 3118: 3116: 3113: 3111: 3108: 3104: 3101: 3099: 3096: 3094: 3091: 3089: 3086: 3085: 3084: 3081: 3079: 3076: 3075: 3073: 3071: 3067: 3059: 3056: 3055: 3053: 3049: 3048:Antalgic gait 3046: 3044: 3041: 3039: 3036: 3034: 3031: 3030: 3028: 3024: 3021: 3020: 3018: 3014: 3011: 3009: 3008:Steppage gait 3006: 3005: 3004: 3001: 2997: 2994: 2992: 2989: 2987: 2984: 2983: 2981: 2977: 2974: 2972: 2969: 2967: 2964: 2962: 2961:Stomping gait 2959: 2957: 2954: 2952: 2949: 2947: 2946:Magnetic gait 2944: 2942: 2939: 2937: 2934: 2932: 2929: 2927: 2924: 2923: 2921: 2919: 2916: 2915: 2913: 2909: 2905: 2901: 2894: 2889: 2887: 2882: 2880: 2875: 2874: 2871: 2858: 2854: 2853: 2849: 2847: 2843: 2839: 2835: 2834: 2830: 2826: 2824: 2820: 2819: 2815: 2811: 2809: 2805: 2801: 2800: 2796: 2792: 2791: 2788: 2783: 2779: 2761: 2755: 2752: 2740: 2734: 2731: 2719: 2713: 2710: 2698: 2692: 2690: 2686: 2681: 2677: 2672: 2667: 2663: 2659: 2654: 2649: 2645: 2641: 2637: 2630: 2627: 2622: 2618: 2614: 2610: 2606: 2602: 2598: 2594: 2587: 2584: 2579: 2575: 2571: 2567: 2563: 2559: 2552: 2549: 2544: 2540: 2536: 2532: 2527: 2522: 2518: 2514: 2510: 2506: 2502: 2495: 2492: 2487: 2483: 2479: 2475: 2471: 2467: 2463: 2459: 2452: 2449: 2444: 2440: 2436: 2432: 2427: 2422: 2418: 2414: 2410: 2403: 2400: 2395: 2391: 2387: 2383: 2379: 2375: 2371: 2367: 2363: 2359: 2355: 2348: 2345: 2340: 2336: 2331: 2326: 2322: 2318: 2314: 2310: 2306: 2299: 2296: 2291: 2287: 2282: 2277: 2273: 2269: 2265: 2261: 2257: 2250: 2247: 2236:on 2009-04-20 2235: 2231: 2225: 2222: 2217: 2213: 2209: 2205: 2201: 2197: 2193: 2189: 2182: 2179: 2168: 2164: 2158: 2155: 2152:, p. 746 2151: 2146: 2143: 2138: 2134: 2130: 2126: 2121: 2116: 2113:(3): 209–17. 2112: 2108: 2104: 2097: 2094: 2089: 2085: 2081: 2077: 2073: 2069: 2065: 2061: 2054: 2051: 2046: 2042: 2037: 2032: 2028: 2024: 2020: 2016: 2012: 2008: 2004: 1997: 1994: 1989: 1985: 1980: 1975: 1971: 1967: 1963: 1959: 1955: 1951: 1947: 1940: 1937: 1932: 1925: 1922: 1917: 1913: 1908: 1903: 1899: 1895: 1891: 1884: 1881: 1870:on 2014-10-06 1869: 1865: 1859: 1856: 1851: 1847: 1843: 1839: 1835: 1831: 1824: 1821: 1816: 1812: 1808: 1804: 1800: 1796: 1789: 1786: 1775:on 2016-09-24 1774: 1770: 1764: 1761: 1756: 1749: 1746: 1741: 1737: 1732: 1727: 1724:(2): 427–32. 1723: 1719: 1715: 1708: 1705: 1700: 1696: 1692: 1688: 1683: 1678: 1674: 1670: 1666: 1659: 1656: 1651: 1647: 1643: 1637: 1634: 1623:on 2018-01-26 1622: 1618: 1612: 1609: 1604: 1600: 1596: 1592: 1588: 1584: 1581:(9): 1801–5. 1580: 1576: 1569: 1562: 1559: 1554: 1550: 1546: 1542: 1538: 1534: 1530: 1526: 1522: 1515: 1512: 1507: 1503: 1498: 1493: 1490:(5): 809–11. 1489: 1485: 1481: 1474: 1471: 1466: 1462: 1457: 1452: 1448: 1444: 1441:(8): 1152–3. 