DrAli"PT

4 steps A Stroke Recovery

Reflex Mobility
Which gives
Stability
Then work on
Mobility superimposed on Stability
Which brings
Motor Control in pt

Wrist Drop

Physical Examination Findings

Cortical: Usually presents with an isolated "cortical hand" and may include spasticity, hyperreflexia, a positive Babinski sign, or a pronator drift on the affected side

Peripheral: Results in flaccid (loose) weakness, absent deep tendon reflexes, and noticeable sensory deficits (numbness or tingling) along the back of the forearm, thumb, and first few fingers.

Also read Fist Clenching maneuver

No Trunk Control =No Arm And Hand Movement

The Exercise You Should Focus on ....

1. Seated Reaching and Grabbing
(Core & Weight Shift)
2. Sit-to-Stand with Pause (Dynamic Balance)
3. Standing Ball Toss and Catch (Reactive/Anticipatory Training)
4.Step-and-Reach / Staggered Stance

Exercises should focus on controlled, self-initiated movements with varied speeds, weights, and surfaces.

Focus On these Points....

1.Reduce Excessive Extensor Tone

2.Restore Proper Hip Flexion

3.improve Pelvic Stability

4.Promote Normal Arm Swing &Trunk Control

FOR Full detail
FOLLOW & Comment PDF
Will send Direct To DM

Feed Forward Postural Control

Gait Training Starts as Early as Sitting

Loss of Postural Adjustments: In healthy movement, trunk and core muscles subconsciously engage milliseconds before an arm moves, stabilizing the body against the weight of the limb.

After a stroke, patients often lack these anticipatory adjustments, causing unintended movements to throw them off balance.

So here you start Early Trunk Stabilization
Activate Trunk ist by Sitting Balance Exercises

Which AFO's

Dual-task interference

is the decline in performance when stroke patients attempt to execute two tasks simultaneously (e.g., walking while talking). This occurs due to compromised executive control and limited brain resources, causing higher fall rates and decreased independence

How it Manifests

Gait & Balance Deterioration: Patients often reduce their walking speed, shorten their stride, or lose stability because maintaining balance requires extra attention.

Task Prioritization: Stroke patients frequently prioritize the cognitive task (like talking) over the physical task (like walking or moving a limb), which substantially increases tripping and falling risks.

Upper Extremity Decline: Fine motor skills and arm movements suffer greatly, as they require high-level cognitive resources alongside executive function.

So Train Pateint Accordingly