Question about hemiplegia

F. Frank LeFever flefever at ix.netcom.com
Fri Oct 9 21:18:01 EST 1998


I concur in Thomas Martin's response (v. infra).  I don't know of any
magic cures, but do know a little about a relatively un-used appproach
(so far), based on Ed Taub's findings with monkeys many years ago,
which he has applied in human rehab work mmore recently. He and I were
clasmates in grad school, so I am quite familiar with its origins but
confess I don't know much about current applications.  A query from
someone in Argentina a few weeks ago (to this newsgroup) indicates it
is used WIDELY, even if not yet standard in US rehab work.  

Essentially, Ed's finding was that animals with APPARENTLY plegic arms
were simply disused because of surgically altered afferent input (i.e.
no sensation from the arm), but "forced use" by temporarily restraining
the good arm restored the "plegic" arm's function--i.e. the monkey
resumed using it to pick up food, etc.

It is important to note that the motor nerves (ventral roots) were not
cut, so it was not a pure paralysis; although some loss of tone due to
lack of input seems likely.

In hemiplegia due to stroke, much depends on location of stroke (as
Thomas Martin points out); I would think that to the extent that some
residual motor input was available but functionally inhibited because
of concurrent sensory loss or higher order "inattention" (e.g. left
neglect with right stroke), the technique might be helpful in human
hemiplegia.  

Apparently others believe so and have demonstrated it--try a literature
search (e.g. Medline) using Ed Taub as search term (author).

F. Frank LeFever, Ph.D.
New York Neuropsychology Group




In <6vm797$1mp$1 at news3.alpha.net> "Thomas A. Martin"
<TMartin at pitnet.net> writes: 
>
>Eric,
>
>Hemiplegia or paralysis of your mothers right arm and leg indicate
that she
>likely sustained damage to the left side of her brain.  However, this
>condition can occur from lesions in several locations within the
central
>nervous system (cerebral cortex, internal capsule, brain stem).  Your
>mothers prognosis is dependent upon the location and severity of the
damage.
>Equally important is her attitude and motivation for therapy.  Having
said
>that you would expect the bulk of her recovery to have occurred within
the
>period between her stroke and now.  Nonetheless it is possible for her
to
>still experience some measurable improvement.  I'm not aware of any
>literature supporting the use of acupuncture for hemiplegia.  Given
the
>organic damage which your mother has likely sustained I would be
surprised
>to find acupuncture helped a great deal.  But I have no real knowledge
>regarding this treatment.  While this must be a trying time for your
family,
>keep up your fighting spirit.
>
>Tom Martin
>
>
>
>Eric Carioli wrote in message <6vm01s$7u$1 at platane.wanadoo.fr>...
>>I'm not sure it is the proper news group but I hope so : I hopelessly
need
>>advice.
>>My mother had a brain attack about one and a half years ago and then
has
>>become hemiplegic. She had a six month phisiotherapy in a specialised
>>re-education center right after her attack and it's now a beat
better. But,
>>despite that weak improvement, her right hand doesn't move yet today
and
>she
>>has difficulties in walking.
>>Is there any here who knows similar case of hemiplegia that has
better
>>improved and in which conditions ?
>>Do you know treatment that can help my mother walking better, make
her hand
>>move ? What about acupuncture ?
>>I am french and I'm sorry for my bad way of speaking English ...
>>Anyway, thank you very much for your help.
>>
>>
>>Eric CARIOLI
>>Béthune (France)
>>eric.carioli at wanadoo.fr
>>
>>
>>
>
>




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