Chapter 5. Management of Motor Impairments

  1. Dr Judi Edmans Therapists Specialist
  1. Stephanie Wolff1,
  2. Thérèse Jackson2 and
  3. Louisa Reid3

Published Online: 13 MAY 2010

DOI: 10.1002/9781444323801.ch5

Occupational Therapy and Stroke, Second Edition

Occupational Therapy and Stroke, Second Edition

How to Cite

Wolff, S., Jackson, T. and Reid, L. (2010) Management of Motor Impairments, in Occupational Therapy and Stroke, Second Edition (ed J. Edmans), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444323801.ch5

Editor Information

  1. University of Nottingham, Nottingham, UK

Author Information

  1. 1

    Manchester Royal Infirmary, Manchester, UK

  2. 2

    NHS Grampian, Scotland, UK

  3. 3

    National Hospital for Neurology and Neurosurgery, London, UK

Publication History

  1. Published Online: 13 MAY 2010
  2. Published Print: 25 JUN 2010

ISBN Information

Print ISBN: 9781405192668

Online ISBN: 9781444323801



  • motor impairment management;
  • therapist needs - identified problems into intervention plan;
  • positioning early stroke patient - movements restricted by stroke effects;
  • individuals' hips, knees and ankles - flexed at 90° with feet on firm, flat surface;
  • therapeutic aims of intervention;
  • self-care activities - graded, on patient's level of functioning;
  • using adaptive (compensatory/functional) strategies for dressing;
  • stroke, and physical problem management - therapeutic restorative (remedial) activities;
  • cerebellar ataxia, commonly seen in stroke;
  • visual inspection and hand comparison - post-stroke swelling and oedema


This chapter contains sections titled:

  • Introduction

  • Assessment

  • Management principles and intervention

  • Therapeutic aims of intervention

  • Positioning the early stroke patient

  • Clinical challenges

  • Upper limb re-education

  • Avoiding secondary complications

  • Self-evaluation questions