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Therapeutic Aspect OF Derived Position FOR Stroke Patients
Corresponding Author(s) : Gokulakrishnan J
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 13 No. 4 (2025): 2025 Volume -13 - Issue 4
Abstract
Stroke remains a major cause of long-term disability, leading to impairments in motor function, muscle tone, and postural control. Positioning strategies play a vital role in stroke rehabilitation, as incorrect posture may contribute to contractures, spasticity, and pressure sores. Derived positions—specific postural modifications based on biomechanical and neurophysiological principles—are used to optimize muscle activity and facilitate recovery.
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- Bobath, B. (1990). Adult Hemiplegia: Evaluation and Treatment (3rd ed.). Heinemann Medical Books.
- Carr, J. H., & Shepherd, R. B. (2010). Stroke Rehabilitation: Guidelines for Exercise and Training to Optimize Motor Skill. Butterworth-Heinemann.
- O’Sullivan, S. B., Schmitz, T. J., & Fulk, G. D. (2019). Physical Rehabilitation (7th ed.). F.A. Davis Company.
- Umphred, D. A., Lazaro, R. T., Roller, M. L., & Burton, G. U. (2013). Umphred’s Neurological Rehabilitation (6th ed.). Elsevier Mosby.
- Shumway-Cook, A., & Woollacott, M. H. (2017). Motor Control: Translating Research into Clinical Practice (5th ed.). Lippincott Williams & Wilkins.
- Lennon, S., Ramdharry, G., & Verheyden, G. (2018). Physical Management for Neurological Conditions (4th ed.). Elsevier.
- Ada, L., & Canning, C. G. (1990). Changing the way we view the contribution of the unaffected side to recovery after stroke. Physiotherapy Theory and Practice, 6(1), 31–37.
- Tyson, S. F., & Rogerson, L. (2009). Assistive technologies and positioning in stroke rehabilitation. Clinical Rehabilitation, 23(8), 675–685.
- Wade, D. T. (2020). Rehabilitation: A Post-Stroke Perspective. Oxford University Press.
- Bohannon, R. W., & Smith, M. B. (1987). Interrater reliability of a modified Ashworth scale of muscle spasticity. Physical Therapy, 67(2), 206–207.
- Dean, C. M., Shepherd, R. B., & Adams, R. D. (1997). Sitting balance I: Trunk-arm coordination and the contribution of the lower limbs during self-paced reaching in sitting. Gait & Posture, 5(2), 77–90.
- Langhorne, P., Bernhardt, J., & Kwakkel, G. (2011). Stroke rehabilitation. The Lancet, 377(9778), 1693–1702.
- Bower, K. J., Louie, J., Landesrocha, Y., Seedy, P., Gorelik, A., & Bernhardt, J. (2015). Clinical feasibility of interactive motion-controlled games for stroke rehabilitation. Journal of NeuroEngineering and Rehabilitation, 12(1), 63.
- Tyson, S. F., Hanley, M., Chillala, J., Selley, A., & Tallis, R. C. (2006). Balance disability after stroke. Physical Therapy, 86(1), 30–38.
- Pollock, A., Baer, G., Pomeroy, V., & Langhorne, P. (2007). Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke: A systematic review. Clinical Rehabilitation, 21(5), 395–410.
- Cauraugh, J. H., & Summers, J. J. (2005). Neural plasticity and bilateral movements: A rehabilitation approach for chronic stroke. Progress in Neurobiology, 75(5), 309–320.
- Verheyden, G., Nieuwboer, A., De Wit, L., Thijs, V., Dobbelaere, J., Devos, H., & De Weerdt, W. (2008). Time course of trunk, arm, leg, and functional recovery after ischemic stroke. Neurorehabilitation and Neural Repair, 22(2), 173–179.
- Lennon, S., Ashburn, A. (2000). The Bobath concept in stroke rehabilitation: A focus group study of the experienced physiotherapists’ perspective. Disability and Rehabilitation, 22(15), 665–674.
- Barreca, S., Sigouin, C. S., Lambert, C., & Ansley, B. (2002). Effects of extra training on the ability of stroke survivors to perform an independent sit-to-stand: A randomized controlled trial. Journal of Geriatric Physical Therapy, 25(3), 13–19.
