Evidence of Hemiplegic Hand Function Recovery Following Chronic Stroke Patients Using EMG, fMRI and DTI

2007 ◽  
pp. 2961-2964
Author(s):  
K. S. Tae ◽  
S. J. Song ◽  
B. S. Han ◽  
S. Y. Lee ◽  
G. Y. Park ◽  
...  
Keyword(s):  
Hand Function ◽  
Chronic Stroke ◽  
Stroke Patients ◽  
Function Recovery

scholarly journals Functional outcome of joint mobilization added to task-oriented training on hand function in chronic stroke patients

2020 ◽  
Vol 56 (1) ◽  
Author(s):  
Asmaa Sabbah ◽  
Sherine El Mously ◽  
Hanan Helmy Mohamed Elgendy ◽  
Mona Adel Abd Eltawab Farag ◽  
Abeer Abo Bakr Elwishy
Keyword(s):  
Functional Outcome ◽  
Hand Function ◽  
Chronic Stroke ◽  
Stroke Patients ◽  
Joint Mobilization ◽  
Task Oriented

scholarly journals Hand Robotics Rehabilitation: Feasibility and Preliminary Results of a Robotic Treatment in Patients with Hemiparesis

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Patrizio Sale ◽  
Valentina Lombardi ◽  
Marco Franceschini
Keyword(s):  
Acute Stroke ◽  
Hand Function ◽  
Stroke Patients ◽  
Robot Assisted ◽  
Rehabilitative Treatment ◽  
Modified Ashworth Scale ◽  
Extensor Muscles ◽  
Function Recovery ◽  
Ashworth Scale ◽  
Flexion And Extension

Background. No strongly clinical evidence about the use of hand robot-assisted therapy in stroke patients was demonstrated. This preliminary observer study was aimed at evaluating the efficacy of intensive robot-assisted therapy in hand function recovery, in the early phase after a stroke onset.Methods. Seven acute ischemic stroke patients at their first-ever stroke were enrolled. Treatment was performed using Amadeo robotic system (Tyromotion GmbH Graz, Austria). Each participant received, in addition to inpatients standard rehabilitative treatment, 20 sessions of robotic treatment for 4 consecutive weeks (5 days/week). Each session lasted for 40 minutes. The exercises were carried out as follows: passive modality (5 minutes), passive/plus modality (5 minutes), assisted therapy (10 minutes), and balloon (10 minutes). The following impairment and functional evaluations, Fugl-Meyer Scale (FM), Medical Research Council Scale for Muscle Strength (hand flexor and extensor muscles) (MRC), Motricity Index (MI), and modified Ashworth Scale for wrist and hand muscles (AS), were performed at the beginning (T0), after 10 sessions (T1), and at the end of the treatment (T2). The strength hand flexion and extension performed by Robot were assessed at T0 and T2. The Barthel Index and COMP (performance and satisfaction subscale) were assessed at T0 and T2.Results. Clinical improvements were found in all patients. No dropouts were recorded during the treatment and all subjects fulfilled the protocol. Evidence of a significant improvement was demonstrated by the Friedman test for the MRC (P<0.0123). Evidence of an improvement was demonstrated for AS, FM, and MI.Conclusions. This original rehabilitation treatment could contribute to increase the hand motor recovery in acute stroke patients. The simplicity of the treatment, the lack of side effects, and the first positive results in acute stroke patients support the recommendations to extend the clinical trial of this treatment, in association with physiotherapy and/or occupational therapy.

scholarly journals Compensating Hand Function in Chronic Stroke Patients Through the Robotic Sixth Finger

2017 ◽  
Vol 25 (2) ◽  
pp. 142-150 ◽  
Author(s):  
Gionata Salvietti ◽  
Irfan Hussain ◽  
David Cioncoloni ◽  
Sabrina Taddei ◽  
Simone Rossi ◽  
...  
Keyword(s):  
Hand Function ◽  
Chronic Stroke ◽  
Stroke Patients

