scholarly journals Addressing Sexuality as Standard Care in People with an Upper Limb Deficiency: Taboo or Necessary Topic?

2013 ◽  
Vol 31 (2) ◽  
pp. 167-177 ◽  
Author(s):  
J. E. A. Verschuren ◽  
J. H. B. Geertzen ◽  
P. Enzlin ◽  
P. U. Dijkstra ◽  
R. Dekker ◽  
...  
Keyword(s):  
Upper Limb ◽  
Standard Care ◽  
Limb Deficiency

Sequentially applied myoelectrically controlled FES in a task-oriented approach and robotic therapy for the recovery of upper limb in post-stroke patients: A randomized controlled pilot study

2020 ◽  
pp. 1-11
Author(s):  
Gloria Perini ◽  
Rita Bertoni ◽  
Rune Thorsen ◽  
Ilaria Carpinella ◽  
Tiziana Lencioni ◽  
...  
Keyword(s):  
Upper Limb ◽  
Standard Care ◽  
Experimental Treatment ◽  
Stroke Patients ◽  
Rehabilitation Care ◽  
Post Stroke ◽  
Robotic Therapy ◽  
Arm Rehabilitation ◽  
Point Increase ◽  
Task Oriented

BACKGROUND: Functional recovery of the plegic upper limb in post-stroke patients may be enhanced by sequentially applying a myoelectrically controlled FES (MeCFES), which allows the patient to voluntarily control the muscle contraction during a functional movement and robotic therapy which allows many repetitions of movements. OBJECTIVE: Evaluate the efficacy of MeCFES followed by robotic therapy compared to standard care arm rehabilitation for post-stroke patients. METHODS: Eighteen stroke subjects (onset ⩾ 3 months, age 60.1 ± 15.5) were recruited and randomized to receive an experimental combination of MeCFES during task-oriented reaching followed by robot therapy (MRG) or same intensity conventional rehabilitation care (CG) aimed at the recovery of the upper limb (20 sessions/45 minutes). Change was evaluated through Fugl-Meyer upperextremity (FMA-UE), Reaching Performance Scale and Box and Block Test. RESULTS: The experimental treatment resulted in higher improvement on the FMA-UE compared with CG (P= 0.04), with a 10 point increase following intervention. Effect sizes were moderate in favor of the MRG group on FMA-UE, FMA-UE proximal and RPS (0.37–0.56). CONCLUSIONS: Preliminary findings indicate that a combination of MeCFES and robotic treatment may be more effective than standard care for recovery of the plegic arm in persons > 3 months after stroke. The mix of motor learning techniques may be important for successful rehabilitation of arm function.

scholarly journals Education and work participation among adults with congenital unilateral upper limb deficiency in Norway: A cross-sectional study

PLoS ONE ◽  
2018 ◽  
Vol 13 (12) ◽  
pp. e0207846
Author(s):  
Heidi Johansen ◽  
Trine Bathen ◽  
Liv Øinæs Andersen ◽  
Svend Rand-Hendriksen ◽  
Kristin Østlie
Keyword(s):  
Upper Limb ◽  
Cross Sectional Study ◽  
Work Participation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Limb Deficiency

scholarly journals Chronic pain and fatigue in adults with congenital unilateral upper limb deficiency in Norway. A cross-sectional study

PLoS ONE ◽  
2018 ◽  
Vol 13 (1) ◽  
pp. e0190567 ◽  
Author(s):  
Heidi Johansen ◽  
Trine Bathen ◽  
Liv Øinæs Andersen ◽  
Svend Rand-Hendriksen ◽  
Kristin Østlie
Keyword(s):  
Chronic Pain ◽  
Upper Limb ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Limb Deficiency

scholarly journals Compliance to service standards for congenital upper limb deficiency: the Northern Ireland experience

2011 ◽  
Vol 36 (1) ◽  
pp. 39-44
Author(s):  
Josephine Hillan ◽  
Lorraine E Graham
Keyword(s):  
Northern Ireland ◽  
Upper Limb ◽  
Multidisciplinary Team ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Rehabilitation Medicine ◽  
British Society ◽  
Current Guidance ◽  
Limb Deficiency ◽  
Low Rate

Background: In 2003, the British Society of Rehabilitation Medicine (BSRM) published guidelines on amputee and prosthetic rehabilitation, including those with congenital limb deficiency.Objectives: The aim of the study was to evaluate the service provided by the Regional Disablement Service (RDS) to children with congenital upper limb deficiency, against BSRM guidelines.Study Design: Retrospective chart review.Methods: Chart review.Results: Analysis of the group ( n = 44) showed 52% were male, with 61% of children affected on the left side, and 73% having a transverse deficiency. Compliance to individual aspects of the guidelines varied considerably. Only 14 (32%) of children had met with the multidisciplinary team by the recommended age of six months. Analysis of referral sources and timings suggested that children were initially seen elsewhere and later referred to RDS after consultation with a surgeon.Conclusions: RDS compliance with the BSRM guidelines was variable. Particularly disappointing was the low rate of children and families meeting the multidisciplinary team at an early age (< 6 months). The low rate of early referral prompted us to contact all paediatricians in Northern Ireland highlighting the guidelines, the benefits of early contact with RDS and encouraging referral on diagnosis.Clinical relevanceThis work will be of interest particularly to those involved in treating paediatric amputees. The challenges we face in treating upper limb deficient children in accordance with current guidance may not be unique and our study may prompt other units to consider how best to improve service to this group.

