Update 'README.md'

README.md

@@ -2465,3 +2465,29 @@ _ _ _ _
 ![post-stroke balance and gait framework](./src/post-stroke-bal-gait-framework.png)
 
 ad. restoration of axial muscle functiopnality (probably) relies/is facilitated by bilateral innervation of the axial muscles (trunk muscles)
+
+### WG Neurale adaptatie 2
+
+- ARAT-score: vaardigheidsscore
+- FM-arms/hands: selectiviteit vd bewegingen
+    - => Kwakkel e.a., Restor Neurol Neurosci. 2007
+        - FM-hand score is predictief voor vaardigheidsherstel (functietest voorspelt vaardigheid)
+- Wrist ext + Finger ext zijn de beste tests voor het bepalen **of de Tr. Corticospinalis** intact is
+    - deze klinische test is gelijkwaardig aan tests m.b.v. TMS
+    - (e.g. wrist flex is also innervated by Tr. Reticulospinalis)
+
+![spont-neur-recov](./src/spont-neur-recov.png)
+
+### Penumbra vs. diaschisis
+
+![penumbra-diaschisis](./src/penumbra-diaschisis.png)
+
+Diaschisis: "Diaschisis (from Greek διάσχισις meaning "shocked throughout"[1]) is a sudden change of function in a portion of the brain connected to a distant, but damaged, brain area.[2] The site of the originally damaged area and of the diaschisis are connected to each other by neurons.[3]" (wiki)
+
+### Proportional recovery rule UE
+
+- majority of pts (n=146;~70%) show a fixsed proportional upper extremity motor recovery of about 78%
+- 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.
+