1440: 1436: 1432: 1425: 1422: 1418: 1406: 1399: 1396: 1385:on 2013-03-05 1384: 1380: 1374: 1371: 1366: 1362: 1358: 1354: 1350: 1346: 1339: 1336: 1331: 1327: 1323: 1317: 1314: 1309: 1305: 1301: 1297: 1293: 1289: 1286:(7): 639–50. 1285: 1281: 1274: 1272: 1270: 1268: 1264: 1259: 1255: 1251: 1247: 1243: 1239: 1232: 1229: 1224: 1217: 1214: 1209: 1202: 1199: 1194: 1190: 1186: 1182: 1178: 1174: 1166: 1164: 1160: 1155: 1151: 1146: 1141: 1136: 1131: 1127: 1123: 1119: 1115: 1111: 1104: 1101: 1096: 1092: 1088: 1084: 1080: 1076: 1072: 1068: 1061: 1058: 1053: 1049: 1044: 1039: 1035: 1031: 1027: 1020: 1018: 1016: 1014: 1012: 1010: 1008: 1004: 1000: 996: 993: 988: 986: 984: 982: 978: 971: 967: 964: 962: 959: 957: 954: 952: 949: 947: 944: 942: 939: 938: 934: 929: 928: 923: 919: 916: 912: 911: 906: 902: 899: 895: 891: 887: 884: 883: 878: 874: 873: 869: 867: 863: 861: 852: 850: 848: 839: 837: 834: 827: 825: 823: 819: 815: 808: 806: 804: 796: 794: 792: 787: 783: 779: 771: 769: 766: 762: 758: 754: 746: 744: 742: 738: 733: 729: 725: 720: 718: 714: 709: 705: 697: 695: 688: 684: 683: 682: 680: 676: 668: 664: 663: 662: 660: 656: 651: 648: 640: 636: 635: 634: 628: 625: 622: 621: 620: 617: 613: 605: 603: 599: 597: 593: 589: 585: 581: 573: 568: 564: 560: 559:contralateral 556: 555: 554: 551: 549: 547: 542: 540: 539:contralateral 534: 532: 528: 527:motor neurons 524: 521: 517: 513: 509: 505: 497: 493: 489: 486: 484: 480: 476: 473: 470: 466: 463: 461: 457: 453: 450: 447: 444: 442: 438: 434: 430: 426: 423: 421: 417: 413: 409: 405: 404:Demyelination 402: 400: 396: 392: 388: 384: 381: 379: 375: 371: 370:brain abscess 367: 363: 359: 356: 354: 350: 346: 342: 339: 338: 334: 332: 330: 326: 322: 318: 314: 310: 305: 303: 299: 295: 291: 286: 284: 280: 276: 272: 268: 264: 260: 256: 252: 248: 244: 240: 232: 230: 228: 223: 214: 212: 208: 205: 200: 197: 195: 191: 186: 183: 178: 173: 171: 170:Barthel Index 167: 161: 157: 155: 151: 146: 139: 131: 129: 127: 118: 116: 109: 107: 105: 101: 97: 93: 92: 87: 83: 75: 72: 68: 64: 62: 58: 55: 52: 50: 46: 41: 33: 19: 3555:Hyporeflexia 3450:Bethlem sign 3417:Gowers' sign 3411: 3372:Quadruplegia 3248:Opisthotonus 3241:Osteoporosis 3236:Camptocormia 3178:Hyperkinesia 3163:Fibrillation 3070:Coordination 3037: 3023:Leaping gait 2966:Spastic gait 2936:Choreic gait 2926:Scissor gait 2850: 2827: 2812: 2793: 2764:. 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Index

Hemiplegic
Spastic hemiplegia
Specialty
Neurology
Symptoms
Stroke
paresis
hemi-
paralysis
traumatic brain injury
ataxia
Pusher syndrome
stroke
thalamus
cerebral hemisphere
ipsilateral
Barthel Index
posture
subjective visual vertical
hemispatial neglect
aphasia
motor learning
stroke
stroke
lesion
corticospinal tract
spinal cord injury
Brown-Séquard syndrome
traumatic brain injury
brain

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