scholarly journals A physical activity program is no more effective than standard care at maintaining upper limb activity in community-dwelling people with stroke: secondary outcomes from a randomized trial

2019 ◽  
Vol 33 (10) ◽  
pp. 1607-1613
Author(s):  
Birgitta Langhammer ◽  
Louise Ada ◽  
Mari Gunnes ◽  
Hege Ihle-Hansen ◽  
Bent Indredavik ◽  
...  
Keyword(s):  
Physical Activity ◽  
Upper Limb ◽  
Standard Care ◽  
Community Dwelling ◽  
Assessment Scale ◽  
Minor Stroke ◽  
Control Group ◽  
Motor Assessment ◽  
Significant Difference ◽  
Secondary Outcomes

Objective: To evaluate whether an 18-month, physical activity coaching program is more effective than standard care in terms of upper-limb activity. Design: A prospective, randomized controlled trial. Setting: Three municipalities in Norway. Population: A total of 380 persons with stroke. Intervention: The intervention group received follow-up visits and coaching on physical activity and exercise each month for 18 months after inclusion, by a physiotherapist. The control group received standard care. Main measures: The primary outcome, in this secondary analysis, was Motor Assessment Scale items 6, 7, and 8. Secondary outcomes were National Institute of Health Stroke Scale item 5, the Stroke Impact Scale domain 7, and the Modified Ashworth Scale in flexion/extension of the elbow. Results: In total, 380 persons with stroke were recruited, with mean (SD) age 72 (11) years, and baseline scores total National Institute of Health Stroke Scale was 1.4 (2.2)/1.6 (2.4) and Motor Assessment Scale items 6, 7 and 8 in the intervention/control group was 5.5 (1.2)/5.5 (1.2), 5.4 (1.4)/5.4 (1.3), and 3.6 (2)/3.5 (2), respectively. There was no significant difference between groups in terms of upper limb function in any of the Motor Assessment Scale items. In this population with minor stroke, upper-limb activity was good at three months post-stroke (74% of the maximum) and remained good 18 months later (77% of maximum). Conclusion: After intervention, there was no difference between the groups in terms of upper-limb activity.

scholarly journals Self-Directed Exergaming for Stroke Upper Limb Impairment Increases Exercise Dose Compared to Standard Care

2021 ◽  
pp. 154596832110413
Author(s):  
Michelle Broderick ◽  
Leeza Almedom ◽  
Etienne Burdet ◽  
Jane Burridge ◽  
Paul Bentley
Keyword(s):  
Upper Limb ◽  
Real World ◽  
Conventional Therapy ◽  
Standard Care ◽  
Exercise Duration ◽  
Single Session ◽  
Rehabilitation Outcome ◽  
Professional Supervision ◽  
Exercise Dose ◽  
Stroke Centre

Background. One of the strongest modifiable determinants of rehabilitation outcome is exercise dose. Technologies enabling self-directed exercise offer a pragmatic means to increase dose, but the extent to which they achieve this in unselected cohorts, under real-world constraints, is poorly understood. Objective. Here we quantify the exercise dose achieved by inpatient stroke survivors using an adapted upper limb (UL) exercise gaming (exergaming) device and compare this with conventional (supervised) therapy. Methods. Over 4 months, patients presenting with acute stroke and associated UL impairment were screened at a single stroke centre. Participants were trained in a single session and provided with the device for unsupervised use during their inpatient admission. Results. From 75 patients referred for inpatient UL therapy, we recruited 30 (40%), of whom 26 (35%) were able to use the device meaningfully with their affected UL. Over a median enrolment time of 8 days (IQR: 5–14), self-directed UL exercise duration using the device was 26 minutes per day (median; IQR: 16–31), in addition to 25 minutes daily conventional UL therapy (IQR: 12–34; same cohort plus standard care audit; joint n = 50); thereby doubling total exercise duration (51 minutes; IQR: 32–64) relative to standard care (Z = 4.0, P <.001). The device enabled 104 UL repetitions per day (IQR: 38–393), whereas conventional therapy achieved 15 UL repetitions per day (IQR: 11–23; Z = 4.3, P <.001). Conclusion. Self-directed adapted exergaming enabled participants in our stroke inpatient cohort to increase exercise duration 2-fold, and repetitions 8-fold, compared to standard care, without requiring additional professional supervision.

scholarly journals Transverse terminal upper limb deficiency through the arm: The problem and management

2018 ◽  
Vol 10 (2) ◽  
pp. 145
Author(s):  
AlokChandra Agrawal ◽  
Harshal Sakale ◽  
Sandeep Kumar
Keyword(s):  
Upper Limb ◽  
Limb Deficiency
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