Upper limb Rehabilitaion post stroke, specially hand and arm movement impairments are very common and remain challenging for therapist due to many reasons like; priority is always walking , adaptation to accept life with one hand to support daily functions etc.
Upper limb impairment leads many difficulties like eating, dressing and carrying out activities of daily living and make it dependant on care taker for the same. Physiotherapy and Occupational therapy helps to regain movement which sometimes takes several months and definately varies case to case. However, to encourage to participation in therapy, lots of interventions available now to help upper limb rehabilitation. Those interventions include; special equipment / technology, biofeedback device (visual or sound) , Transcranial direct current stimulation, Mechanical dynamic splinting (orthosis) and many more.
We have come across with many number of patients with upper limb impairments post stroke or neurological impairments and have worked on different methods and used different modalities (Advanced technology). Effective use of appropriate aid in appropriate case is the key to get success in upper limb rehabilitation.
Out of them, Bioness H200 is the device which helps in such a manner to allow functional task to perform in repetitive manner and with such exercise there is easy conversion from exercise to daily activity
However, successful output requires appropriate selection of patient for this therapy out of many.
Here is one such young case of stroke survivor, who is in his thirties and suffered from infarction in MCA supplied territory of the brain leading to poor right upper limb functional movements. His main difficulty was to open hands alongwith very poor strength in flexor group as well .
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