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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | erring to Lucius Septimius, a provincial rector; places Flavia north of Maxima, with its capital placed at Lindum Colonia (Lincoln) to match one emendation of the bishops list from Arles; and places Secunda in the north with its capital at Eboracum (York). Valentia is placed variously in northern Wales around Deva (Chester); beside Hadrian's Wall around Luguvalium (Carlisle); and between the walls along Dere Street.
4th century
Emperor Constantius returned to Britain in 306, despite his poor health, with | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | an army aiming to invade northern Britain, the provincial defences having been rebuilt in the preceding years. Little is known of his campaigns with scant archaeological evidence, but fragmentary historical sources suggest he reached the far north of Britain and won a major battle in early summer before returning south. His son Constantine (later Constantine the Great} spent a year in northern Britain at his father's side, campaigning against the Picts beyond Hadrian's Wall in the summer and autumn. Consta | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | ntius died in York in July 306 with his son at his side. Constantine then successfully used Britain as the starting point of his march to the imperial throne, unlike the earlier usurper, Albinus.
In the middle of the century, the province was loyal for a few years to the usurper Magnentius, who succeeded Constans following the latter's death. After the defeat and death of Magnentius in the Battle of Mons Seleucus in 353, Constantius II dispatched his chief imperial notary Paulus Catena to Britain to hunt d | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | own Magnentius's supporters. The investigation deteriorated into a witch-hunt, which forced the Flavius Martinus to intervene. When Paulus retaliated by accusing Martinus of treason, the attacked Paulus with a sword, with the aim of assassinating him, but in the end he committed suicide.
As the 4th century progressed, there were increasing attacks from the Saxons in the east and the Scoti (Irish) in the west. A series of forts had been built, starting around 280, to defend the coasts, but these preparati | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | ons were not enough when, in 367, a general assault of Saxons, Picts, Scoti and Attacotti, combined with apparent dissension in the garrison on Hadrian's Wall, left Roman Britain prostrate. The invaders overwhelmed the entire western and northern regions of Britannia and the cities were sacked. This crisis, sometimes called the Barbarian Conspiracy or the Great Conspiracy, was settled by Count Theodosius from 368 with a string of military and civil reforms. Theodosius crossed from Bononia (Boulogne-sur-Mer) | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | and marched on Londinium where he began to deal with the invaders and made his base. An amnesty was promised to deserters which enabled Theodosius to regarrison abandoned forts. By the end of the year Hadrian's Wall was retaken and order returned. Considerable reorganization was undertaken in Britain, including the creation of a new province named Valentia, probably to better address the state of the far north. A new Dux Britanniarum was appointed, Dulcitius, with Civilis to head a new civilian administrat | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | ion.
Another imperial usurper, Magnus Maximus, raised the standard of revolt at Segontium (Caernarfon) in north Wales in 383, and crossed the English Channel. Maximus held much of the western empire, and fought a successful campaign against the Picts and Scots around 384. His continental exploits required troops from Britain, and it appears that forts at Chester and elsewhere were abandoned in this period, triggering raids and settlement in north Wales by the Irish. His rule was ended in 388, but not all t | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | he British troops may have returned: the Empire's military resources were stretched to the limit along the Rhine and Danube.
Around 396 there were more barbarian incursions into Britain. Stilicho led a punitive expedition.
It seems peace was restored by 399, and it is likely that no further garrisoning was ordered; by 401 more troops were withdrawn, to assist in the war against Alaric I.
End of Roman rule
The traditional view of historians, informed by the work of Michael Rostovtzeff, was of a widespread | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | economic decline at the beginning of the 5th century. Consistent archaeological evidence has told another story, and the accepted view is undergoing re-evaluation. Some features are agreed: more opulent but fewer urban houses, an end to new public building and some abandonment of existing ones, with the exception of defensive structures, and the widespread formation of "dark earth" deposits indicating increased horticulture within urban precincts. Turning over the basilica at Silchester to industrial uses | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | in the late 3rd century, doubtless officially condoned, marks an early stage in the de-urbanisation of Roman Britain. The abandonment of some sites is now believed to be later than had formerly been thought. Many buildings changed use but were not destroyed. There were growing barbarian attacks, but these were focused on vulnerable rural settlements rather than towns. Some villas such as Great Casterton in Rutland and Hucclecote in Gloucestershire had new mosaic floors laid around this time, suggesting that | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | economic problems may have been limited and patchy. Many suffered some decay before being abandoned in the 5th century; the story of Saint Patrick indicates that villas were still occupied until at least 430. Exceptionally, new buildings were still going up in this period in Verulamium and Cirencester. Some urban centres, for example Canterbury, Cirencester, Wroxeter, Winchester and Gloucester, remained active during the 5th and 6th centuries, surrounded by large farming estates.
Urban life had generally | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | grown less intense by the fourth quarter of the 4th century, and coins minted between 378 and 388 are very rare, indicating a likely combination of economic decline, diminishing numbers of troops, problems with the payment of soldiers and officials or with unstable conditions during the usurpation of Magnus Maximus 383–87. Coinage circulation increased during the 390s, but never attained the levels of earlier decades. Copper coins are very rare after 402, though minted silver and gold coins from hoards indi | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | cate they were still present in the province even if they were not being spent. By 407 there were very few new Roman coins going into circulation, and by 430 it is likely that coinage as a medium of exchange had been abandoned. Mass-produced wheel thrown pottery ended at approximately the same time; the rich continued to use metal and glass vessels, while the poor made do with humble "grey ware" or resorted to leather or wooden containers.