- Winstein, C. J., Stein, J., Arena, R., Bates, B., Cherney, L. R., Cramer, S. C., & Zorowitz, R. D. (2016). Guidelines for adult stroke rehabilitation and recovery: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 47(6), e98–e169.
References
Bobath, B. (1990). Adult Hemiplegia: Evaluation and Treatment (3rd ed.). Heinemann Medical Books.
Carr, J. H., & Shepherd, R. B. (2010). Stroke Rehabilitation: Guidelines for Exercise and Training to Optimize Motor Skill. Butterworth-Heinemann.
O’Sullivan, S. B., Schmitz, T. J., & Fulk, G. D. (2019). Physical Rehabilitation (7th ed.). F.A. Davis Company.
Umphred, D. A., Lazaro, R. T., Roller, M. L., & Burton, G. U. (2013). Umphred’s Neurological Rehabilitation (6th ed.). Elsevier Mosby.
Shumway-Cook, A., & Woollacott, M. H. (2017). Motor Control: Translating Research into Clinical Practice (5th ed.). Lippincott Williams & Wilkins.
Lennon, S., Ramdharry, G., & Verheyden, G. (2018). Physical Management for Neurological Conditions (4th ed.). Elsevier.
Ada, L., & Canning, C. G. (1990). Changing the way we view the contribution of the unaffected side to recovery after stroke. Physiotherapy Theory and Practice, 6(1), 31–37.
Tyson, S. F., & Rogerson, L. (2009). Assistive technologies and positioning in stroke rehabilitation. Clinical Rehabilitation, 23(8), 675–685.
Wade, D. T. (2020). Rehabilitation: A Post-Stroke Perspective. Oxford University Press.
Bohannon, R. W., & Smith, M. B. (1987). Interrater reliability of a modified Ashworth scale of muscle spasticity. Physical Therapy, 67(2), 206–207.
Dean, C. M., Shepherd, R. B., & Adams, R. D. (1997). Sitting balance I: Trunk-arm coordination and the contribution of the lower limbs during self-paced reaching in sitting. Gait & Posture, 5(2), 77–90.
Langhorne, P., Bernhardt, J., & Kwakkel, G. (2011). Stroke rehabilitation. The Lancet, 377(9778), 1693–1702.
Bower, K. J., Louie, J., Landesrocha, Y., Seedy, P., Gorelik, A., & Bernhardt, J. (2015). Clinical feasibility of interactive motion-controlled games for stroke rehabilitation. Journal of NeuroEngineering and Rehabilitation, 12(1), 63.
Tyson, S. F., Hanley, M., Chillala, J., Selley, A., & Tallis, R. C. (2006). Balance disability after stroke. Physical Therapy, 86(1), 30–38.
Pollock, A., Baer, G., Pomeroy, V., & Langhorne, P. (2007). Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke: A systematic review. Clinical Rehabilitation, 21(5), 395–410.
Cauraugh, J. H., & Summers, J. J. (2005). Neural plasticity and bilateral movements: A rehabilitation approach for chronic stroke. Progress in Neurobiology, 75(5), 309–320.
Verheyden, G., Nieuwboer, A., De Wit, L., Thijs, V., Dobbelaere, J., Devos, H., & De Weerdt, W. (2008). Time course of trunk, arm, leg, and functional recovery after ischemic stroke. Neurorehabilitation and Neural Repair, 22(2), 173–179.
Lennon, S., Ashburn, A. (2000). The Bobath concept in stroke rehabilitation: A focus group study of the experienced physiotherapists’ perspective. Disability and Rehabilitation, 22(15), 665–674.
Barreca, S., Sigouin, C. S., Lambert, C., & Ansley, B. (2002). Effects of extra training on the ability of stroke survivors to perform an independent sit-to-stand: A randomized controlled trial. Journal of Geriatric Physical Therapy, 25(3), 13–19.
Winstein, C. J., Stein, J., Arena, R., Bates, B., Cherney, L. R., Cramer, S. C., & Zorowitz, R. D. (2016). Guidelines for adult stroke rehabilitation and recovery: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 47(6), e98–e169.