The case is presented of a 60 years old man who developed sudden right hemiplegia without other accompanying neurological signs and later a spastic hemiparesis. Neuropathological studies indicated an ischaemic lesion of the left medullary pyramid which was accompanied by hypertrophy of the left inferior olivary nucleus. An additional lesion, demyelination of the right gracile tract, is poorly e...

BACKGROUND AND PURPOSE A principle of poststroke rehabilitation is that effort should be avoided since it leads to increased spasticity and produces widespread associated abnormal reactions. Although weakness also contributes to movement dysfunction after a stroke, it has been feared that heightened activity levels during strength training will further exacerbate the abnormal tone imbalance pre...

Purpose of the study. Reveal typical disorders nutritional status and identify characteristic physical development patients with cerebral palsy. Materials methods. The features 128 children various forms palsy 20 healthy aged 3 to 14 years were studied. Physical was assessed using standard public anthropometric parameters: weight, height, measurement circumference upper lower extremities, deter...

OBJECTIVE To determine and analyze the variables of age, hemiplegia/hemiparesis, diabetes mellitus (DM), and hypertension (HTN) on the hospital length of stay (LoS) in the stroke rehabilitation unit. METHODS We conducted a retrospective cross-sectional study of all patients who completed the stroke rehabilitation program at Sultan Bin Abdulaziz Humanitarian City, Riyadh, Kingdom of Saudi Arab...

BACKGROUND The Gross Motor Function Classification System (GMFCS) has become an important tool to describe motor function in children with Cerebral Palsy (CP). The Manual Ability Classification System (MACS) was developed recently as a corresponding classification of manual ability. The aim of this study was to describe the association between gross motor function and manual ability in a total ...

During a hypoglycaemic right hemiplegia induced by a deliberate overdose of oral hypoglycaemics, brain CT and angiography revealed no abnormalities. SPECTs made one day and six days later showed relative hypoperfusion in the left hemisphere. Repeat SPECT study suggested that the left hemisphere was more vulnerable than the right in the cerebral blood perfusion. This vulnerability might provoke ...

The purpose of this descriptive study was to quantify the work that is accomplished by major muscle groups of the affected limb of 10 children with spastic hemiplegia secondary to cerebral palsy during walking. Cinematographic film and force-plate data were used in a biomechanical link-segment model to calculate the positive and negative work performed by the muscles around each joint. The resu...

Several converging lines of contemporary evidence suggest that weakness presents a more serious compromise to movement function in poststroke hemiplegia than spasticity. This review examines the clinical and functional phenomena of weakness in poststroke hemiplegia, currently available evidence identifying physiologic substrates contributing to weakness, and reports of early investigations invo...