Sub-Roman Britain
Towards the end of the 4th century Britain came | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | under increasing pressure from barbarian attacks, and there were not enough troops to mount an effective defence. After elevating two disappointing usurpers, the army chose a soldier, Constantine III, to become emperor in 407. He crossed to Gaul but was defeated by Honorius; it is unclear how many troops remained or ever returned, or whether a commander-in-chief in Britain was ever reappointed. A Saxon incursion in 408 was apparently repelled by the Britons, and in 409 Zosimus records that the natives expe | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | lled the Roman civilian administration. Zosimus may be referring to the Bacaudic rebellion of the Breton inhabitants of Armorica since he describes how, in the aftermath of the revolt, all of Armorica and the rest of Gaul followed the example of the Brettaniai. A letter from Emperor Honorius in 410 has traditionally been seen as rejecting a British appeal for help, but it may have been addressed to Bruttium or Bologna. With the imperial layers of the military and civil government gone, administration and ju | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | stice fell to municipal authorities, and local warlords gradually emerged all over Britain, still utilizing Romano-British ideals and conventions. Historian Stuart Laycock has investigated this process and emphasised elements of continuity from the British tribes in the pre-Roman and Roman periods, through to the native post-Roman kingdoms.
In British tradition, pagan Saxons were invited by Vortigern to assist in fighting the Picts and Irish.
(Germanic migration into Roman Britannia may have begun much ear | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | lier. There is recorded evidence, for example, of Germanic auxiliaries supporting the legions in Britain in the 1st and 2nd centuries.)
The new arrivals rebelled, plunging the country into a series of wars that eventually led to the Saxon occupation of Lowland Britain by 600. Around this time, many Britons fled to Brittany (hence its name), Galicia and probably Ireland. A significant date in sub-Roman Britain is the Groans of the Britons, an unanswered appeal to Aetius, leading general of the western Empir | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | e, for assistance against Saxon invasion in 446. Another is the Battle of Deorham in 577, after which the significant cities of Bath, Cirencester and Gloucester fell and the Saxons reached the western sea.
Historians generally reject the historicity of King Arthur, who is supposed to have resisted the Anglo-Saxon conquest according to later medieval legends.
Trade
During the Roman period Britain's continental trade was principally directed across the Southern North Sea and Eastern Channel, focusing on t | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | he narrow Strait of Dover, with more limited links via the Atlantic seaways. The most important British ports were London and Richborough, whilst the continental ports most heavily engaged in trade with Britain were Boulogne and the sites of Domburg and Colijnsplaat at the mouth of the river Scheldt. During the Late Roman period it is likely that the shore forts played some role in continental trade alongside their defensive functions.
Exports to Britain included: coin; pottery, particularly red-gloss (sa | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | mian ware) from southern, central and eastern Gaul, as well as various other wares from Gaul and the Rhine provinces; olive oil from southern Spain in ; wine from Gaul in and barrels; salted fish products from the western Mediterranean and Brittany in barrels and amphorae; preserved olives from southern Spain in ; lava quern-stones from Mayen on the middle Rhine; glass; and some agricultural products. Britain's exports are harder to detect archaeologically, but will have included metals, such as silver and | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | gold and some lead, iron and copper. Other exports probably included agricultural products, oysters and salt, whilst large quantities of coin would have been re-exported back to the continent as well.
These products moved as a result of private trade and also through payments and contracts established by the Roman state to support its military forces and officials on the island, as well as through state taxation and extraction of resources. Up until the mid-3rd century, the Roman state's payments appear t | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | o have been unbalanced, with far more products sent to Britain, to support its large military force (which had reached 53,000 by the mid-2nd century), than were extracted from the island.
It has been argued that Roman Britain's continental trade peaked in the late 1st century AD and thereafter declined as a result of an increasing reliance on local products by the population of Britain, caused by economic development on the island and by the Roman state's desire to save money by shifting away from expensi | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | ve long-distance imports. Evidence has been outlined that suggests that the principal decline in Roman Britain's continental trade may have occurred in the late 2nd century AD, from 165 AD onwards. This has been linked to the economic impact of contemporary Empire-wide crises: the Antonine Plague and the Marcomannic Wars.
From the mid-3rd century onwards, Britain no longer received such a wide range and extensive quantity of foreign imports as it did during the earlier part of the Roman period; vast quant | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | ities of coin from continental mints reached the island, whilst there is historical evidence for the export of large amounts of British grain to the continent during the mid-4th century. During the latter part of the Roman period British agricultural products, paid for by both the Roman state and by private consumers, clearly played an important role in supporting the military garrisons and urban centres of the northwestern continental Empire. This came about as a result of the rapid decline in the size of | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | the British garrison from the mid-3rd century onwards (thus freeing up more goods for export), and because of 'Germanic' incursions across the Rhine, which appear to have reduced rural settlement and agricultural output in northern Gaul.
Economy
Mineral extraction sites such as the Dolaucothi gold mine were probably first worked by the Roman army from c. 75, and at some later stage passed to civilian operators. The mine developed as a series of opencast workings, mainly by the use of hydraulic mining met | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | hods. They are described by Pliny the Elder in his Natural History in great detail. Essentially, water supplied by aqueducts was used to prospect for ore veins by stripping away soil to reveal the bedrock. If veins were present, they were attacked using fire-setting and the ore removed for comminution. The dust was washed in a small stream of water and the heavy gold dust and gold nuggets collected in riffles. The diagram at right shows how Dolaucothi developed from 75 through to the 1st century. When open | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | cast work was no longer feasible, tunnels were driven to follow the veins. The evidence from the site shows advanced technology probably under the control of army engineers.