Prediction of arm and hand function recovery in stroke patients

1987 ◽  
Vol 10 ◽  
pp. 110-112 ◽  
Author(s):  
W. de Weerdt ◽  
N. B. Lincoln ◽  
M. A. Harrison
Keyword(s):  
Hand Function ◽  
Stroke Patients ◽  
Function Recovery

Improvement of Hand Motor Function after Radial Shock Wave Therapy in Chronic Stroke Patients

2018 ◽  
pp. 2-12
Author(s):  
M Kamaluddin ◽  
Erna Setiawati ◽  
Tanti Ajoe Kesoema
Keyword(s):  
Shock Wave ◽  
Motor Function ◽  
Controlled Trial ◽  
Hand Function ◽  
Chronic Stroke ◽  
Control Group ◽  
Shock Wave Therapy ◽  
Stroke Patients ◽  
And Control ◽  
Experimental Group

Introduction: The Radial Shock Wave Therapy (RSWT) expected could improve spasticity and hand function in chronic stroke patients. This study aimed to find out the improvement of hand function after RSWT as an additional therapy in chronic stroke patients. Methods: Design study was a randomized controlled trial. The patients were assigned randomly to the experimental group (Infrared, Stretching, and RSWT) and control group (Infrared and Stretching) for six weeks. Hand motor function was measured using Fugl-Meyer Motor Assesment (FMA) before and after intervention. Conclusion: There were improvement of wrist and hand FMA scores in the experimental as well as control group Results: Median of wrist FMA scores in the experimental and control group before intervention were 2 and 3 respectively whereas median of wrist FMA scores in the experimental and control group after intervention were 5 and 4 respectively. Median of hand FMA scores in the experimental and control group before intervention were 4 and 4 respectively whereas median of hand FMA scores in the control and experimental group after intervention were 6 and 5 respectively. The scores of wrist- hand FMA in the control and experimental group after intervention were increased P = 0.001P < 0.001 (wrist) and P = 0.001 P < 0.001 (hand) respectively. However, difference increased of wrist and hand FMA scores in the experimental group after intervention were more significant. Keywords: Spasticity, Hand Function, Stroke, Radial Shock Therapy, Fugl-Meyer Motor Assesment

Improvement of Hand Motor Function after Radial Shock Wave Therapy in Chronic Stroke Patients

2019 ◽  
pp. 2-12
Author(s):  
M. Kamaluddin K ◽  
Erna Setiawati ◽  
Tanti Ajoe Kesoema
Keyword(s):  
Shock Wave ◽  
Motor Function ◽  
Hand Function ◽  
Chronic Stroke ◽  
Control Group ◽  
Shock Wave Therapy ◽  
Stroke Patients ◽  
Before And After ◽  
And Control ◽  
Experimental Group

IIntroduction: The Radial Shock Wave Therapy (RSWT) expected could improve spasticity and hand function in chronic stroke patients. This study aimed to find out the improvement of hand function after RSWT as an additional therapy in chronic stroke patients. Methods: Design study was a randomized controlled trial, in December 2018. The patients were assigned randomly to the experimental group (Infrared, Stretching, and RSWT) and control group (Infrared and Stretching) for six weeks. Hand motor function was measured using Fugl-Meyer Motor Assesment (FMA) before and after intervention. Results: The median values of wrist FMA scores in the experimental and control group before and after intervention were 2 vs 5 (p=0.001) and 3 vs 4 (p<0.001) respectively. The median values of hand FMA scores in the experimental and control group before and intervention were 4 vs 6 (p=0,.001) and 4 vs 5 (p<0.001). However, the delta between before and after intervention was higher in experimental group. Conclusion: The improvement of wrist and hand FMA scores after added treatment by RSWT was tend to higher.Keywords: Spasticity, Hand Function, Stroke, Radial Shock Therapy, Fugl-Meyer Motor Assesment

Effects of mental imagery technique in addition to conventional physical therapy to improve hand functions in chronic stroke patient

