Regaining Hand Function Post-Stroke

Regaining Hand Function Post-Stroke

The journey to recovery after a stroke is gradual and continuous. It is very normal for a person to view it as full of physical, emotional, and economic hitches. That said, with the current development in therapeutic maneuvers to restore function in hands, there are numerous ways that one can move through this journey without undue cost and too much pain.

Recovery from the effects of a stroke has to be taken step by step, solving one problem at a time. Each small improvement leads to the next; it creates a snowballing effect. Small repetitive movements are much easier to cope with during the early post-stroke months, in which balance and strength are still being regained and the brain’s ability to rearrange itself, or neuroplasticity, is at its optimum.

Simple elementary hand exercises are recommended to bring hope and give direction right from the start. Whether a little skill is returning to one’s hands or just at the beginning of the journey, hand rehabilitation exercises are recommended as they fortify the strength and motor skills that will have been mostly weakened during a stroke.

Essentials of Hand Therapy After Stroke

The slow process of regaining the functionality of the hands after a stroke is typical. The hands and feet are the farthest points of your body from the middle part. They are also farthest from the brain and the spinal cord.

This means that the nerve signals must travel a longer distance to deliver their message. This means the messaging system is often broken, sometimes totally cut, making the hands lose functionality after a stroke.

In addition, hand muscles are innately small and fatigue relatively quickly; this fatigue reduces muscle use after stroke, which may also cause muscle atrophy—a condition of small and weak muscles. This directly affects the function of the hand and leads to great difficulty in activities requiring fine motor control.

In 80% of stroke survivors, there may be disability in the arm and hand. It can badly affect his/her daily activities, such as dressing up, taking a bath, preparing meals, and so on.

Despite the relatively slow and potentially disheartening improvement that comes with hand recovery after a stroke, an opportunity for improvement will always persist with constant rehabilitation. To maximize this improvement in the return of functionality, we need to look at some underlying basics of the hand recovery process:

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Regaining Hand Function Post-Stroke

Basics of Hand Rehabilitation After a Stroke

As your hands are the most distant from the brain and spinal cord, the nerve signals have a long way to go for communication. General communication is generally slowed down, or even stopped, after a stroke, and this thus reduces hand function. Regaining full function of your hands after a stroke can be a very slow process.

The hand muscles are quite small and, therefore, tire very easily. Diminished muscle activity and less use of the hand after a stroke may lead to muscle wasting or shrinking and losing power. This results in an impaired hand, with the person severely handicapped in any fine motor task performance.

Weakness of the arm and hand is suffered by nearly 80% of stroke survivors, such that regular activities like dressing, bathing, and making food are greatly inconvenienced. Although this process of reattaining hand functions post-stroke may be very slow and even at times painful, there is always a glimmer of hope that regular rehabilitation practices will lead to improved functions.

Regaining Hand Function Post-Stroke

Effect of Stroke on Hand and Finger Movements

The following are some of the common things that may elicit a response in a person after a stroke has occurred :

Muscle Rigidity

A stroke is said to put the connection between the brain and the muscles of the hand in disorder, with feelings of rigidity or tightness of the muscles, which is a state medically described as spasticity. This impaired neural connection will make actions like straightening one’s fingers or gripping objects more difficult.

However, rehabilitation frequently starts when the fingers can extend completely without assistance. Participation in daily, basic rehabilitation exercises will restore these missing communications between the brain and muscles, remodeling the pathways and keeping spasmodic, uncontrolled movements at bay. A course of treatments may be recommended to restore, stretch, and condition the hand muscles.

Hand Strength

Stroke can even affect the grip, strength, and performance of the hands, making lifting, gripping, or dropping objects terribly difficult. This disability interferes with activities of daily life and may eventually render people incapable of executing any useful task on their own.

Other associated problems may include paresthesias—resulting in numbness—and occasional edema. In most cases, the level of pain and sensor loss due to the stroke depends on the part of the brain where the neurologic damage occurred: the dominant or non-dominant side of the brain.

Rehabilitation of Spastic Hand Following Stroke

Here are some important components of hand rehabilitation to help promote function and healing:

Repetitive Exercises


Your brain can learn new skills once again through neuroplasticity, even after a neurological disease like a stroke. In layman’s language, it is your brain’s natural ability to reorganize pathways and connections.