The Wealden ironworking zone, the lead and silver mines of the Mendip Hills and the tin mines of Cornwall seem to have been private enterprises leased from the government for a fee. Mining had long been practised in Britain (see Grimes Graves), but the Romans introduced new technical knowledge and large-scale industrial production to r | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | evolutionise the industry. It included hydraulic mining to prospect for ore by removing overburden as well as work alluvial deposits. The water needed for such large-scale operations was supplied by one or more aqueducts, those surviving at Dolaucothi being especially impressive. Many prospecting areas were in dangerous, upland country, and, although mineral exploitation was presumably one of the main reasons for the Roman invasion, it had to wait until these areas were subdued.
Roman designs were most pop | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | ular, but rural craftsmen still produced items derived from the Iron Age La Tène artistic traditions. Local pottery rarely attained the standards of the Gaulish industries; the Castor ware of the Nene Valley was able to withstand comparison with the imports. Most native pottery was unsophisticated and intended only for local markets.
By the 3rd century, Britain's economy was diverse and well established, with commerce extending into the non-Romanised north. The design of Hadrian's Wall especially catered t | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | o the need for customs inspections of merchants' goods.
Government
Under the Roman Empire, administration of peaceful provinces was ultimately the remit of the Senate, but those, like Britain, that required permanent garrisons, were placed under the Emperor's control. In practice imperial provinces were run by resident governors who were members of the Senate and had held the consulship. These men were carefully selected, often having strong records of military success and administrative ability. In Brit | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | ain, a governor's role was primarily military, but numerous other tasks were also his responsibility, such as maintaining diplomatic relations with local client kings, building roads, ensuring the public courier system functioned, supervising the and acting as a judge in important legal cases. When not campaigning, he would travel the province hearing complaints and recruiting new troops.
To assist him in legal matters he had an adviser, the , and those in Britain appear to have been distinguished lawyers | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | perhaps because of the challenge of incorporating tribes into the imperial system and devising a workable method of taxing them. Financial administration was dealt with by a procurator with junior posts for each tax-raising power. Each legion in Britain had a commander who answered to the governor and, in time of war, probably directly ruled troublesome districts. Each of these commands carried a tour of duty of two to three years in different provinces. Below these posts was a network of administrative ma | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | nagers covering intelligence gathering, sending reports to Rome, organising military supplies and dealing with prisoners. A staff of seconded soldiers provided clerical services.
Colchester was probably the earliest capital of Roman Britain, but it was soon eclipsed by London with its strong mercantile connections. The different forms of municipal organisation in Britannia were known as (which were subdivided, amongst other forms, into such as York, Colchester, Gloucester and Lincoln and municipalities | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | such as Verulamium), and were each governed by a senate of local landowners, whether Brythonic or Roman, who elected magistrates concerning judicial and civic affairs. The various sent representatives to a yearly provincial council in order to profess loyalty to the Roman state, to send direct petitions to the Emperor in times of extraordinary need, and to worship the imperial cult.
Demographics
Roman Britain had an estimated population between 2.8 million and 3 million people at the end of the second c | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | entury. At the end of the fourth century, it had an estimated population of 3.6 million people, of whom 125,000 consisted of the Roman army and their families and dependents.
The urban population of Roman Britain was about 240,000 people at the end of the fourth century. The capital city of Londinium is estimated to have had a population of about 60,000 people. Londinium was an ethnically diverse city with inhabitants from across the Roman Empire, including natives of Britannia, continental Europe, the Mid | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | dle East, and North Africa. There was also cultural diversity in other Roman-British towns, which were sustained by considerable migration, both within Britannia and from other Roman territories, including continental Europe, Roman Syria, the Eastern Mediterranean and North Africa.
Town and country
During their occupation of Britain the Romans founded a number of important settlements, many of which still survive. The towns suffered attrition in the later 4th century, when public building ceased and some | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | were abandoned to private uses. Place names survived the deurbanised Sub-Roman and early Anglo-Saxon periods, and historiography has been at pains to signal the expected survivals, but archaeology shows that a bare handful of Roman towns were continuously occupied. According to S.T. Loseby, the very idea of a town as a centre of power and administration was reintroduced to England by the Roman Christianising mission to Canterbury, and its urban revival was delayed to the 10th century.
Roman towns can be b | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | roadly grouped in two categories. , "public towns" were formally laid out on a grid plan, and their role in imperial administration occasioned the construction of public buildings. The much more numerous category of , "small towns" grew on informal plans, often round a camp or at a ford or crossroads; some were not small, others were scarcely urban, some not even defended by a wall, the characteristic feature of a place of any importance.
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | oped by them are listed with their Latin names in brackets; are marked C
Religion
Pagan
The druids, the Celtic priestly caste who were believed to originate in Britain, were outlawed by Claudius, and in 61 they vainly defended their sacred groves from destruction by the Romans on the island of Mona (Anglesey). Under Roman rule the Britons continued to worship native Celtic deities, such as Ancasta, but often conflated with their Roman equivalents, like Mars Rigonemetos at Nettleham.
