hemiplegic hand, pain

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The Info Hand Function Comes From My Gut | Health News

I was dismayed that my NDT certification course did not teach me hand function comes from my gut.  I learned this when a PT had me do abdominal exercises after back spasms returned.  I was surprised to feel abdominal muscles on my paralyzed side burning from effort while I felt only a gentle contraction on my sound side.  I discovered arms need strong stomach muscles when my ability to reach improved after my abdominals got stronger. 

My PT taught me to do leg lifts with bent knees. I decided to intensify the workout.  I clasp my hands together, lift both arms over head, and lift my head while twisting to the left until my right shoulder blade lifts off the bed.  I do 10 reps to the left and 10 to the right.  Before I move I press my low back against the mattress and take a deep breath.  When I move, I slowly let my breath out through pursed lips.  Holding my breath would increase my blood pressure. 


There is a catch - I had to do the exercise correctly.  Dean cites a study that found stroke survivors who received real-time feedback about how they did abdominal exercises improved their walking significantly more than subjects who did not get feedback.  Instead of telling me how many reps to do and walking away my PT stayed and gave me verbal feedback on what I was doing wrong.  I added this abdominal exercise to my morning routine.  After getting up to go to the bathroom I get back in bed to exercise under the covers while my muscles are still toasty warm.

Also see Hand Function Comes from My Gut Part 2.

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