This allows other parts of the brain to adapt and take over functions that might have been lost. Rehabilitation exercises, specifically their high frequency, incite this mechanism.

Overloading a certain movement or task in practice optimizes motor relearning, so it should maximize neuroplasticity. The more committed you are to your rehabilitation exercises, the more proficiently your brain shapes its structure and the more movements you recover.

Consequently, if you want to regain control over your hand after a stroke, you will have to make an effort to practice using it as much as possible. By doing so, your brain is coaxed into actually helping you master the movement of your hand.

Functional Electrical Stimulation


Electrical stimulation is a treatment that involves electrical currents through electrodes on your skin to further stimulate your nerves and muscles. It enhances your brain’s stimulation, which can help promote neuroplasticity—the capability to form and reorganize synaptic connections, especially after injury or disease, to enhance the creation of new motor pathways.

One of the most popular interventions in treating hemiparesis following a stroke is electrical stimulation, which has applied areas as varied as the hand, wrist, and arm to enhance muscle activation and stimulation.

Sufficient evidence supports the application of electrical stimulation in hand rehabilitation after a stroke. However, you must talk to your doctor or therapist before you start treatment to see if electric stimulation is indeed the best option for your condition.

Note that the best benefit usually derives from a combination of electrical stimulation and rehabilitation exercises. This type of electrical stimulation is also called functional electrical stimulation (FES).

It is focused on your muscles to help you contract better while you are exercising or completing a sequence of activities. It helps increase muscle activation and neuroplasticity processes, which, in turn, helps rehabilitate fine motor skills and any lost functions.

Hand Rehab Exercise

Rehabilitation exercise could be the most important part of recovering fine motor skills after a stroke. Practicing purposeful hand movements to recover from any loss of function is of the utmost importance. Thus, it is incumbent on an individual to start these exercises as early as humanly possible.

Carrying out hand therapy exercises can greatly improve your fine motor skills and coordination. For the best effect, aim to complete those activities and exercises recommended by your physical or occupational therapist. You can also use our specially developed exercises for stroke patients for hand therapy.

Overall, hand rehabilitation exercise after a stroke is designed to help the brain and body learn how to work together in functional movement rather than the traditional strengthening of muscle groups. This then enables the relearning of motor responses and improved task performance.

Therapeutic Visualization

Therapeutic imagery or mental practice is creating a mental image of an action or task one wants to perform. This adjunct approach greatly helps recover motor functioning, and, more particularly, it benefits stroke survivors with limited hand function. Including this before and after regular exercise can greatly help speed recovery.

Astonishingly, even if a stroke has caused partial or even complete loss of hand function, therapeutic visualization can still be used to great advantage. It may enable your brain to train and establish connections to execute a particular movement.

Therapeutic visualization activates, therefore, neuroplasticity and physical training. It has been proved by science that the approach enhances the efficiency of rehabilitation and is widely used by professional athletes to visualize skills and success before competitions.


A significant amount of those who’ve had a stroke encounter difficulty with their hands, which can significantly impede routine actions and activities. Although the process of hand restoration post-stroke might be tedious or provoke frustration, there is a beacon of hope through an all-inclusive recovery plan that emphasizes neuroplasticity.

Advantages of Adderall In TBI Patients

Chemicals such as dopamine expand mood, concentration, and motivation, which scientists often call “feel-good” chemicals in increasing or boosting. This kind of loss, however, indicates that in brain injuries, there is a significant loss of dopamine receptors in patients.

However, Adderall may help by increasing the amount of dopamine available to the level that a TBI patient could utilize more. This, in turn, can boost a person’s motivation and concentration. Researchers from Brown University have even suggested that Adderall might help people focus more on the positive aspects of work.

This will be very useful for TBI survivors, where Adderall will help them persist with home therapy, an aspect that many patients traditionally find very tiring. Another study proved that Adderall increases memory and processing rates in TBI patients. However, Adderall interacts in the frontal lobe to stimulate it and keep TBI patients alert, especially those who struggle with cognitive fatigue.

Adderall Side Effects

The management of cerebral palsy depends on the degree to which it affects one’s functionality. Depending on the case, physical therapists, occupational therapists, and sometimes doctors may recommend the use of various orthotic devices, such as splints, braces, or casts.

