I recently went to a CEU course on the Integration of NDT, PNF and Contemporary Neurological Treatment Models and the Application of an Integrated Model to Post-Stroke Rehabilitation. presented by Lisa Saladin,PT, Msc. Lisa stated and I quote " preliminary studies have demonstrated that resistive excercises do not increase spastic restraint and that strength training may be effective." It was thought  the use of excessive resistance would increase the presence of abnormal co-contraction and decrease the quailty of movements. The new data has demontrated that strength training is an important component of intervention for patients with spastic hemiparesis. If you would like some of the resources that this data was collected from, please let me know (I have a list) 
Keesha
----- Original Message -----
From: Veronica
Sent: Sunday, October 26, 2003 8:33 AM
Subject: Subject: Re: [OTlist] hypertoned elbow

Shawn,

I understood that any resistance, e.g. sanding,  sawing, hammering nails, etc would increase tone not decrease it and that it would be better to use tasks that required minimal resistance through the client's current ROM.

Veronica Groenewald, OT

In response to message

From: [EMAIL PROTECTED]

Some suggest that gentle repeated rom is the best way to decrease
tone now. Anything re:throwing a ball, golf, batting for fun. The
old bilateral sanding task, sawing wood, hammering nails for crafts.
Sweeping, vaccuuming, washing windows for chores, combing hair
reaching for cans etc ADL.
Shawn McComb, OTR


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