Update 'README.md'

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intronaut 2020-04-07 18:05:52 +00:00
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@ -2490,4 +2490,20 @@ Diaschisis: "Diaschisis (from Greek διάσχισις meaning "shocked througho
- 65 pts (non-fitters) show substantially less improvement than predicted
- Non-fitters have more severe neurological impairments within 72 hours post-stroke.
- Logistic regression analysis reveal sthat absence of **finger ext, presence of facial palsy, more severe lower extremity paresis and more sever type of stroke** are significant predictors of not fitting the proportional recovery model.
- Prop. recov. rule extended:
- lower extremity (no non-fitters)
- aphasia
- visuospatial neglect
- mCIMT: (modified) Constraint-induced movement therapy
- constraint
### Recovery of function
![stroke-recov](./src/stroke-recov.png)
- extent of true recovery is limiited by the intrinsic and definitive damage to the Tr. Corticospinal ('restitution of function') => i.e. normal motor control
- Task-related activity gradually shifts from primary to secondary neural networks, but secondary networks often provide less selective and less efficient motor control (e.g. Tr. Reticulospinalis or Tr. Rubrospinalis) ('substitution of function') => e.g. a slower and more grossly controlled upper extremity
- Adaptive control strategies allow for alternative ways of controlling the same movement ('substitution of function') => e.g. assymetric balance control
- Alternative mvoement strategies allow for other ways to reach the same goal ('compensation') => e.g. using a different extremity or adaptive tool.