Orthotic appliances are sold in standard sizes over the counter. However, custom-made orthotics can be purchased. In most instances, ready-made orthotics will suffice for children with cerebral palsy.

However, a therapist or an Orthotist might prescribe a custom-made orthotic device for a more specific purpose. In any case, it is always advisable that an expert guides one on how to wear and take off the device, fit the child with the device, how often and for how long one should wear the device, and how to maintain it.

Early orthotic intervention can be of substantial help in the management of cerebral palsy and its associated challenges. The following explains how orthotic devices enable individuals with cerebral palsy to live as functionally as possible.

Improving Functional Abilities

People with cerebral palsy usually have difficulties in control, posture, and balance. As a result, their body mostly exerts more effort than normal to execute simple movements.

However, orthotics provide a possible way out. Stabilizing the body facilitates musculoskeletal alignment with proper stance, thus encouraging better form.

The body does not exert much effort in proper alignment, so it experiences few strains. This saves energy and helps maintain irregular patterns of movement, providing a good quality of life for people with cerebral palsy.

Reducing Pain

Spasticity strains our musculoskeletal system of muscles and bones, which could possibly contribute to the causation of long-lasting chronic pain. This constant pain in the musculoskeletal system might interfere with our need for sleep, impact our mood, and, more importantly, hamper the growth of children living with cerebral palsy.

Orthotics may help with this much better. They work by correcting the alignment of our musculoskeletal system, relieving the user of pain.

Such pain always originates from excess pressure on our muscles, bones, and joints. By alleviating this pressure, orthotics can, therefore, greatly reduce not only physical pain but also contribute to the overall health of people suffering from such conditions.

Is low risk

One of the significant advantages of orthotic use in the management of cerebral palsy is its relatively low-risk factor. These devices can be worn, but if the patient experiences some discomfort, one good thing is that they can be removed at will.

Further, orthotics provide a great, nonaggressive, relatively low-cost possibility to delay or even eliminate an intervention by surgery. In the long run, orthotics are a safe and cost-effective alternative.

Therefore, the benefits of orthoses in the treatment of cerebral palsy become quite evident. These orthoses contribute to increasing the overall quality of life of an individual with cerebral palsy by aiding in proper alignment, reducing pain and discomfort, and being a low-risk option.

Making Posture Right

People with cerebral palsy might present with varied muscle tone—it can be high, low, or even a combination of both. When the muscle tone is low, especially in the abdominal muscles, a person is likely to have difficulties with trunk stability and balance skills, which consequently affects his or her postural capabilities. The same occurs with those with high muscle tone because it can shift the body into atypical postures inappropriately.

A physician can advise, for example, the use of a trunk brace that purportedly enables the person to get the support and structure that the non-medically affected person usually has to keep an upright posture. In this respect, the person will also be better able to sit, stand, and walk and also will have a better posture.

Spasticity Reduction

Often, the spasticity is secondary for cerebral palsy; it is an increased muscle tone due to the contractions of involuntary muscles. This can subsequently bring some added pressure to the other muscles and joints, resulting in stiff movements, abrupt jerking, joint dislocation, and even pain.

The effect of spasticity on the body parts in which it has taken place can be minimized to a great extent by wearing an orthotic device. The orthotic devices exercise their impact by tightly grasping the specific body part, which restricts the undesired movement of the body part and further restricts spastic muscles from more contraction.

These orthotic devices are designed to gently stretch the tight muscles, whether the wearer is physically active or not. Such appliances allow passive extension of spastic muscles, which will, in turn, be essential for containing the progression of spasticity.

Deformity Prevention and Management

Since motor impairments result from cerebral palsy and manifest at an early age in childhood, they are quite likely to interfere with the child’s ordinary growth and development process. It is also worth noting that children are in a continuous stage of growth, and the increased muscle tone automatically entails that the body assumes unusual postures.

Just imagine a situation where these muscles are in a state of contraction for a long time, especially during a child’s growth period; in this case, there will most probably have to be the development of distortions. Orthotics will now be very helpful in the correct development of these uneven postures even before they become a great problem.


With the right orthotic device, individuals with cerebral palsy can significantly improve their overall quality of life. So, if you or a loved one is dealing with this condition, consult with a medical professional to explore the option of incorporating orthotics into your treatment plan.

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