What are the therapeutic techniques for hemiparesis in middle cerebral artery (MCA) stroke?

Updated: Mar 17, 2020
  • Author: Daniel I Slater, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Hemiparesis of the contralateral extremities is frequently seen in varying degrees of severity. In addition to limb involvement, impairment in postural stability that affects the patient’s static and dynamic balance is common. Therapeutic handling techniques are based on the concepts of facilitating wanted movements, inhibiting unwanted movements, and using key points of control on the patient’s body to achieve the desired effect. The Neuro-Developmental technique (NDT), formerly termed Bobath, and Neuro-IFRAH (neuro-integrative functional rehabilitation and habilitation) are the primary handling techniques developed for hemiparetic adults. The Neuro-IFRAH technique was developed by Waleed Al-Oboudi after many years as a clinical instructor and lecturer both nationally and internationally for the NDT Association. Both techniques are similar in their emphasis on postural control, quality of movement, and whole body use/function.

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