ABTRACT:
In the recent literature we can find many articles dealing with upper extremity rehabilitation in stroke patients. New techniques,
still under evaluation, are becoming the practical applications for the concept of post-stroke brain plasticity.

Methods. – This literature review focuses on controlled randomized studies, reviews and meta-analyses published in the English language from
2004 to 2008. The research was conducted in MEDLINE with the following keywords: ‘‘upper limb’’, ‘‘stroke’’, ‘‘rehabilitation’’.

Results. – We reviewed 66 studies. The main therapeutic strategies are: activation of the ipsilesional motor cortex, inhibition of the
contralesional motor cortex and modulation of the sensory afferents. Keeping a cortical representation of the upper limb distal extremity
could prevent the learned non-use phenomenon. The modulation of sensory afferents is then proposed: distal cutaneous electrostimulation,
anesthesia of the healthy limb, mirror therapy, virtual reality. Intensifying the rehabilitation care means increasing the total hours of rehabilitation
dedicated to the paretic limb (proprioceptive stimulation and repetitive movements). This specific rehabilitation is facilitated by robot-aided
therapy in the active-assisted mode, neuromuscular electrostimulation and bilateral task training. Intensifying the rehabilitation training program
significantly improves the arm function outcome when performed during subacute stroke rehabilitation (< six months). Ipsilesional
neurostimulation as well as mental practice optimize the effect of repetitive gestures for slight motor impairments. Contralesional neurostimulation or anesthesia of the healthy hand both improve the paretic hand’s dexterity via a decrease of the transcallosal inhibition. This
pathophysiological mechanism could also explain the positive impact of constraint-induced movement therapy (CI therapy) in an environmental
setting for chronic stroke patients.

Conclusion. – To ensure a positive functional outcome, stroke rehabilitation programs are based on task-oriented repetitive training. This
literature review shows that exercising the hemiparetic hand and wrist is essential in all stages of a stroke rehabilitation program. New data
stemming from neurosciences suggest that ipsilesional corticospinal excitability should be a priority

presentation

In my presentation I will go to talk about rehabilitation, a view general of this theme. The study of movement control has relevance to our general understanding of brain function. But it also has implications for specific fields, such as neurology, cognitive neuroscience and rehabilitation medicine. Our understanding of movement disorders and their appropriate treatment depends on knowledge of the neuronal mechanisms that underlie functional movements. Movements disorders are the focus of one of the most rapidly expanding fields in medicine, leading to increasing cost of treatment and rehabilitation. Only recently have studies been conducted to address the effects of rehabilitation treatments on locomotion and this form find the correct treatment for each disorder.  

My name is Geraldine Gajardo, I'm nineteen years old and I study physical therapy in Universidad de Chile. I have a little family, I live with my mother, her husband and my two little brothres.
I was born in Concepción and when I was nine years old come to Santiago with my mom, I was in three schools  and the last school was Colegio Pedro de Valdivia de Peñalolen, there I met good friends, my best friends.
I have a boyfriend since february 27, 2010. I love him so much and he study medicine and help me with the studies.
finally I consider that I am a good person and passive, my life is normal and I have a good life, thanks good.