The degree to whic | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | h earlier native beliefs survived is difficult to gauge precisely. Certain European ritual traits such as the significance of the number 3, the importance of the head and of water sources such as springs remain in the archaeological record, but the differences in the votive offerings made at the baths at Bath, Somerset, before and after the Roman conquest suggest that continuity was only partial. Worship of the Roman emperor is widely recorded, especially at military sites. The founding of a Roman temple to | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | Claudius at Camulodunum was one of the impositions that led to the revolt of Boudica. By the 3rd century, Pagans Hill Roman Temple in Somerset was able to exist peaceably and it did so into the 5th century.
Pagan religious practices were supported by priests, represented in Britain by votive deposits of priestly regalia such as chain crowns from West Stow and Willingham Fen.
Eastern cults such as Mithraism also grew in popularity towards the end of the occupation. The London Mithraeum is one example of t | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | he popularity of mystery religions among the soldiery. Temples to Mithras also exist in military contexts at Vindobala on Hadrian's Wall (the Rudchester Mithraeum) and at Segontium in Roman Wales (the Caernarfon Mithraeum).
Christianity
It is not clear when or how Christianity came to Britain. A 2nd-century "word square" has been discovered in Mamucium, the Roman settlement of Manchester. It consists of an anagram of PATER NOSTER carved on a piece of amphora. There has been discussion by academics whethe | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | r the "word square" is a Christian artefact, but if it is, it is one of the earliest examples of early Christianity in Britain. The earliest confirmed written evidence for Christianity in Britain is a statement by Tertullian, 200 AD, in which he described "all the limits of the Spains, and the diverse nations of the Gauls, and the haunts of the Britons, inaccessible to the Romans, but subjugated to Christ". Archaeological evidence for Christian communities begins to appear in the 3rd and 4th centuries. Sma | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | ll timber churches are suggested at Lincoln and Silchester and baptismal fonts have been found at Icklingham and the Saxon Shore Fort at Richborough. The Icklingham font is made of lead, and visible in the British Museum. A Roman Christian graveyard exists at the same site in Icklingham. A possible Roman 4th-century church and associated burial ground was also discovered at Butt Road on the south-west outskirts of Colchester during the construction of the new police station there, overlying an earlier pagan | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | cemetery. The Water Newton Treasure is a hoard of Christian silver church plate from the early 4th century and the Roman villas at Lullingstone and Hinton St Mary contained Christian wall paintings and mosaics respectively. A large 4th-century cemetery at Poundbury with its east–west oriented burials and lack of grave goods has been interpreted as an early Christian burial ground, although such burial rites were also becoming increasingly common in pagan contexts during the period.
The Church in Britain s | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | eems to have developed the customary diocesan system, as evidenced from the records of the Council of Arles in Gaul in 314: represented at the council were bishops from thirty-five sees from Europe and North Africa, including three bishops from Britain, Eborius of York, Restitutus of London, and Adelphius, possibly a bishop of Lincoln. No other early sees are documented, and the material remains of early church structures are far to seek. The existence of a church in the forum courtyard of Lincoln and the | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | of Saint Alban on the outskirts of Roman Verulamium are exceptional. Alban, the first British Christian martyr and by far the most prominent, is believed to have died in the early 4th century (some date him in the middle 3rd century), followed by Saints Julius and Aaron of Isca Augusta. Christianity was legalised in the Roman Empire by Constantine I in 313. Theodosius I made Christianity the state religion of the empire in 391, and by the 5th century it was well established. One belief labelled a heresy by | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | the church authorities — Pelagianism — was originated by a British monk teaching in Rome: Pelagius lived 354 to 420/440.
A letter found on a lead tablet in Bath, Somerset, datable to c. 363, had been widely publicised as documentary evidence regarding the state of Christianity in Britain during Roman times. According to its first translator, it was written in Wroxeter by a Christian man called Vinisius to a Christian woman called Nigra, and was claimed as the first epigraphic record of Christianity in Br | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | itain. This translation of the letter was apparently based on grave paleographical errors, and the text has nothing to do with Christianity, and in fact relates to pagan rituals.
Environmental changes
The Romans introduced a number of species to Britain, including possibly the now-rare Roman nettle (Urtica pilulifera), said to have been used by soldiers to warm their arms and legs, and the edible snail Helix pomatia. There is also some evidence they may have introduced rabbits, but of the smaller southern | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | mediterranean type. The European rabbit (Oryctolagus cuniculus) prevalent in modern Britain is assumed to have been introduced from the continent after the Norman invasion of 1066. Box (Buxus sempervirens) is rarely recorded before the Roman period, but becomes a common find in towns and villas.
Legacy
During their occupation of Britain the Romans built an extensive network of roads which continued to be used in later centuries and many are still followed today. The Romans also built water supply, sanit | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | ation and wastewater systems. Many of Britain's major cities, such as London (Londinium), Manchester (Mamucium) and York (Eboracum), were founded by the Romans, but the original Roman settlements were abandoned not long after the Romans left.
Unlike many other areas of the Western Roman Empire, the current majority language is not a Romance language, or a language descended from the pre-Roman inhabitants. The British language at the time of the invasion was Common Brittonic, and remained so after the Roman | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | s withdrew. It later split into regional languages, notably Cumbric, Cornish, Breton and Welsh. Examination of these languages suggests some 800 Latin words were incorporated into Common Brittonic (see Brittonic languages). The current majority language, English, is based on the languages of the Germanic tribes who migrated to the island from continental Europe from the 5th century onwards.
