Maik Hartwig Knihy

Paralysis of the arm is counted among the most common consequences of brain damage, e. g. a stroke. Patients suffering from a severe arm paralysis are either unable or only hardly able to use their affected upper limb functionally in everyday life. The following exercise program especially enables patients with severe hemiplegia to independently train their particular motor disorders. The exercises were clinically tested for many years and contain important physiological movements with all joints of the upper limb as well as goal-oriented training elements for everyday routines. With this exercise program, the patient learns to train his or her affected limb in a responsible and purposeful manner.

Functional hand disorders are counted among the most common consequences of acquired brain damage. In everyday life, impairments of fine motor skills mainly occur during activities such as gripping, manipulating and transporting objects. This exercise program allows an intensive, home-based training of the patient’s affected hand in order to improve hand function. The exercises presented in this book activate all important structures of the hand; elbow and shoulder joints are involved as well. The “Cork program” was developed, established and constantly improved in a clinical setting with neurologically impaired patients.

A facial paresis always affects the organic, functional and mental level of our body. Facial expression, eating and drinking as well as chewing, speaking and kissing might possibly be impaired. The following exercise program includes comprehensive and specific activities in order to regain important muscle function, which should be chosen depending on the affected musculature. Additionally, this program contains exercises to improve tongue-mouth motor skills. In that way it also counteracts possible deficits regarding food intake or food processing. A facial massage to stimulate the blood circulation and relax after practicing completes the exercise program.

Spasticity is a functional disorder, which is commonly observed as a consequence of stroke or other neurological damages. Often, paresis and hypertension are associated with spasticity and lead to inactivity of the affected muscles. This program gives caregivers as well as therapists an instrument to intensively support the treatment of the patient’s affected hand in addition to the actual therapy. The exercises for the mobilization of a paretic, hypertonic or spastic hand are supposed to optimise musculoskeletal conditions as well as prevent contracture and preserve joint mobility.

Oedema of the hand can develop either as an individual symptom of upper-extremity hemiplegia or as a component of the shoulder-hand syndrome. The potentially painful swelling of the hand leads to a passive and active impairment of the fingers' and wrist's mobility. This exercise program enables relatives as well as therapists to selectively and passively treat the patient's neurological hand oedema. By progressing step by step from shoulder girdle down to the fingers, plain grips and handlings for a goal-oriented intervention and positioning are presented.

Hand dysfunction is counted among the most common consequences of acquired brain damage (e. g. stroke), but it can also be the outcome of various other diseases. In everyday life, impairments of fine motor skills mainly occur during activities such as gripping, manipulating and transporting objects. Precision grips with the affected fingers may also be challenging. This exercise program allows an intensive, home-based training of the patient's affected hand in order to improve hand function. The different exercises presented in this book focus on the activation of the important structures of the hand, but also require the use of the elbow and shoulder joints.

In der Neurorehabilitation streben Patienten nach Selbstständigkeit und weniger Abhängigkeit von Hilfe. Wichtige Ziele sind die Verbesserung der Mobilität und das Wiedererlangen aktiver Arm- und Handfunktionen, um am sozialen Leben teilzuhaben. Aktuelle Forschungen zeigen wirksame Therapien zur Verbesserung eingeschränkter Bewegungen und Funktionen auf.

In der Neurorehabilitation streben Patienten nach Selbstständigkeit und weniger Abhängigkeit. Wichtige Ziele sind die Verbesserung von Mobilität und aktiven Arm- und Handfunktionen. Das „Hemipareseprogramm“ kombiniert Erkenntnisse des motorischen Lernens mit praktischen Erfahrungen und fokussiert auf evidenzbasierte Trainingsmethoden zur Unterstützung dieser Ziele.

Patienten mit Hemiparese streben nach Selbstständigkeit und weniger Abhängigkeit von Hilfe. Aktive Arm- und Handfunktionen sind entscheidend, um am sozialen und beruflichen Leben teilzunehmen. Das Hemipareseprogramm ermöglicht selbstbestimmtes Training, wodurch Patienten aktiv am Rehabilitationsprozess teilnehmen können.

In der Neurorehabilitation streben Patienten nach Selbstständigkeit und weniger Abhängigkeit von Hilfe. Wichtige Ziele sind die Verbesserung der Mobilität und das Wiedererlangen aktiver Arm- und Handfunktionen, um am sozialen Leben teilzuhaben. Aktuelle Forschungen zeigen wirksame Therapien zur Verbesserung eingeschränkter Bewegungen und Funktionen auf.