2021 ◽  
pp. 1-15
Author(s):  
Iqra Mubeen ◽  
Ashfaq Ahmad ◽  
Waqar Afzal
Keyword(s):  
Physical Therapy ◽  
Mental Imagery ◽  
Hand Function ◽  
Chronic Stroke ◽  
P Value ◽  
Stroke Patients ◽  
Maximum Duration ◽  
Significant Difference ◽  
Group A ◽  
Group B

Abstract Objective: To find the effect of mental imagery and conventional physical therapy for the treatment of hand function in chronic stroke patients. Methods: A randomized controlled trial was conducted at Rana and Alvi welfare society. A sample of 50 stroke patients was selected and divided in two groups; group A (experimental) and group B (control).  Inclusion and exclusion criteria were established and patients meeting inclusion criteria were included in the study. P value was set as 0.05. Group A was treated with conventional physical therapy combined with mental imagery whereas Group B was treated with conventional physical therapy alone. Wolf motor function test and action research arm test was used as outcome measures. Results: Group A consisted of 68% of females and 32% of males and group B comprised of 44% females and 32% males. Mean age of group A and B were 59.68 + 2.37 and 58.52 + 2.46 respectively. Mean duration (in months) of stroke for group A was 16.32+3.77 (minimum and maximum duration 13 and 23 months respectively). The stroke mean duration of group B was 16.00 +2.34 (minimum and maximum duration 13 and 20 months respectively). Both groups did not show significant difference at 5th week (P=0.721) whereas a significant difference was observed at 10th week (P=0.000) Conclusion: It was concluded that mental imagery technique in combination with conventional physical therapy is significantly effective to improve hand function among chronic stroke patients in comparison to conventional physical therapy alone. Continuous...

Abstract WP205: Home-Based Virtual Reality Therapy for Hand Recovery After Stroke

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Adam MacLellan ◽  
Catherine Legault ◽  
Alay Parikh ◽  
Leonel Lugo ◽  
Stephanie Kemp ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Upper Extremity ◽  
Large Scale ◽  
Controlled Trial ◽  
Hand Function ◽  
Chronic Stroke ◽  
Stroke Survivors ◽  
Hand Rehabilitation ◽  
Stroke Patients ◽  
Home Based

Background: Stroke is the leading cause of disability worldwide, with many stroke survivors having persistent upper limb functional impairment. Aside from therapist-directed rehabilitation, few efficacious recovery tools are available for use by stroke survivors in their own home. Game-based virtual reality systems have already shown promising results in therapist-supervised settings and may be suitable for home-based use. Objective: We aimed to assess the feasibility of unsupervised home-based use of a virtual reality device for hand rehabilitation in stroke survivors. Methodology: Twenty subacute/chronic stroke patients with upper extremity impairment were enrolled in this prospective single-arm study. Participants were instructed to use the Neofect Smart Glove 5 days per week for 8 weeks, in single sessions of 50 minutes or two 25-minute sessions daily. We measured (1) compliance to prescribed rehabilitation dose, (2) patient impression of the intervention, and (3) efficacy measures including the upper extremity Fugl-Meyer (UE-FM), the Jebsen-Taylor hand function test (JTHFT) and the Stroke Impact Scale (SIS). Results: Seven subjects (35%) met target compliance of 40 days use, and 6 subjects (30%) used the device for 20-39 days; there were no age or gender differences in use. Subjective patient experience was favorable, with ninety percent of subjects reporting satisfaction with their overall experience, and 80% reporting perceived improvement in hand function (figure 1). There was a mean improvement of 26.6±48.8 seconds in the JTHFT ( p =0.03) and 16.1±15.3 points in the domain of the SIS that assesses hand function ( p <0.01). There was a trend towards improvement in the UE-FM (2.2±5.5 points, p =0.10). Conclusions: A novel virtual reality gaming device is suitable for unsupervised use in stroke patients and may improve hand/arm function in subacute/chronic stroke patients. A large-scale randomized controlled trial is needed to confirm these results.

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