See also
Britannia (disambiguation)
History of the British Isles
Prehistoric Britain
Scotland during the Roman | [
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | Empire
Dolaucothi Gold Mines
References
Further reading
Iron Age background
General works on Roman Britain
Historical sources and inscriptions
Trade
Economy
(see pp. 179–232).
(see pp. 491–528).
Provincial government
Provincial development
(see pp. 141–178).
The Roman military in Britain
(see pp. 64–140).
(see pp. 85–252).
Urban life
(see pp. 253–350).
Rural life
(see pp. 233–263).
(see pp. 351–427).
Religion
(see pp. 264–305).
Art
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | l links
Timeline of Roman Britain at BBC
The Romans in Britain – Information on the Romans in Britain, including everyday life
Roman Britain – everything to do with Roman Britain, especially geographic, military, and administrative
The Roman Army and Navy in Britain, by Peter Green
Plants and Roman Society in Britain from plantspeopleplanet.org.au
Roman Britain, by Guy de la Bédoyère
Roman Britain at LacusCurtius
by Kevin Flude
Roman Britain – History
Roman Colchester
Roman Wales RCAHMW
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13525 | https://en.wikipedia.org/wiki/Roman%20Britain | Roman Britain | Rural Settlement of Roman Britain - database of excavated evidence for rural settlements
1st century in England
2nd century in England
3rd century in England
4th century in England
5th century in England
States and territories established in the 40s
States and territories disestablished in the 5th century
410 disestablishments
Britain
4th century in Wales
5th century in Wales
Former countries in the British Isles
History of England by period | [
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] |
13526 | https://en.wikipedia.org/wiki/List%20of%20Roman%20place%20names%20in%20Britain | List of Roman place names in Britain | A partial list of Roman place names in Great Britain.
This list includes only names documented from Roman times. For a more complete list including later Latin names, see List of Latin place names in Britain.
The early sources for Roman names show numerous variants and misspellings of the Latin names. Moreover, one of the principal authorities, Ptolemy, wrote in Greek so names that he records need to be transliterated back into Latin to reveal the original form.
Note that in general only one source is sh | [
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0.034632906,
0.008220261
] |
13526 | https://en.wikipedia.org/wiki/List%20of%20Roman%20place%20names%20in%20Britain | List of Roman place names in Britain | own below for each name, although many of the names are recorded in more than one of the sources.
Lists
Geographic regions
Settlement names
See also
List of Latin place names in Britain
List of Latin place names in Continental Europe and Ireland
Latin names of cities
Latin names of regions
Latin names of European countries
History of Britain
History of Ireland
Roman sites in the United Kingdom
United Nations Group of Experts on Geographical Names
Primary sources
AI: The Antonine Itinerary
P: | [
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] |
13526 | https://en.wikipedia.org/wiki/List%20of%20Roman%20place%20names%20in%20Britain | List of Roman place names in Britain | Ptolemy's Geography
RC: The Ravenna Cosmography
T: Tacitus's On the Life and Character of Julius Agricola.
SP: Confession of St. Patrick
ND: Notitia Dignitatum
References
A.L.F. Rivet and Colin Smith, The place-names of Roman Britain. London, 1979 (reprinted by Book Club Associates, 1981)
"Britannia in the Ravenna Cosmography". www.kmatthews.org.uk. Retrieved 27 April 2020
"The Antonine Itinerary". roadsofromanbritain.org. Retrieved 27 April 2020
"Ptolemy's Geography - Book II, Chapter 2". penelope.uchica | [
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] |
13526 | https://en.wikipedia.org/wiki/List%20of%20Roman%20place%20names%20in%20Britain | List of Roman place names in Britain | go.edu. Retrieved 27 April 2020.
External links
Dr. J. G. Th. Grässe, Orbis Latinus: Lexikon lateinischer geographischer Namen des Mittelalters und der Neuzeit, online at the Bavarian State Library
Grässe, Orbis Latinus, online at Columbia University
Interpreter List of Roman Place names in Great Britain and Ireland
Roman Britain
Roman place names
Britain
Britain, Roman
Britain
Roman
Place names
Britain
pt:Topónimos romanos no Reino Unido | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | Hemiparesis, or unilateral paresis, is weakness of one entire side of the body (hemi- means "half"). Hemiplegia is, in its most severe form, complete paralysis of half of the body. Hemiparesis and hemiplegia can be caused by different medical conditions, including congenital causes, trauma, tumors, or stroke.
Signs and symptoms
Depending on the type of hemiparesis diagnosed, different bodily functions can be affected. Some effects are expected (e.g., partial paralysis of a limb on the affected side). Oth | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | er impairments, though, can at first seem completely non-related to the limb weakness but are, in fact, a direct result of the damage to the affected side of the brain.
Loss of motor skills
People with hemiparesis often have difficulties maintaining their balance due to limb weaknesses leading to an inability to properly shift body weight. This makes performing everyday activities such as dressing, eating, grabbing objects, or using the bathroom more difficult. Hemiparesis with origin in the lower section | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | of the brain creates a condition known as ataxia, a loss of both gross and fine motor skills, often manifesting as staggering and stumbling. Pure Motor Hemiparesis, a form of hemiparesis characterized by sided weakness in the leg, arm, and face, is the most commonly diagnosed form of hemiparesis.
