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Upper Extremity Interventions

Chapter 10
Upper Extremity Interventions
Upper extremity complications are common following stroke and may be seriously debilitating. Regaining mobility in the upper extremities is often more difficult than in lower extremities, which can seriously impact the progress of rehabilitation. A large body of research exists around upper extremity complications but debate continues regarding the timing of treatment and adequate prognostic factors.This review provides current information regarding upper extremity interventions. Topics include robotic devices for movement therapy, virtual reality technology, spasticity treatment, EMG/biofeedback, electrical stimulation, brain stimulation, drugs and medical interventions, alternative and complementary medicine, hyperbaric oxygen therapy, and hand edema treatment. Neurodevelopmental upper extremity therapy techniques are reviewed along with other therapy options including repetitive/task-specific training, sensorimotor interventions, splinting, and constraint-induced movement therapy.
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