Pusher syndrome
Pusher syndrome is a clinical disorder following left or right brain damage in which patients actively push their weight away from the nonhemiparetic side to the hemiparetic side. In contrast to | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | most stroke patients, who typically prefer more weight-bearing on their nonhemiparetic side, this abnormal condition can vary in severity and leads to a loss of postural balance. The lesion involved in this syndrome is thought to be in the posterior thalamus on either side, or multiple areas of the right cerebral hemisphere.
With a diagnosis of pusher behaviour, three important variables should be seen, the most obvious of which is spontaneous body posture of a longitudinal tilt of the torso toward the par | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | etic side of the body occurring on a regular basis and not only on occasion. The use of the nonparetic extremities to create the pathological lateral tilt of the body axis is another sign to be noted when diagnosing for pusher behaviour. This includes abduction and extension of the extremities of the non-affected side, to help in the push toward the affected (paretic) side. The third variable that is seen is that attempts of the therapist to correct the pusher posture by aiming to realign them to upright | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | posture are resisted by the patient.
In patients with acute stroke and hemiparesis, the disorder is present in 10.4% of patients. Rehabilitation may take longer in patients that display pusher behaviour. The Copenhagen Stroke Study found that patients that presented with ipsilateral pushing used 3.6 weeks more to reach the same functional outcome level on the Barthel Index, than did patients without ipsilateral pushing.
Pushing behavior has shown that perception of body posture in relation to gravity is | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | altered. Patients experience their body as oriented "upright" when the body is actually tilted to the side of the brain lesion. In addition, patients seem to show no disturbed processing of visual and vestibular inputs when determining subjective visual vertical. In sitting, the push presents as a strong lateral lean toward the affected side and in standing, creates a highly unstable situation as the patient is unable to support their body weight on the weakened lower extremity. The increased risk of falls | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | must be addressed with therapy to correct their altered perception of vertical.
Pusher syndrome is sometimes confused with and used interchangeably as the term hemispatial neglect, and some previous theories suggest that neglect leads to pusher syndrome. However, another study had observed that pusher syndrome is also present in patients with left hemisphere lesions, leading to aphasia, providing a stark contrast to what was previously believed regarding hemispatial neglect, which mostly occurs with a ri | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | ght hemisphere lesion.
Karnath summarizes these two conflicting views, as they conclude that both neglect and aphasia are highly correlated with pusher syndrome possibly due to the close proximity of relevant brain structures associated with these two respective syndromes. However, the article goes on to state that it is imperative to note that both neglect and aphasia are not the underlying causes of pusher syndrome.
Physical therapists focus on motor learning strategies when treating these patients. Ve | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | rbal cues, consistent feedback, practicing correct orientation and weight shifting are all effective strategies used to reduce the effects of this disorder. Having a patient sit with their stronger side next to a wall and instructing them to lean towards the wall is an example of a possible treatment for pusher behaviour.
A new (2003) physical therapy approach for patients with pusher syndrome suggests that the visual control of vertical upright orientation, which is undisturbed in these patients, is the c | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | entral element of intervention in treatment. In sequential order, treatment is designed for patients to realize their altered perception of vertical, use visual aids for feedback about body orientation, learn the movements necessary to reach proper vertical position, and maintain vertical body position while performing other activities.
Classification of pusher syndrome
Individuals who present with pusher syndrome or lateropulsion, as defined by Davies, vary in their degree and severity of this condition a | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | nd therefore appropriate measures need to be implemented in order to evaluate the level of "pushing". There has been a shift towards early diagnosis and evaluation of functional status for individuals who have suffered from a stroke and presenting with pusher syndrome in order to decrease the time spent as an in-patient at hospitals and promote the return to function as early as possible. Moreover, in order to assist therapists in the classification of pusher syndrome, specific scales have been developed wi | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | th validity that coincides with the criteria set out by Davies’ definition of "pusher syndrome". In a study by Babyar et al., an examination of such scales helped determine the relevance, practical aspects and clinimetric properties of three specific scales existing today for lateropulsion. The three scales examined were the Clinical Scale of Contraversive Pushing, Modified Scale of Contraversive Pushing, and the Burke Lateropulsion Scale. The results of the study show that reliability for each scale is goo | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | d; moreover, the Scale of Contraversive Pushing was determined to have acceptable clinimetric properties, and the other two scales addressed more functional positions that will help therapists with clinical decisions and research.
Causes
The most common cause of hemiparesis and hemiplegia is stroke. Strokes can cause a variety of movement disorders, depending on the location and severity of the lesion. Hemiplegia is common when the stroke affects the corticospinal tract. Other causes of hemiplegia include | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | spinal cord injury, specifically Brown-Séquard syndrome, traumatic brain injury, or disease affecting the brain. A permanent brain injury that occurs during the intrauterine life, during delivery or early in life can lead to hemiplegic cerebral palsy. As a lesion that results in hemiplegia occurs in the brain or spinal cord, hemiplegic muscles display features of the upper motor neuron syndrome. Features other than weakness include decreased movement control, clonus (a series of involuntary rapid muscle con | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | tractions), spasticity, exaggerated deep tendon reflexes and decreased endurance.
The incidence of hemiplegia is much higher in premature babies than term babies. There is also a high incidence of hemiplegia during pregnancy and experts believe that this may be related to either a traumatic delivery, use of forceps or some event which causes brain injury. There is tentative evidence of an association with undiagnosed celiac disease and improvement after withdrawal of gluten from the diet.
Other causes of | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | hemiplegia in adults include trauma, bleeding, brain infections and cancers. Individuals who have uncontrolled diabetes, hypertension or those who smoke have a higher chance of developing a stroke. Weakness on one side of the face may occur and may be due to a viral infection, stroke or a cancer.
Common
Vascular: cerebral hemorrhage, stroke, cerebral palsy
Infective: encephalitis, meningitis, brain abscess, cerebral palsy, spinal epidural abscess
Neoplastic: glioma, meningioma, brain tumors, spinal cor | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | d tumors
Demyelination: multiple sclerosis, disseminated sclerosis, ADEM, neuromyelitis optica
Traumatic: cerebral lacerations, subdural hematoma, epidural hematoma, cerebral palsy, vertebral compression fracture
Iatrogenic: local anaesthetic injections given intra-arterially rapidly, instead of given in a nerve branch.
Ictal: seizure, Todd's paralysis
Congenital: cerebral palsy, Neonatal-Onset Multisystem Inflammatory Disease (NOMID)
Degenerative: ALS, corticobasal degeneration
Parasomnia: sleep par | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | alysis
Mechanism
Movement of the body is primarily controlled by the pyramidal (or corticospinal) tract, a pathway of neurons that begins in the motor areas of the brain, projects down through the internal capsule, continues through the brainstem, decussates (or cross midline) at the lower medulla, then travels down the spinal cord into the motor neurons that control each muscle. In addition to this main pathway, there are smaller contributing pathways (including the anterior corticospinal tract), some por | [
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] |
13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | tions of which do not cross the midline.
Because of this anatomy, injuries to the pyramidal tract above the medulla generally cause contralateral hemiparesis (weakness on the opposite side as the injury). Injuries at the lower medulla, spinal cord, and peripheral nerves result in ipsilateral hemiparesis.
In a few cases, lesions above the medulla have resulted in ipsilateral hemiparesis:
In several reported cases, patients with hemiparesis from an old contralateral brain injury subsequently experienced wo | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | rsening of their hemiparesis when hit with a second stroke in the ipsilateral brain. The authors hypothesize that brain reorganization after the initial injury led to more reliance on uncrossed motor pathways, and when these compensatory pathways were damaged by a second stroke, motor function worsened further.
A case report describes a patient with a congenitally uncrossed pyramidal tract, who developed right-sided hemiparesis after a hemorrhage in the right brain.
Diagnosis
Hemiplegia is identified by c | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | linical examination by a health professional, such as a physiotherapist or doctor. Radiological studies like a CT scan or magnetic resonance imaging of the brain should be used to confirm injury in the brain and spinal cord, but alone cannot be used to identify movement disorders. Individuals who develop seizures may undergo tests to determine where the focus of excess electrical activity is.
Hemiplegia patients usually show a characteristic gait. The leg on the affected side is extended and internally ro | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | tated and is swung in a wide, lateral arc rather than lifted in order to move it forward. The upper limb on the same side is also adducted at the shoulder, flexed at the elbow, and pronated at the wrist with the thumb tucked into the palm and the fingers curled around it.
Assessment tools
There are a variety of standardized assessment scales available to physiotherapists and other health care professionals for use in the ongoing evaluation of the status of a patient’s hemiplegia. The use of standardized a | [
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] |
13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | ssessment scales may help physiotherapists and other health care professionals during the course of their treatment plant to:
Prioritize treatment interventions based on specific identifiable motor and sensory deficits
Create appropriate short- and long-term goals for treatment based on the outcome of the scales, their professional expertise and the desires of the patient
Evaluate the potential burden of care and monitor any changes based on either improving or declining scores
Some of the most commonly | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | used scales in the assessment of hemiplegia are:
The Fugl-Meyer Assessment of sensorimotor function (FMA)
The FMA is often used as a measure of functional or physical impairment following a cerebrovascular accident (CVA). It measures sensory and motor impairment of the upper and lower extremities, balance in several positions, range of motion, and pain. This test is a reliable and valid measure in measuring post-stroke impairments related to stroke recovery. A lower score in each component of the test in | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | dicates higher impairment and a lower functional level for that area. The maximum score for each component is 66 for the upper extremities, 34 for the lower extremities, and 14 for balance. Administration of the FMA should be done after reviewing a training manual. The Chedoke-McMaster Stroke Assessment (CMSA)
This test is a reliable measure of two separate components evaluating both motor impairment and disability. The disability component assesses any changes in physical function including gross motor f | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | unction and walking ability. The disability inventory can have a maximum score of 100 with 70 from the gross motor index and 30 from the walking index. Each task in this inventory has a maximum score of seven except for the 2 minute walk test which is out of two. The impairment component of the test evaluates the upper and lower extremities, postural control and pain. The impairment inventory focuses on the seven stages of recovery from stroke from flaccid paralysis to normal motor functioning. A training | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | workshop is recommended if the measure is being utilized for the purpose of data collection.
The Stroke Rehabilitation Assessment of Movement (STREAM)
The STREAM consists of 30 test items involving upper-limb movements, lower-limb movements, and basic mobility items. It is a clinical measure of voluntary movements and general mobility (rolling, bridging, sit-to-stand, standing, stepping, walking and stairs) following a stroke. The voluntary movement part of the assessment is measured using a 3-point ordin | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | al scale (unable to perform, partial performance, and complete performance) and the mobility part of the assessment uses a 4-point ordinal scale (unable, partial, complete with aid, complete no aid). The maximum score one can receive on the STREAM is a 70 (20 for each limb score and 30 for mobility score). The higher the score, the better movement and mobility is available for the individual being scored.
Treatment
Treatment for hemiparesis is the same treatment given to those recovering from strokes or b | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | rain injuries. Health care professionals such as physical therapists and occupational therapists play a large role in assisting these patients in their recovery. Treatment is focused on improving sensation and motor abilities, allowing the patient to better manage their activities of daily living. Some strategies used for treatment include promoting the use of the hemiparetic limb during functional tasks, maintaining range of motion, and using neuromuscular electrical stimulation to decrease spasticity and | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | increase awareness of the limb.
At the more advanced level, using constraint-induced movement therapy will encourage overall function and use of the affected limb. Mirror Therapy (MT) has also been used early in stroke rehabilitation and involves using the unaffected limb to stimulate motor function of the hemiparetic limb. Results from a study on patients with severe hemiparesis concluded that MT was successful in improving motor and sensory function of the distal hemiparetic upper limb. Active participa | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | tion is critical to the motor learning and recovery process, therefore it’s important to keep these individuals motivated so they can make continual improvements.
Also speech pathologists work to increase function for people with hemiparesis.
Treatment should be based on assessment by the relevant health professionals, including physiotherapists, doctors and occupational therapists. Muscles with severe motor impairment including weakness need these therapists to assist them with specific exercise, and are | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | likely to require help to do this.
Medication
Drugs can be used to treat issues related to the Upper Motor Neuron Syndrome. Drugs like Librium or Valium could be used as a relaxant. Drugs are also given to individuals who have recurrent seizures, which may be a separate but related problem after brain injury.
Intra-muscular injection of Botulinum toxin A is used to treat spasticity that is associated with hemiparesis both in cerebral palsy children and stroke in adults. It can be injected into a muscle or | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | more commonly muscle groups of the upper or lower extremities. Botulinum toxin A induces temporary muscle paralysis or relaxation. The main goal of Botulinum toxin A is to maintain the range of motion of affected joints and to prevent the occurrence of fixed joint contractures or stiffness.
Surgery
Surgery may be used if the individual develops a secondary issue of contracture, from a severe imbalance of muscle activity. In such cases the surgeon may cut the ligaments and relieve joint contractures. Indivi | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | duals who are unable to swallow may have a tube inserted into the stomach. This allows food to be given directly into the stomach. The food is in liquid form and instilled at low rates. Some individuals with hemiplegia will benefit from some type of prosthetic device. There are many types of braces and splints available to stabilize a joint, assist with walking and keep the upper body erect.
Rehabilitation
Rehabilitation is the main treatment of individuals with hemiplegia. In all cases, the major aim of r | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | ehabilitation is to regain maximum function and quality of life. Both physical and occupational therapy can significantly improve the quality of life.
Physical therapy
Physical therapy (PT) can help improve muscle strength & coordination, mobility (such as standing and walking), and other physical function using different sensorimotor techniques. Physiotherapists can also help reduce shoulder pain by maintaining shoulder range of motion, as well as using Functional electrical stimulation. Supportive dev | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | ices, such as braces or slings, can be used to help prevent or treat shoulder subluxation in the hopes to minimize disability and pain. Although many individuals suffering from stroke experience both shoulder pain and shoulder subluxation, the two are mutually exclusive. A treatment method that can be implemented with the goal of helping to regain motor function in the affected limb is constraint-induced movement therapy. This consists of constraining the unaffected limb, forcing the affected limb to accom | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | plish tasks of daily living.
Occupational therapy
Occupational therapists may specifically help with hemiplegia with tasks such as improving hand function, strengthening hand, shoulder and torso, and participating in activities of daily living (ADLs), such as eating and dressing. Therapists may also recommend a hand splint for active use or for stretching at night. Some therapists actually make the splint; others may measure your child’s hand and order a splint. OTs educate patients and family on compensa | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | tory techniques to continue participating in daily living, fostering independence for the individual - which may include, environmental modification, use of adaptive equipment, sensory integration, etc.
Orthotic Intervention
Orthotic devices are one type of intervention for relieving symptoms of hemiparesis. Commonly called braces, orthotics range from 'off the shelf' to custom fabricated solutions, but their main goal is alike, to supplement diminished or missing muscle function and joint laxity. A wide | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | range of orthotic treatment can be designed by a Certified Orthotist (C.O.) or Certified Prosthetist Orthotist (C.P.O). Orthotics may be made of metal, plastic, or composite material (such as fiberglass, dyneema (HMWPE,) carbon fiber; etc) and design may be changed to address many different conditions.
and range from the level of ankle to the hip depending on the level of intervention, support, or control needed.,
Prognosis
Hemiplegia is not a progressive disorder, except in progressive conditions like a | [
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13528 | https://en.wikipedia.org/wiki/Hemiparesis | Hemiparesis | growing brain tumour. Once the injury has occurred, the symptoms should not worsen. However, because of lack of mobility, other complications can occur. Complications may include muscle and joint stiffness, loss of aerobic fitness, muscle spasms, bed sores, pressure ulcers and blood clots.
Sudden recovery from hemiplegia is very rare. Many of the individuals will have limited recovery, but the majority will improve from intensive, specialised rehabilitation. Potential to progress may differ in cerebral pa | [
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